Some Aetna plans exclude drugs or supplies for sexual dysfunction or inadequacy. Please check benefit plan descriptions for details. 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 e...
Private Fee-for-Service Plans Now, when it comes to Medicare’s Part D coverage, there are four drug coverage phases you’ll need to learn: 1. Deductible As with normal insurance, you must fork over a deductible before Medicare picks up the bill. This amount can vary from year-to-year...
Most Aetna plans exclude coverage of exercise equipment. Please check benefit plan descriptions for details. Itemized charges for the use, rental, or purchase of exercise equipment may not be covered expenses under these plans. This would include any charges for fitness center or health club membe...
2023, and is shifting to marketing ICHRA, or individual coverage health reimbursement arrangements that permit small businesses to offer employees individual health plans subsidized by employer contributions. After this year, the 58,000 members left in the unprofitable Cigna co-branded small group ...
A major draw for Medicare Advantage is the supplemental benefit offerings that these private plans can provide, ranging from dental and vision coverage to pharmacy benefits to programs targeting the social determinants of health. And while those benefits have largely grown with the program, payment ra...
Note: Most Aetna traditional plans cover durable medical equipment (DME) as a standard benefit. Standard Aetna HMO plans do not cover DME without a policy rider. Please check benefit plan descriptions for details. Certain orthopedic casts, braces and splints are covered under HMO plans without the...
Aetna plans exclude coverage of cosmetic surgery and procedures that are not medically necessary, but generally provide coverage when the surgery or procedure is needed to improve the functioning of a body part or otherwise medically necessary even if the surgery or procedure also improves or changes...
Most Aetna benefit plans exclude coverage of hearing aids. Any applicable benefit plan exclusions and limitations for coverage of hearing aids would apply to air conduction hearing aids, implantable hearing aids and semi-implantable hearing aids. Please check benefit plan descriptions for details. ...
NPT or PT for educational reasons is not covered. This testing is usually provided by school systems under applicable state and federal rules. Most benefit plans exclude coverage of educational testing. Please check benefit plan descriptions. In addition, NPT or PT performed for educational reasons ...
KAFOs are not medically necessary and are not covered for ambulatory members who do not meet these coverage criteria. Aetna's HMO plans do not consider KAFOs and any related addition medically necessary when used solely for the treatment of edema and/or for the prevention or treatment of a ...