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 access to the most trusted, highest-quality care. