Starting Jan. 1, 2025, we are introducing a new Magnetic Resonance Image Guided High Intensity Focused Ultrasound (MRgFUS) Reimbursement Policy for both EmblemHealth and ConnectiCare
The following reimbursement policies have been updated. If the policy name does not have a company name shown, the policy applies to both EmblemHealth and ConnectiCare.
Laboratory Benefit Management policies are indicated by (LBM) after their names. See their revision histories for effective dates and applicable changes.
- Bundled Services (Commercial and Medicare).
- ConnectiCare Preventive Care Services (Commercial).
- ConnectiCare Preventive Care Services (Medicare).
- ConnectiCare’s Laboratory/Venipuncture.
- Diagnosis of Vaginitis (LBM).
- EmblemHealth Preventive Care Services (Commercial).
- EmblemHealth Preventive Care Services (Medicare).
- Human Immunodeficiency Virus (HIV) (LBM).
- Multiple & Bilateral Surgical Procedures Policy.
- Multiple Diagnostic Imaging Payment Reduction Policy (Commercial).
- Multiple Procedure Reduction Cardiology/Ophthalmology.
- Onychomycosis Testing (LBM).
- Telehealth/Virtual Care Services.
JP 68152 01/2025