Medicare AdvantageCoverageMedium impact
MA11.055g, Procedures for the Treatment of Gastroesophageal Reflux Disease (GERD)
Independence Blue Cross·Gastroenterology, General Surgery, Family Medicine +1 more·Medical Policy
Effective date
Jan 1, 2026
We identified it
Jun 19, 2026
Summary
Medicare Advantage policy MA11.055g for GERD treatment procedures has been updated with an effective date of January 1, 2026. This policy change affects coverage and billing requirements for gastroesophageal reflux disease treatments under Medicare Advantage plans.
Action Required
By December 31, 2025: Billing team must review the complete MA11.055g policy details at the source URL to understand specific coverage changes for GERD procedures. Update billing protocols and staff training materials to reflect new Medicare Advantage requirements. Ensure providers are aware of any documentation or prior authorization changes that may affect GERD treatment billing.