UHA Better Health • Better Life

Medical Payment Policies

The purpose of UHA Medical Payment Policies is to guide coverage decisions and to provide information regarding the need for prior authorization and other administrative directives. They are not intended to influence treatment decisions and do not constitute plan authorization. Medical necessity must be clear. They are not explanations of benefits.

Medical policies can be highly technical and complex and are provided here for informational purposes. They do not constitute medical advice. Medical technology is constantly evolving and these medical policies are subject to change without notice. Additional medical policies may also be developed from time to time and some may be withdrawn from use as science advances. Clinical context can be highly variable.


COSMETIC SERVICES

DIAGNOSTIC TESTING

DME

FACILITY

INFUSION SERVICES

MISCELLANEOUS

OB/GYN

PRESCRIPTION DRUGS

PREVENTIVE HEALTH SERVICES

RADIOLOGY

REHABILITATIVE THERAPY

SURGERY

TRANSPLANTS, SOLID ORGAN

TRANSPLANTS, STEM CELL