Medicare AdvantageCoverageMedium impact
MA11.077i, Prophylactic Mastectomy, Oophorectomy/Salpingo-Oophorectomy, and Hysterectomy
Independence Blue Cross·OB-GYN, General Surgery, Oncology·Medical Policy
Effective date
Apr 1, 2026
We identified it
Jun 19, 2026
Summary
Medicare Advantage policy MA11.077i covering prophylactic mastectomy, oophorectomy/salpingo-oophorectomy, and hysterectomy procedures has been reissued with updates. The policy becomes effective April 1, 2026, indicating potential changes to coverage criteria or billing requirements for these preventive surgical procedures.
Action Required
Before April 1, 2026: Billing team must review the complete MA11.077i policy update for prophylactic mastectomy, oophorectomy/salpingo-oophorectomy, and hysterectomy procedures. Access the full policy details at the source URL to identify specific changes to coverage criteria, prior authorization requirements, or billing guidelines that may affect claim processing for Medicare Advantage patients.