Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
Recorded changes
86,510 on record
Recorded policy changes, newest first| Recorded | Payer | Policy | Change |
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| Aug 2, 2026 | AmeriHealth | Lower Limb ProsthesesPayerPolicy · AMERIHEALTH-MEDICARE-ADVANTAGE-MA05-024 | New policy |
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| Aug 2, 2026 | AmeriHealth | Loncastuximab tesirine-lpyl (Zynlonta)PayerPolicy · AMERIHEALTH-MEDICARE-ADVANTAGE-MA08-139 | New policy |
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| Aug 2, 2026 | AmeriHealth | Lipectomy and LiposuctionPayerPolicy · AMERIHEALTH-MEDICARE-ADVANTAGE-MA11-070 | New policy |
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| Aug 2, 2026 | AmeriHealth | Linvoseltamab-gcpt (Lynozyfic)PayerPolicy · AMERIHEALTH-MEDICARE-ADVANTAGE-MA08-188 | New policy |
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| Aug 2, 2026 | AmeriHealth | Lifileucel (Amtagvi)PayerPolicy · AMERIHEALTH-MEDICARE-ADVANTAGE-MA08-172 | New policy |
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| Aug 2, 2026 | AmeriHealth | Level of Care for Elective Procedures (Hospital Inpatient to Hospital Outpatient Level of Care)PayerPolicy · AMERIHEALTH-MEDICARE-ADVANTAGE-MA12-012 | New policy |
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| Aug 2, 2026 | AmeriHealth | Leuprolide (Camcevi, Camcevi ETM, Eligard, Fensolvi, Lupron Depot)PayerPolicy · AMERIHEALTH-MEDICARE-ADVANTAGE-MA08-083 | New policy |
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| Aug 2, 2026 | AmeriHealth | Leadless PacemakersPayerPolicy · AMERIHEALTH-MEDICARE-ADVANTAGE-MA05-067 | New policy |
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| Aug 2, 2026 | AmeriHealth | Laser Interstitial Thermal Therapy (LITT)PayerPolicy · AMERIHEALTH-MEDICARE-ADVANTAGE-MA07-034-D0666C1800 | New policy |
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| Aug 2, 2026 | AmeriHealth | Laparoscopic, Percutaneous, and Transcervical Techniques for Uterine Fibroid MyolysisPayerPolicy · AMERIHEALTH-MEDICARE-ADVANTAGE-MA11-116 | New policy |
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| Aug 2, 2026 | AmeriHealth | Lanreotide (Somatuline Depot)PayerPolicy · AMERIHEALTH-MEDICARE-ADVANTAGE-MA08-090H-798433DB5E | New policy |
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| Aug 2, 2026 | AmeriHealth | Laboratory Services for Members Enrolled in Health Maintenance Organization (HMO) or Health Maintenance Organization Point-of-Service (HMO-POS) ProductsPayerPolicy · AMERIHEALTH-MEDICARE-ADVANTAGE-MA00-030AK-8EE5ED6B56 | New policy |
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| Aug 2, 2026 | AmeriHealth | LabiaplastyPayerPolicy · AMERIHEALTH-MEDICARE-ADVANTAGE-MA11-067 | New policy |
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| Aug 2, 2026 | AmeriHealth | Knee OrthosesPayerPolicy · AMERIHEALTH-MEDICARE-ADVANTAGE-MA05-013 | New policy |
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| Aug 2, 2026 | AmeriHealth | Islet Cell Transplantation, including use of Donislecel-jujn (Lantidra)PayerPolicy · AMERIHEALTH-MEDICARE-ADVANTAGE-MA11-007 | New policy |
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| Aug 2, 2026 | AmeriHealth | Isatuximab-irfc (Sarclisa)PayerPolicy · AMERIHEALTH-MEDICARE-ADVANTAGE-MA08-117 | New policy |
