Coverage Policies
These coverage policies describe Aspirus Health Plan's application of coverage rules and methodologies for claims submitted under Aspirus Health Plan. This information is offered as a helpful resource regarding Aspirus Health Plan coverage policies. Aspirus Health Plan cannot address every possible aspect of a reimbursement scenario.
View the Annual Review of Coverage Policies (PDF).
Coverage Policies
| Name | Policy Number | Effective Date |
|---|---|---|
| Bone Mineral Density Studies | CP-AMCR24-006A | 2024-08-01 |
| Category III Codes | CP-AMCR24-003A | 2024-08-01 |
| Member Reimbursement | CP-AMCR24-007A | 2024-08-01 |
| Oxygen and Oxygen Equipment | CP-AMCR24-009A | 2024-08-01 |
| Physical Exam Coverage | CP-AMCR24-005A | 2024-08-01 |
| Post Stabilization Care | CP-AMCR24-001A | 2024-08-01 |
| Physical Exam Coverage - Preventative Care Office Visits | ||
| Septoplasty | CP-AMCR24-004A | 2024-08-01 |
| Skin Substitute Grafts | CP-AMCR25-010A | 2024-06-24 |
| Transplants Lodging and Transportation Related Expenses Member Reimbursement | CP-AMCR24-002A | 2024-08-01 |
| Worldwide Emergency Care | CP-AMCR24-008A | 2024-08-01 |