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Aetna dropping some Medicare supplement subscribersPhiladelphia Inquirer
Aetna's policy on parenteral and enteral nutrition is similar to Medicare policy. Medicare provides reimbursement under the part-B prosthetic-device benefit for parenteral and enteral nutrition. Consistent with its policy of covering supplies necessary for use of prosthetics, Medicare will generally cover...
In December 2003, the Centers for Medicare & Medicaid Services (CMS) decided to reverse its initial (July 2002) non-coverage of EMS for the treatment of chronic wounds. Currently, CMS covers the use of ES and electromagnetic stimulation for chronic Stage III and Stage IV pressure ulcers, arte...
J1438 Injection, etanercept, 25 mg (code may be used for Medicare when drug administered under the direct supervision of a physician, not for use when drug is self-hyphenadministered) J1745 Injection, infliximab, 10 mg J2501 Injection, paricalcitol, 1 mcg J8522 Capecitabine, oral, 50 mg ...
For Medicare criteria, see Medicare Part B Criteria. Criteria for Initial Approval Aetna considers aldesleukin (Proleukin) intravenous medically necessary for the treatment of persons with any of the following conditions: Cutaneous melanoma As high-dose single-agent subsequent therapy for metastatic or ...
Fourth, analgesic treatment for pain was allowed during the trial; however, the rates of analgesic use did not differ between groups. Fifth, it was not possible to examine changes in knee adduction moments using 3-dimensional (3D) gait analyses. Sixth, the trial was conducted at a single ...
Aetna follows Centers for Medicare & Medicaid Services (CMS) policy on ventilators with noninvasive interfaces. A CMS National Coverage Determination states that ventilators are covered for the following conditions: “neuromuscular diseases, thoracic restrictive diseases, and chronic respiratory failure ...
For Medicare Part B plans, call (866) 503-0857 or fax (844) 268-7263.Hepatitis B Immune GlobulinCriteria for Initial Approval Aetna considers hepatitis B immune globulin medically necessary for members who have had contact with an individual diagnosed with hepatitis B virus (HBV). Risk groups ...
Aetna's medical necessity criteria for external infusion pumps for diabetes have been adapted, in part, from Medicare national policy on external insulin infusion pumps, as outlined in CMS's Coverage Issues Manual Section 60-14. Documentation of continued medical necessity of the external insulin ...