Health Plans Covering Bronchial Thermoplasty

Select your state on the map below to see what types of health plan coverage are available for Bronchial Thermoplasty. This map is updated as new policies become available.

Coverage in Washington DC:

Coverage in Florida:

Coverage in Hawaii:

Coverage in Iowa:

Coverage in Maryland:

Coverage in Minnesota:

Coverage in Nebraska:

Coverage in Ohio:

Coverage in Pennsylvania:

  • Independence Health Group - selected plans including Independence Blue Cross, AmeriHealth Pennsylvania, AmeriHealth New Jersey, and Keystone Health Plan East HMO
  • Medicare*
  • Case-by-case Coverage

Coverage in Rhode Island:

  • Tufts Health Plan
  • Medicare*

Coverage in South Dakota:

Coverage in Utah:

Coverage in Virginia:

Coverage in Alabama:

  • Medicare*

Coverage in Alaska:

  • Medicare*

Coverage in Arizona:

Coverage in Arkansas:

  • Medicare*

Coverage in California:

Coverage in Colorado:

Coverage in Connecticut:

Coverage in Delaware:

Coverage in Georgia:

Coverage in Idaho:

Coverage in Indiana:

Coverage in Kansas:

Coverage in Kentucky:

Coverage in Louisiana:

Coverage in Maine:

Coverage in Mississippi:

  • Medicare*

Coverage in Missouri:

Coverage in Nevada:

Coverage in New Hampshire:

Coverage in New York:

Coverage in North Carolina:

  • Medicare*

Coverage in North Dakota:

Coverage in Oregon:

Coverage in South Carolina:

Coverage in Tennessee:

Coverage in Vermont:

Coverage in West Virginia:

Coverage in Wisconsin:

Coverage in Wyoming:

  • Medicare*
DC

The table below lists states where there is health plan coverage for Bronchial Thermoplasty.

This table is updated as new policies become available

Payer State/Region Policy Link
Avera Health Plans IA, NE, SD
Avmed FL
Blue Cross Blue Shield of Massachusetts MA Medical Policy
CareFirst BlueCross BlueShield MD, VA, DC Medical Policy
Harvard Pilgrim Health Care CT, MA, ME, NH Medical Policy
Hawaii Medical Service Association HI Medical Policy
Health Alliance Plan of Michigan MI Medical Policy
Health Care Service Corporation (HCSC)-
Operating through BlueCross BlueShield plans
in Illinois, Montana, New Mexico, Oklahoma and Texas
IL, MT, NM, OK, TX Medical Policy
HealthChoice OK
Health Partners MN Medical Policy
Independence Health Group
selected plans including Independence Blue Cross, AmeriHealth Pennsylvania, AmeriHealth New Jersey, and Keystone Health Plan East HMO
PA, NJ Medical Policy
AmeriHealth NJ Medical Policy
Optima Health VA
Preferred One MN Medical Criteria
Priority Health MI Medical Policy
SelectHealth UT
University of Cincinnati Health OH
Tufts Health Plan MA & RI Medical Policy

* Medicare includes Bronchial Thermoplasty as part of a covered benefit category and has approved the procedure for qualified patients nationwide, but does not have a formal written coverage policy for the procedure. Healthcare facilities and physicians treating patients who have Medicare coverage will need to submit a claim to their local Medicare contractor.

Case-by-Case Coverage for Bronchial Thermoplasty

The following health plans do not have a specific coverage policy in place for Bronchial Thermoplasty, but have approved qualified patients for treatment on a case-by-case basis. If you do not see your health plan listed, don’t be discouraged. Other health plans may cover Bronchial Thermoplasty for qualified patients. Be sure to talk with your doctor to understand your coverage and payment options for BT if you qualify for the procedure.

Payer State/National

Aetna

National Plan

Aetna Assurant Health

National Plan

Aetna Coventry Health Care

National Plan

Aetna Coventry Health Care Medicare

National Plan

Aetna Medicaid

National Plan

Aetna Medicare

National Plan

CIGNA

National Plan

CIGNA Medicare

National Plan

Humana

National Plan

Humana Choice Medicare

National Plan

Humana Gold Medicare

National Plan

Humana Medicaid

National Plan

Humana Medicare

National Plan

TriCare

National Plan

United HealthCare

National Plan

United HealthCare AARP Medicare

National Plan

United HealthCare AHCCCS APIPA/UHC Community Medicaid

National Plan

United Healthcare Care Improvement Plus Medicare

National Plan

United HealthCare Community Plan Medicare

National Plan

United HealthCare Golden Rule

National Plan

United HealthCare Medicaid

National Plan

United HealthCare Medicare

National Plan

United Healthcare Secure Horizons Medicare

National Plan

United HealthCare United Medical Resources

National Plan

US Family Health Plan

National Plan

Veterans Administration

National Plan

Veterans Administration Choice TriWest

National Plan

Arizona Health Care Cost Containment System (AHCCCS) Medicaid

Arizona

BCBS of Arizona

Arizona

HealthNet

Arizona, California, Oregon, Washington

BC Anthem

California, Colorado, Connecticut, Georgia, Indiana, Kentucky, Maine, Missouri, Nevada, New Hampshire, New York, Ohio, Virginia, Wisconsin

