Archived Medical Benefit Coverage Policies (BCP)

Attention - Physicians Health Plan (PHP) is now University of Michigan Health Plan (UM Health Plan). Documents published before this change may still have references to the PHP brand.
Archived

Archived PHP Medical Benefit Coverage Policies (BCP)

Spinal Cord Stimulation for Pain Management

(

BCP-73

)
Effective Date:
1/1/2019

Sub-Acute Rehabilitation (SAR) Services

(

BCP-61

)
Effective Date:
10/1/2022

Sub-Acute Rehabilitation (SAR) Services

(

BCP-61

)
Effective Date:
10/1/2021

Sub-Acute Rehabilitation (SAR) Services

(

BCP-61

)
Effective Date:
8/7/2020

Sub-Acute Rehabilitation (SAR) Services

(

BCP-61

)
Effective Date:
1/1/2020

Telemedicine Services

(

BCP-50

)
Effective Date:
1/1/2023

Telemedicine Services

(

BCP-50

)
Effective Date:
1/1/2022

Telemedicine Services

(

BCP-50

)
Effective Date:
1/1/2021

Telemedicine Services

(

BCP-50

)
Effective Date:
3/1/2020

Telemedicine Services

(

BCP-50

)
Effective Date:
1/1/2020

Therapeutic Shoes and Inserts for Diabetic Patients

(

BCP-03

)
Effective Date:
1/1/2023

Therapeutic Shoes and Inserts for Diabetic Patients

(

BCP-03

)
Effective Date:
1/1/2022

Therapeutic Shoes and Inserts for Diabetic Patients

(

BCP-03

)
Effective Date:
10/1/2020

Therapeutic Shoes and Inserts for Diabetic Patients

(

BCP-03

)
Effective Date:
10/1/2019

Therapeutic Shoes and Inserts for Diabetic Patients

(

BCP-03

)
Effective Date:
10/1/2018

Varicose Vein Treatment

(

BCP-63

)
Effective Date:
1/1/2023

Varicose Vein Treatment

(

BCP-63

)
Effective Date:
4/1/2022

Varicose Vein Treatment

(

BCP-63

)
Effective Date:
1/1/2021

Varicose Vein Treatment

(

BCP-63

)
Effective Date:
4/1/2020

Varicose Vein Treatment

(

BCP-63

)
Effective Date:
1/1/2019

Varicose Vein Treatment

(

BCP-63

)
Effective Date:
4/1/2018

Weight Management Services

(

BCP-60

)
Effective Date:
7/1/2022

Weight Management Services

(

BCP-60

)
Effective Date:
7/1/2021

Weight Management Services

(

BCP-60

)
Effective Date:
4/1/2020
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