Draft Medical Policies

To ensure that the development of medical policies occurs through an open, collaborative process, we welcome comments about medical policies that are in the draft stage. Our current draft policies are listed below.

Participating providers are invited to submit scientific, evidence-based information, professional consensus opinions and other information supported by medical literature relevant to these draft policies for consideration. We accept comments for 45 days from the posting date listed on the draft policy document.

Note: Coverage is subject to member's specific benefits. Group-specific policies will supersede these policies when applicable. Please refer to member's benefit plan.

How to Submit Comments on Draft Medical Policies

Complete our medical policy feedback form

Or send comments by mail or fax to:

Birmingham Service Center
Attn: Health Management - Medical Policy
P.O. Box 10527
Birmingham, AL 35202

Fax: 205-220-0878


Policy # Policy Title Print View
MP-410 Fetal Surgery for Prenatally Diagnosed Malformations
MP-461 Holter Monitoring (Ambulatory Electrocardiography)
MP-468 Molecular Analysis for Targeted Therapy of Non-Small-Cell Lung Cancer (NSCLC)
MP-483 Transcatheter Aortic-Valve Implantation for Aortic Stenosis
MP-537 Peroral Endoscopic Myotomy (POEM) for Treatment of Esophageal Achalasia and Refractory Gastroparesis
MP-719 Surgical Treatments for Lymphedema and Lipedema
MP-724 Hydrogel Spacer use During Radiotherapy for Prostate Cancer
MP-732 Testing Serum Vitamin D Levels