Coverage of Conditions and Treatments (Coverage Decisions)

Use this lookup tool to determine coverage decisions, or if prior authorization is needed for the treatment or condition. Note: For Self-insured employer claims, you must contact the employer or their claims administrator.

List also available in PDF format.

See Treatment Guidelines and Resources for additional information.

Coverage decision

Meniscal allograft transplantation involves surgically replacing the meniscus with a properly sized donor graft.

Meniscal Allograft Transplantation (MAT)