Aetna offersMedicare Advantageprescription drug plans, as well asstand-alone prescription drug plansand Medicare Advantage plans without drug coverage. The company offers a Medicare Advantage plan for veterans — Aetna Medicare Eagle — in 43 states and Washington D.C. The plan is designed to comple...
Medicare Prescription Drug Plans (Part D plans) As we mentioned earlier, Medicare Prescription drug plans can be purchased alongside Original Medicare; this also holds true for Aetna’s coverage. So if your current health plan does not include Part D coverage, you can opt for it through Aetna...
Furthermore, a recently published Medicare National Coverage Determination (February 8, 2016) considers LAA closure devices not reasonable and necessary and only allows coverage within certain clinical trials (CMS, 2016). The CMS Decision Memorandum states: "At this time, there is insufficient evidence...
Aetna Medicare and HMO plans, by administration, will cover no more than 1 pair of eyeglasses or contact lenses after each cataract surgery. Replacements of conventional eyeglasses or contact lenses are not covered under these medical plans. The member may have additional...
Aetna's HMO plans do not consider AFOs and any related addition medically necessary when used solely for the treatment of edema and/or for the prevention or treatment of a heel pressure ulcer in ambulatory patients, as Medicare does not consider AFO's medically necessary for these indications. ...
Centers for Medicare and Medicaid Services (CMS). Decision memo for infrared therapy devices (CAG-00291N). Medicare Coverage Database. Baltimore, MD: CMS; October 24, 2006. Choi SJ, Cho EH, Jo HM, et al. Clinical utility of far-infrared therapy for improvement of vascular access blood fl...
For Medicare criteria, see Medicare Part B Criteria. Note: Requires Precertification: Precertification of octreotide acetate (Sandostatin, Sandostatin LAR Depot), lanreotide (Somatuline or generic), pasireotide diaspartate (Signifor), and pasireotide pamoate (Signifor LAR) is required of all Aetna ...
In a national 5 % sample of Medicare beneficiaries, these investigators identified 30,161 elderly patients who attended at least 1 cardiac rehabilitation session between January 1, 2000, and December 31, 2005. They used a Cox proportional hazards model to estimate the relationship between the ...
This policy is based in part upon Medicare DMERC criteria. In a prospective, observational study, Cassino and Ricci (2010) examined if the topical application of an amino acid dressing, Vulnamin, aids the management of chronic wounds. A total of 160 patients with non-infected cutaneous chronic...
Most Aetna benefit plans exclude coverage of hearing aids. Any applicable benefit plan exclusions and limitations for coverage of hearing aids would apply to air conduction hearing aids, implantable hearing aids and semi-implantable hearing aids. Please check benefit plan descriptions for details. ...