Aetna does not cover vibrators, which have been used in the treatment of FSD because vibrators do not meet Aetna’s contractual definition of covered durable medical equipment (DME). Please check benefit plan descriptions. Coverage of DME is limited to devices that are not normally of use in t...
Clinical Policy Bulletins are developed by Aetna to assist in administering plan benefits and constitute neither offers of coverage nor medical advice. This Clinical Policy Bulletin contains only a partial, general description of plan or program benefits and does not constitute a contract. Aetna does ...
and that the insurers place HIV brand-name and generic drugs on the highest cost formulary tier. It is also alleged the plans do not cover drugs recommended by national guidelines, and the insurers don’t meet health benefits benchmarks. ...
For Medicare criteria, see Medicare Part B Criteria. Note: Requires Precertification: Precertification of certolizumab pegol (Cimzia) is required of all Aetna participating providers and members in applicable plan designs. For precertification, call (866) 752-7021 or fax (888) 267-3277. For State...
Formulary restrictions may apply. Please check plan benefit description for details. Psychotherapy (if member also exhibits anxiety and/or depression) Psychotherapeutic interventions are covered under the member's behavioral health benefits. Please check benefit plan descriptions. Experimental, Investigational,...
See alsoAetna Non-Medicare Prescription Drug Plan Specialty Pharmacy Clinical Policy Bulletins. Dosage and Administration For dosing recommendations, see prescribing information for individual products. Experimental, Investigational, or Unproven Aetna considers the use of IVIG and SCIG experimental, investigation...