Private Healthcare Benefit Plans
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Research study cited in private insurance coverage document in support of coverage. |
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Private insurance companies provide benefit plans that outline what medical expenses are allowable under the plan. Many of these plans include specific coverage documents for certain procedures, drugs, interventions or technology used for healthcare. These specific coverage documents, often called coverage position or statements, often include documentation in support of a particular coverage position.
For example, Cigna offers an index of coverage policies which includes corneal pachymetry. Within the coverage position for Corneal Pachymetry, findings from the Ocular Hypertension Treatment Study (OHTS) were noted in support of coverage for corneal pachymetry for diagnosed or suspected glaucoma and other indications (but not as a routine glaucoma screening).
Assessment
Review of the literature is helpful in locating private healthcare coverage positions that note documentation from research study findings, especially trade publications. For resources that may be helpful for review of the literature, see Knowledge Transfer: Mass Media and Knowledge Transfer: Reviews.
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Search using the keywords; name of the insurance company, title of the research study; the disease, disorder or condition; the specific medical specialty of the disease, disorder or condition; the procedure, drug, intervention or technology. |
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Some resources that may be helpful in locating private healthcare coverage positions include the following:
Google allows for searching of private insurance benefit plans and retrieves results from a variety of sources.
Yahoo!
Yahoo! allows for searching of private insurance benefit plans and retrieves results from a variety of sources.
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Last updated: April 27, 2009