BCBS Anthem

California, Colorado, Connecticut, Georgia, Indiana, Kentucky, Maine, Missouri, Nevada, New Hampshire, New York, Ohio, Virginia, Wisconsin

BCBS Anthem Federal Employee Health Benefits/Federal Employee Program

California, Colorado, Connecticut, Georgia, Indiana, Kentucky, Maine, Missouri, Nevada, New Hampshire, New York, Ohio, Virginia, Wisconsin

BCBS Anthem Medicare

California, Colorado, Connecticut, Georgia, Indiana, Kentucky, Maine, Missouri, Nevada, New Hampshire, New York, Ohio, Virginia, Wisconsin

Kaiser Permanente

California, Colorado, Georgia, Hawaii, Maryland, Virginia, DC, Oregon, Washington

Molina Medicaid

California, Florida, Illinois, Michigan, Ohio, New Mexico, South Carolina, Texas, Utah, Washington, Wisconsin

Blue Shield of California

California

Blue Shield of California Medicare

California

Inland Empire Health Plan Medicaid

California

Medi-Cal Medicaid

California

Payer State/National

State Medicaid Plans

Florida, Georgia, Indiana, Kentucky, Texas, Washington

BCBS of Florida

Florida

BCBS of Florida Medicare

Florida

Florida Hospital Healthcare System

Florida

Optimum HealthCare Medicare

Florida

Preferred Care Partners Medicare

Florida

Simply HealthCare Medicare

Florida

Staywell

Florida

Staywell Medicaid

Florida

BCBS of Georgia

Georgia

BCBS of Illinois Medicaid

Illinois

Medica Medicare

Iowa, Minnesota, Nebraska, North Dakota, Wisconsin, South Dakota

BCBS of Kansas

Kansas

BCBS of Louisiana

Louisiana

Medstar Family Choice

Maryland, Washington DC

Harvard Pilgrim Health Care

Massachusetts

BCBS of Michigan

Michigan

BCBS of Michigan Medicare

Michigan

Priority Health Advantage Medicare

Michigan

BCBS of Minnesota

Minnesota

UCare

Minnesota

BCBS of Kansas City

Missouri, Kansas

BCBS of Nebraska

Nebraska

Horizon BCBS of New Jersey

New Jersey

Horizon BCBS of NJ Medicaid

New Jersey

Lovelace Health Plan

New Mexico

Presbyterian Health Plan

New Mexico

BCBS Empire

New York

BCBS Excellus

New York

BCBS of Western NY

New York

Capital District Physicians' Health Plan (CDPHP)

New York

Capital District Physicians' Health Plan (CDPHP) Medicaid

New York

Emblem Health

New York

MVP Health Plan

New York, Vermont

FrontPath

Ohio

Medical Mutual of Ohio

Ohio

Ohio State University Prime Care

Ohio

Paramount Advantage Medicaid

Ohio, Michigan

Paramount Health Care

Ohio, Michigan

Williamatte Valley Community Health Medicaid

Oregon

BCBS Highmark

Pennsylvania, West Viriginia, Delaware

BCBS Capital

Pennsylvania

Geisinger Gold Medicare

Pennsylvania

Keystone First Medicaid

Pennsylvania

BCBS of South Carolina

South Carolina

BCBS of Tennessee

Tennessee

Texan Plus

Texas

Texan Plus Medicare

Texas

Select Med

Utah, Idaho

Network Health Medicaid

Wisconsin

Mercy Care

Wisconsin, Illinois

Mercy Care Medicaid

Wisconsin, Illinois

What should you do?

To find a BT-Certified pulmonologist near you, call (888) 272-8440 today to set up time to discuss your options.

The Alair Bronchial Thermoplasty System is indicated for the treatment of severe persistent asthma in patients 18 years and older whose asthma is not well controlled with inhaled corticosteroids and long-acting beta-agonists.

As with any procedure, there are risks, and individual results may vary. The most common adverse event of BT is a temporary worsening of respiratory-related symptoms. These events typically occur within one day of the BT procedure and usually resolve within a week with standard care. There is a small risk (3.4% per procedure) that symptoms may require hospitalization.2

Available In: