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Medicare AdvantageCoverageMedium impact

MA11.079e, Evaluation and Treatment of Erectile Dysfunction (ED)

Independence Blue Cross·Urology, Internal Medicine, Family Medicine +1 more·Medical Policy
Effective date
Jan 21, 2026
We identified it
Jun 19, 2026
Days to comply

Summary

Medicare Advantage policy MA11.079e for Evaluation and Treatment of Erectile Dysfunction (ED) has been reissued and will become effective January 21, 2026. This is a policy update that may affect coverage criteria, prior authorization requirements, or billing procedures for ED-related services under Medicare Advantage plans.

Action Required

Action needed
Before January 21, 2026: Billing team should review the complete MA11.079e policy document at the provided URL to identify specific changes to coverage criteria, prior authorization requirements, or billing procedures for erectile dysfunction evaluation and treatment. Update billing workflows and staff training accordingly once full policy details are available.