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| Aug 2, 2026 | AmeriHealth | Ipilimumab (Yervoy)PayerPolicy · AMERIHEALTH-MEDICARE-ADVANTAGE-MA08-059 | New policy |
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| Aug 2, 2026 | AmeriHealth | In Vivo Allergy Sensitivity TestingPayerPolicy · AMERIHEALTH-MEDICARE-ADVANTAGE-MA06-004 | New policy |
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| Aug 2, 2026 | AmeriHealth | In Vitro Chemosensitivity and Chemoresistance AssaysPayerPolicy · AMERIHEALTH-MEDICARE-ADVANTAGE-MA06-021 | New policy |
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| Aug 2, 2026 | AmeriHealth | In Vitro Allergy TestingPayerPolicy · AMERIHEALTH-MEDICARE-ADVANTAGE-MA06-002 | New policy |
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| Aug 2, 2026 | AmeriHealth | Intravitreal Injection of Vascular Endothelial Growth Factor (VEGF) Antagonists, VEGF Biosimilars, and Combination VEGF/Angiopoietin-2 (Ang-2) InhibitorsPayerPolicy · AMERIHEALTH-MEDICARE-ADVANTAGE-MA08-073V-ED34BE7CDB | New policy |
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| Aug 2, 2026 | AmeriHealth | Intravenous Ketamine (Ketalar) and Intranasal Esketamine (Spravato)PayerPolicy · AMERIHEALTH-MEDICARE-ADVANTAGE-MA08-137 | New policy |
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| Aug 2, 2026 | AmeriHealth | Intravenous Infliximab and Related BiosimilarsPayerPolicy · AMERIHEALTH-MEDICARE-ADVANTAGE-MA08-019 | New policy |
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| Aug 2, 2026 | AmeriHealth | Intravenous Chelation TherapyPayerPolicy · AMERIHEALTH-MEDICARE-ADVANTAGE-MA07-016 | New policy |
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| Aug 2, 2026 | AmeriHealth | Intravenous (IV) Iron PreparationsPayerPolicy · AMERIHEALTH-MEDICARE-ADVANTAGE-MA08-150 | New policy |
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| Aug 2, 2026 | AmeriHealth | Intravenous (IV) Administration of Fluids as a Treatment of a Medical Condition or for the Preparation of Pharmaceuticals, Biologics, and other SubstancesPayerPolicy · AMERIHEALTH-MEDICARE-ADVANTAGE-MA00-022 | New policy |
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| Aug 2, 2026 | AmeriHealth | Intrauterine Systems (IUSs) (e.g., Mirena, Skyla, Liletta, Kyleena)PayerPolicy · AMERIHEALTH-MEDICARE-ADVANTAGE-MA07-025 | New policy |
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| Aug 2, 2026 | AmeriHealth | Intraoperative Neurophysiological Monitoring (INM)PayerPolicy · AMERIHEALTH-MEDICARE-ADVANTAGE-MA07-051 | New policy |
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| Aug 2, 2026 | AmeriHealth | Interleukin-5 (IL-5) Antagonist (e.g., Cinqair, Exdensur, Nucala) and IL-5 Receptor Antagonist (e.g., Fasenra)PayerPolicy · AMERIHEALTH-MEDICARE-ADVANTAGE-MA08-024 | New policy |
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| Aug 2, 2026 | AmeriHealth | Instrument-Based Vision ScreeningPayerPolicy · AMERIHEALTH-MEDICARE-ADVANTAGE-MA07-048 | New policy |
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| Aug 2, 2026 | AmeriHealth | Insertion of Implantable Infusion PumpsPayerPolicy · AMERIHEALTH-MEDICARE-ADVANTAGE-MA05-053 | New policy |
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| Aug 2, 2026 | AmeriHealth | Injectable Dermal Fillers for Cosmetic ProceduresPayerPolicy · AMERIHEALTH-MEDICARE-ADVANTAGE-MA05-021 | New policy |
