EmblemHealth

DFU, VLU, Pressure Ulcers, and Burns

Policy No.

MG.MM.69av2

States
Grafix Core Q4132

Covered – DFU/VLU/DLEU/Arterial and Pressure Ulcers/2nd Degree Burns

Grafix PL/Prime Q4133

Covered – DFU/VLU/DLEU/Arterial and Pressure Ulcers/2nd Degree Burns