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 |
|---|---|---|---|
| Vacuum erection system | Equipment/Supplies | CoOportunity Health Iowa Nebraska | No |
| Vaginal cones or dilators | Equipment/Supplies | CoOportunity Health Iowa Nebraska | No |
| Varicose vein procedures | Surgery | CoOportunity Health Iowa Nebraska | Yes |
| Vascular endothelial growth factor (VEGF) inhibitors for ophthalmic use: Aflibercept (Eylea®), Ranibizumab (Lucentis®) and Pegaptanib (Macugen®) | Pharmacy | CoOportunity Health Iowa Nebraska | No |
| Vedolizumab (Entyvio®) | Pharmacy | CoOportunity Health Iowa Nebraska | Yes |
| Ventilator and supplies | Equipment/Supplies | CoOportunity Health Iowa Nebraska | No |
| Ventricular assist device (VADs) & Total artificial hearts | Surgery Transplants | CoOportunity Health Iowa Nebraska | Yes |
| Vision care services | Medical Services | CoOportunity Health Iowa Nebraska | No |
| Vision therapy/orthoptics | Ancillary Services | CoOportunity Health Iowa Nebraska | No |
| Vitrectomy table | Equipment/Supplies | CoOportunity Health Iowa Nebraska | No |
| Voice therapy | Medical Services Ancillary 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.