| Presbyterian Health Plan | Bariatric Surgery (Weight Loss Surgery) Non-Medicare for Adults | 2025-08-27 |
| Presbyterian Health Plan | Chimeric Antigen Receptor (CAR) T-cell Therapy | 2025-08-27 |
| Presbyterian Health Plan | Diapers for Medicaid Members | 2025-08-27 |
| Presbyterian Health Plan | Durable Medical Equipment (DME): Miscellaneous | 2025-08-27 |
| Presbyterian Health Plan | Genetic Testing for Cutaneous Melanoma | 2025-08-27 |
| Presbyterian Health Plan | Genetic Testing for Prostate Cancer | 2025-08-27 |
| Presbyterian Health Plan | Hypoglossal Nerve Stimulator | 2025-08-27 |
| Presbyterian Health Plan | Medicaid Home Health Services | 2025-08-27 |
| Presbyterian Health Plan | Radiation Oncology: Proton Beam Therapy | 2025-08-27 |
| Presbyterian Health Plan | Restorative/Reconstructive/Cosmetic Surgery and Treatment | 2025-08-27 |