Medical Policy UpdatesCoOportunity Health has Medical Policies that contain coverage criteria and guidelines that describe how we make coverage decisions for certain health care services and items. Please call our Member Services Department at 1.888.324.2064 if you have any questions.
The information presented regarding coverage criteria and guidelines is regularly updated and is subject to change without notice. Read more…
If unsure of the keyword spelling, enter the first three letters of the word followed by an asterisk (*). Example: enter acu* to locate the acupuncture policy.
Policy search filters
| Policy name | Policy category | Product | Prior authorization required |
|---|---|---|---|
| Haberman Feeder and nipples | Equipment/Supplies | CoOportunity Health Iowa Nebraska | No |
| Health club/fitness center | Other | CoOportunity Health Iowa Nebraska | No |
| Health education | Ancillary Services | CoOportunity Health Iowa Nebraska | No |
| Hearing aids | Equipment/Supplies | CoOportunity Health Iowa Nebraska | No |
| Hearing services | Medical Services | CoOportunity Health Iowa Nebraska | No |
| Heart volume reduction | Surgery | CoOportunity Health Iowa Nebraska | No |
| Helmets | Equipment/Supplies | CoOportunity Health Iowa Nebraska | No |
| Hemangioma treatment | Medical Services | CoOportunity Health Iowa Nebraska | No |
| Hereditary angioedema (HAE) drug therapy | Pharmacy | CoOportunity Health Iowa Nebraska | Yes |
| Holistic medicine | Other | CoOportunity Health Iowa Nebraska | No |
| Home health service | Ancillary Services | CoOportunity Health Iowa Nebraska | Yes |
| Home phototherapy | Equipment/Supplies | CoOportunity Health Iowa Nebraska | Yes |
| Home spirometry program | Equipment/Supplies | CoOportunity Health Iowa Nebraska | No |
| Hospice services | Ancillary Services | CoOportunity Health Iowa Nebraska | Yes |
| Hospital bed | Equipment/Supplies | CoOportunity Health Iowa Nebraska | Yes |
| Humidifier | Equipment/Supplies | CoOportunity Health Iowa Nebraska | No |
| Hyperbaric oxygen therapy | Medical Services | CoOportunity Health Iowa Nebraska | No |
| Hyperhidrosis (primary) treatments | Medical Services | CoOportunity Health Iowa Nebraska | No |
| Hyperthermia – oncology applications | Medical Services | CoOportunity Health Iowa Nebraska | No |
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CoOportunity Health has contracted with HealthPartners Administrators, Inc. to provide claims processing, medical management and certain other administrative services.