Medicare supplement plan This is an insurance policy. It is offered through private companies. It helps pay for some benefits not covered by Medicare Part A and Medicare Part B. New plans of this type do not cover prescription drugs. It is also known as Medigap coverage. Medication This is...
Note: This policy has updates that may not be in effect for certain plans until plan renewal; please check plan documents. Brand Selection for Medically Necessary Indications for Commercial Medical Plans Follitropins As defined in Aetna commercial policies, health care services are not medically ne...
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...
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 ...
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...
National Heritage Insurance Company (NHIC). Neuropsychological testing. Medicare Part B Local Medical Review Policy. Policy No. 02-812-R3. Hingham, MA: NHIC: revised February 2, 2004. Osmon DC, Smerz JM. Neuropsychological evaluation in the diagnosis and treatment of Tourette's syndrome. Behav ...
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...
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...