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UCare's Coverage Policies

These coverage policies describe UCare’s application of coverage rules and methodologies for claims submitted under UCare’s health benefit plans. This information is offered as a helpful resource regarding UCare coverage policies. UCare cannot address every possible aspect of a reimbursement scenario.

View the Annual Review of 2021 Coverage Policies.

Coverage Policies

Name Policy Number Effective Date
Allergy Injections CP-IFP21-021A 2022-01-01
Bone Mineral Density Studies CP-MCR22-006A 2022-10-01
Bone Mineral Density Studies CP-MCD22-004A 2022-10-01
Bone Mineral Density Studies CP-IFP22-032A 2022-10-01
Category III Codes - IFP CP-IFP22-026A 2022-07-01
Category III Codes - MCR CP-MCR22-003A 2022-07-01
Children's Therapeutic Services and Supports (CTSS) CP-IFP22-030A 2022-10-01
Circumcision (MCHP) CP-MCD20-006A 2021-01-01
Coverage for Routine Costs for Members Participating in Clinical Trials (IFP) CP-IFP20-001A 2021-01-01
Colorectal (IFP) CP-IFP21-012A 2021-10-01
Compression Stockings & Wraps (IFP) CP-IFP21-014A 2021-12-01
Cosmetic Services CP-IFP22-027A 2022-07-01
Diabetes (IFP) CP-IFP21-015A 2021-12-01
Durable Medical Equipment (IFP) CP-IFP21-006A 2021-05-01
Enhanced Asthma Care Services for Children CP-MCD22-003A 2022-01-01
Enteral/Parenteral Therapy (TPN) (IFP) CP-IFP20-002A 2021-01-01
Eye Exams for Adults CP-IFP21-022A 2022-01-01
Eyewear for Children (IFP) CP-IFP20-003A 2021-01-01
Fetal Aneuploidy CP-IFP21-017A 2022-01-01
Gambling CP-IFP22-031A 2022-10-01
Home Health Services (IFP) CP-IFP20-004A 2021-01-01
Home Hospice (IFP) CP-IFP20-005A 2021-01-01
Infertility (IFP) CP-IFP21-011A 2021-10-01
DME: Mastectomy Bras and External Breast Prosthesis CP-IFP22-023A 2022-04-01
Medical Dental (IFP) CP-IFP21-0092 2021-05-01
Online Care/E-Care/Telemedicine (IFP) CP-IFP21-0082 2021-05-01
Palliative Care (IFP) CP-IFP21-010A 2021-10-01
Medicare Physical Exam Coverage CP-MCR22-005A 2022-07-01
Pneumatic Compression and Lymphedema Pumps (IFP) CP-IFP21-020A 2021-12-01
Post Stabilization Care - Medicare CP-MCR21-001A 2022-01-01
Preventative Services (IFP) CP-IFP21-013A 2021-10-01
Rabies Vaccine CP-IFP22-029A 2022-07-01
Septoplasty (IFP) CP-IFP21-019A 2021-12-01
Telehealth CP-MCD22-005A 2022-10-01
Telemonitoring CP-IFP22-024A 2022-04-01
Telemonitoring CP-MCD22-002A 2022-04-01
Lodging and Transportation Related Expenses Member Reimbursement CP-MCR22-002A 2022-04-01
Travel and Lodging Reimbursement Form for Transplant Related Expenses
Travel Vaccines CP-IFP22-028A 2022-07-01
Wigs CP-IFP22-025A 2022-04-01