Published April 2026

Please find a recap of the Medical Policies that went into effect recently. All policies are reviewed at least once annually. For more detailed information on these changes, please review here or visit all policies here.

Effective February 1, 2026

• Adult Day Health Care Services
• Bariatric Surgery
• Bone Growth Stimulator
• Cardiac Output Monitor by Thoracic Electrical Bioimpedance
• Dental Care Services Accidental Injury to Sound Natural Teeth Congenital Disease or Anomaly
• Dental Care Services Facility Services for Dental Care
• Dental Care Services Prophylactic Dental Extractions
• Fertility Preservation Services
• Gastrointestinal Endoscopy (Esophagogastroduodenoscopy and Colonoscopy)
• Gender Affirming Treatment
• Immunizations Childhood, Adolescent, and Adults
• Lenses for Medical Conditions of the Eye
• Orthotic Devices (other than therapeutic diabetic footwear)
• Panniculectomy and Abdominoplasty
• Phototherapy, Photochemotherapy, and Excimer Laser Therapy for Dermatologic Conditions
• Procedures for the Management of Chronic Pain including Chronic Spinal Pain
• Radiofrequency Neuroablation (Rhizotomy), Facet Joint Injections, Medial Branch Blocks, Procedures for Chronic Pain
• Vagus Nerve Stimulator
• Vitiligo Treatment

Effective April 1, 2026

• Compression Devices
• Benign Prostatic Hyperplasia Treatment
• Electrical Stimulation Devices and Therapies
• Endovascular Repair of Aortic Aneurysms
• Epidermal Nerve Fiber Density Testing (policy archived)
• Gender Affirming Treatment
• Ground Ambulance and Ambulette Services
• Investigational Procedures, Devices, Medical Treatments, and Tests
• Lymphedema Compression Garments and Compression Stockings
• Medical Policy Development, Implementation, and Review Process
• Needle Free Insulin Injectors
• Peripheral Nerve Destruction and Cryoablation (new policy)
• Peripheral Nerve Stimulators (new policy)
• Skin Endpoint Titration