WebMedical Policies & Clinical UM Guidelines. There are several factors that impact whether a service or procedure is covered under a member’s benefit plan. Medical policies and clinical utilization management (UM) guidelines are two resources that help us determine if a procedure is medically necessary. These documents are available to you as a ... Webprescribing of foot orthotics may be considered within their scope of practice. (For coverage of foot orthotics, please see Medical Policy entitled Orthotics) Billing/Coding/Physician Documentation Information This policy may apply to the following codes. Inclusion of a code in this section does not guarantee that it will be reimbursed.

Medical Policies Blue Cross and Blue Shield of Louisiana

WebNov 1, 2024 · Quantity Level Limits (QLL) for Foot Orthotics for Conditions other than Diabetes. Individuals meeting the above orthotic coverage is limited to: One (1) … WebThis is a summary of the features of the Blue Cross and Blue Shield Service Benefit Plan. Before making a final decision, please read the Plan’s federal brochure (RI 71-005). All benefits are subject to the definitions, … s\u0026t bank online login page

Durable Medical Equipment (DME)

WebBlue Cross Blue Shield does not cover wigs as a cranial prosthesis for group and individual insurance plans. Feedback from Client: "I have blue cross blue shield insurance. I have a prescription from my doctor for a wig/cranial prosthesis and blue cross would not cover the cost because my hair loss was not due to 'chemotherapy or burn'. It had ... Webcovers the furnishing and fitting of either of these each calendar year, if you have diabetes and severe diabetic foot disease: One pair of custom-molded shoes and inserts. One pair of extra-depth shoes. Medicare also covers: 2 additional pairs of inserts each calendar year for custom-molded shoes. 3 pairs of inserts each calendar year for ... WebFunctional foot orthotics when prescribed by a physician. Rigid devices attached to the foot or a brace, or placed in a shoe. Replacement, repair, and adjustment of covered … paines creek brewster