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| Aug 2, 2026 | AmeriHealth | Inebilizumab-cdon (Uplizna)PayerPolicy · AMERIHEALTH-MEDICARE-ADVANTAGE-MA08-126 | New policy |
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| Aug 2, 2026 | AmeriHealth | Inclisiran (Leqvio)PayerPolicy · AMERIHEALTH-MEDICARE-ADVANTAGE-MA08-149 | New policy |
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| Aug 2, 2026 | AmeriHealth | Implantable Pulmonary Artery Pressure Sensors for Heart Failure ManagementPayerPolicy · AMERIHEALTH-MEDICARE-ADVANTAGE-MA11-119 | New policy |
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| Aug 2, 2026 | AmeriHealth | Implantable Cardioverter DefibrillatorsPayerPolicy · AMERIHEALTH-MEDICARE-ADVANTAGE-MA05-027 | New policy |
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| Aug 2, 2026 | AmeriHealth | Immune Globulin Intravenous (IVIG), Subcutaneous (SCIG)PayerPolicy · AMERIHEALTH-MEDICARE-ADVANTAGE-MA08-009 | New policy |
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| Aug 2, 2026 | AmeriHealth | Immune Cell Function AssayPayerPolicy · AMERIHEALTH-MEDICARE-ADVANTAGE-MA06-018 | New policy |
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| Aug 2, 2026 | AmeriHealth | Imetelstat (Rytelo)PayerPolicy · AMERIHEALTH-MEDICARE-ADVANTAGE-MA08-177 | New policy |
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| Aug 2, 2026 | AmeriHealth | Hyperthermic Intraperitoneal Chemotherapy for Select Intra-Abdominal and Pelvic MalignanciesPayerPolicy · AMERIHEALTH-MEDICARE-ADVANTAGE-MA07-017 | New policy |
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| Aug 2, 2026 | AmeriHealth | Hyperbaric Oxygen TherapyPayerPolicy · AMERIHEALTH-MEDICARE-ADVANTAGE-MA07-001 | New policy |
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| Aug 2, 2026 | AmeriHealth | Hyaluronan Therapies for Osteoarthritis of the KneePayerPolicy · AMERIHEALTH-MEDICARE-ADVANTAGE-MA11-023 | New policy |
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| Aug 2, 2026 | AmeriHealth | Hospital ReadmissionsPayerPolicy · AMERIHEALTH-MEDICARE-ADVANTAGE-MA00-023 | New policy |
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| Aug 2, 2026 | AmeriHealth | Hospital Beds and AccessoriesPayerPolicy · AMERIHEALTH-MEDICARE-ADVANTAGE-MA05-002 | New policy |
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| Aug 2, 2026 | AmeriHealth | Home-Use Light Box for the Treatment of Seasonal Affective Disorder (SAD)PayerPolicy · AMERIHEALTH-MEDICARE-ADVANTAGE-MA05-022 | New policy |
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| Aug 2, 2026 | AmeriHealth | Home Prothrombin Time MonitoringPayerPolicy · AMERIHEALTH-MEDICARE-ADVANTAGE-MA05-016 | New policy |
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| Aug 2, 2026 | AmeriHealth | Home Oxygen TherapyPayerPolicy · AMERIHEALTH-MEDICARE-ADVANTAGE-MA05-017 | New policy |
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| Aug 2, 2026 | AmeriHealth | Home Health Care ServicesPayerPolicy · AMERIHEALTH-MEDICARE-ADVANTAGE-MA02-003 | New policy |
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| Aug 2, 2026 | AmeriHealth | Home-Based Sleep StudiesPayerPolicy · AMERIHEALTH-MEDICARE-ADVANTAGE-MA07-028 | New policy |
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| Aug 2, 2026 | AmeriHealth | High-Technology Radiology ServicesPayerPolicy · AMERIHEALTH-MEDICARE-ADVANTAGE-MA09-002AH-635D3E519C | New policy |
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