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...
Medical necessity review of infertility drugs by Aetna Specialty Pharmacy Guideline Management may be bypassed for infertility ART drugs that are for use with infertility medical procedures if the infertility procedure has been approved for coverage under the member’s Aetna medical benefit plan. During...
Aetna dropping some Medicare supplement subscribersPhiladelphia Inquirer
Medicare will generally cover medically necessary supplies, equipment, and nutrients associated with parenteral and enteral nutrition if the coverage requirements for enteral or parenteral nutritional therapy are met under the prosthetic device benefit provision. ...
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...
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 ...
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 ...
Lastly, this study did not monitor the overall activity level of the patients in general and this compliance to the treatment plan in specifics. These researchers could not confirm the usage time of the device at home other than when the patients returned to the clinic for a follow-up ...
Policy Scope of Policy 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...
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...