Get to know your Medicare plan or explore plans with added benefits and services for you. Individuals and families Get helpful guidance to understand your health plan or find quality coverage for you and your family. Medical providers Join the Aetna network, so together we can give patients acce...
Coverage may vary due to state mandates and plan customization; please check plan documents. For plans with an Advanced Reproductive Technology (ART) benefit (please check benefit plan descriptions), less invasive therapeutic approaches should be attempted prior to undertaking more invasive procedures, a...
This CPB is being used supplement certain Medicare LCDs and NCDs on spinal surgery (LCD L37848, Lumbar Fusion; LCD L38033, Cervical Disc Arthroplasty; LCD L39773, Cervical Fusion; LCD L39762, Cervical Fusion; LCD L39741, Cervical Fusion; LCD L39788, Cervical Fusion; LCD L39788, Cervical ...
or to supplement full, conventional neuropsychological assessment. The necessity of testing with a technician, and in a controlled clinic/laboratory environment, remains uncertain. They
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...
This Clinical Policy Bulletin addresses growth hormone (GH) and growth hormone antagonists for commercial medical plans. For Medicare criteria, seeMedicare Part B Criteria. Note: Requires Precertification: Precertification of Somavert is required of all Aetna participating providers and members in applicab...
Note: Except for Medicare plans and where coverage is mandated by state law, generally coverage for diabetic supplies would be provided under a pharmacy rider and not as part of medical coverage. Certain diabetic supplies may also be covered under the medical plan if no pharmacy or diabetic supp...
Furthermore, the Centers for Medicare and Medicaid Services states that cellular therapy involves the practice of injecting humans with foreign proteins like the placenta or lungs of unborn lambs. Cellular therapy is without scientific or statistical evidence to document its therapeutic efficacy and, in...
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 policy on non-spinal electrical stimulation is supported by Medicare policy, which allows non-spinal electrical stimulation for the following indications: nonunion of a long bone fracture, defined as radiographic evidence that fracture healing has ceased for three or more months prior to ...