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HealthPartners

Coverage criteria policies

Compression support garments – Minnesota Health Care Programs

These services may or may not be covered by all HealthPartners plans. Please see your plan documents for your own coverage information. If there is a difference between this general information and your plan documents, your plan documents will be used to determine your coverage.

Administrative Process

Prior authorization is not required for compression support garments.

Coverage

HealthPartners coverage policies only address the medical necessity for an item or service. This item does not require a medical necessity review. Please refer to the Minnesota Health Care Programs Medical Supply Coverage Guide for compression garment benefits and limitations. Benefits and limitations may differ amongst different types of compression garments.

Products

This information is for most, but not all, HealthPartners plans. Please read your plan documents to see if your plan has limits or will not cover some items. If there is a difference between this general information and your plan documents, your plan documents will be used to determine your coverage. These coverage criteria may not apply to Medicare Products if Medicare requires different coverage. For more information regarding Medicare coverage criteria or for a copy of a Medicare coverage policy contact Member Services at 952-883-7979 or 1-800-233-9645.

Vendor

For in-network benefits to apply, item must be received from a contracted vendor or provider.

References

  1. Minnesota Health Care Programs (MHCP) Medical Supply Coverage Guide (Revised 8/7/2017).

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Policy activity

  • 01/01/1994 - Date of origin
  • 10/01/2017 - Effective date
Review date
  • 10/2017
Revision date
  • 10/26/2016

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