Medicare AdvantageCoverageMedium impact
Provider News - April 2025
Security Health Plan·Family Medicine, Internal Medicine, Endocrinology +3 more·Provider News
Effective date
Apr 13, 2025
We identified it
Jun 20, 2026
Summary
Security Health Plan updated multiple policies including new Medicare coverage for diabetic foot ulcers and venous leg ulcers effective April 13, 2025, expanded ICD-10 obesity coding requirements, and prior authorization changes for office-administered medications. The policy also includes reminders about using the provider portal for claims verification and prior authorizations.
Action Required
By April 13, 2025: Review new Medicare LCD coverage policy for Treatment of Diabetic Foot Ulcers and Venous Leg Ulcers to ensure proper documentation and billing compliance. Billing team should verify all obesity diagnoses use the expanded ICD-10 Class 1, 2, or 3 codes (effective October 1, 2024). Continue using Security Health Plan Provider Portal for all prior authorization requests for office-administered medications to avoid claim delays.