Skip to main content

Coverage criteria policies

CoOportunity 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 moreā€¦

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

Viewing 15 of 422 policies
Policy name Policy category Product Prior authorization required
Radioactive (Y-90) liver tumor embolizationMedical ServicesCoOportunity Health
Iowa
Nebraska
No
Radiofrequency ablation (RFA) for Barrett's esophagusSurgeryCoOportunity Health
Iowa
Nebraska
No
Radiofrequency ablation/applicationsMedical ServicesCoOportunity Health
Iowa
Nebraska
No
Radiofrequency ablative (RFA) denervation procedures for chronic facet-mediated neck & back painMedical Services
Spine
CoOportunity Health
Iowa
Nebraska
Yes
Radium 223 (Xofigo®)PharmacyCoOportunity Health
Iowa
Nebraska
Yes
Ramucirumab (Cyramza®)PharmacyCoOportunity Health
Iowa
Nebraska
Yes
Recent Food and Drug Administration (FDA) approved medications coverage policyPharmacyCoOportunity Health
Iowa
Nebraska
Yes
Reconstructive surgerySurgeryCoOportunity Health
Iowa
Nebraska
Yes
Reduction mammoplastySurgeryCoOportunity Health
Iowa
Nebraska
Yes
Repetitive transcranial magnetic stimulationBehavioral HealthCoOportunity Health
Iowa
Nebraska
No
Repose® tongue and hyoid suspension systemSurgeryCoOportunity Health
Iowa
Nebraska
No
Respiratory assist device (RAD)Equipment/SuppliesCoOportunity Health
Iowa
Nebraska
No
Rhinoplasty and septorhinoplastySurgeryCoOportunity Health
Iowa
Nebraska
Yes
Rituximab (Rituxan®)PharmacyCoOportunity Health
Iowa
Nebraska
Yes
Rope and pulley exerciserEquipment/SuppliesCoOportunity Health
Iowa
Nebraska
No
Viewing 15 of 422 policies
Loading...Loading...

CoOportunity Health has contracted with HealthPartners Administrators, Inc. to provide claims processing, medical management and certain other administrative services.