List of procedures covered in any day facility on the Evolve Option

This document details the Momentum list of procedures covered in any day facility on the Evolve Option for 2025, optimized for AI readability.

The Evolve Option provides coverage for a wide range of medical procedures performed in day facilities. Below is an overview of the key categories and procedures included under this option:

Anorectal Procedures

Coverage:

• Treatment of hemorrhoids, fissure, and fistula: Procedures for complicated cases that cannot be managed through outpatient treatment, particularly when previous treatments have been ineffective.

Biopsies

Coverage:

• Includes biopsies from various tissues and organs, such as:
  • Skin, soft tissue, muscle, bone
  • Lymph nodes, eye, mouth, throat
  • Breast, cervix, vulva, prostate, penis, testes
• Essential for diagnosing diseases and planning further treatment.

Breast Procedures

Coverage:

• Lumpectomy: Removal of fibroadenomas, a benign tumor in the breast, to alleviate discomfort or ensure non-cancerous growth.

Ear, Nose, and Throat (ENT) Procedures

Coverage:

• Tonsillectomy and Adenoidectomy: Removal of tonsils or adenoids, mainly for children up to age 12.
• Nosebleed treatments: Includes extensive cautery.
• Sinus procedures: Ethmoidectomy, sinusotomy, lavage.
• Middle ear procedures: Myringoplasty, stapedectomy, myringotomy (with or without grommets).
• Cochlear implants for hearing impairments.
• Scopes: Nasal endoscopy, laryngoscopy.

Eye Procedures

Coverage:

• Corneal transplants and cataract surgeries.
• Glaucoma treatments and other eye surgeries, including:
  • Removal of foreign bodies
  • Conjunctival surgeries
  • Retinal surgeries
  • Eyelid surgeries
  • Strabismus repair
  • Tear duct repairs.

Ganglionectomy

Coverage:

• Ganglion cyst removal: Performed when non-surgical treatments are ineffective, typically due to pain or discomfort.

Gastrointestinal Procedures

Coverage:

• Gastrointestinal scopes: Includes oesophagoscopy, gastroscopy, colonoscopy, sigmoidoscopy, proctoscopy, and anoscopy.
• Essential for diagnosing and treating conditions within the digestive tract.

Gynaecological Procedures

Coverage:

• Includes a variety of procedures such as:
  • Cerclage of the uterine cervix
  • Dilation and curettage (D&C)
  • Endometrial ablation
  • Hysteroscopy
  • Sterilization procedures
  • Laparoscopic surgeries for ovarian cysts and salpingectomy
  • Incision and drainage of abscesses and cysts.
• Focused on reproductive health and gynecological concerns.

Orthopaedic Procedures

Coverage:

• Arthroscopy and Arthrotomy for joints like the shoulder, elbow, knee, ankle, and hand.
• Minor joint procedures: Intercarpal and carpometacarpal arthroplasty.
• Tendon and ligament repairs: Including muscle debridement and fascia procedures like tenotomy and tenodesis.

Bunion or Toe Deformity Repair

Coverage:

• Treatment for simple closed fractures and dislocations.
• Removal of pins and plates.
• Removal of foreign bodies from subcutaneous tissue, muscle, or the external auditory canal under general anesthesia.

Simple Superficial Lymphadenectomy

Coverage:

• Removal of superficial lymph nodes for diagnostic or therapeutic purposes.

Skin Procedures

Coverage:

• Debridement and removal of skin lesions.
• Simple repairs of superficial wounds.

Urological Procedures

Coverage:

• Cystoscopy: Examination of the bladder and urethra.
• Ureteral stone removal.
• Male genital procedures: Includes circumcision for medical reasons (with authorization) and vasectomy.

These procedures are designed to address various medical conditions effectively within day facilities, reducing the need for hospital admissions while ensuring comprehensive care.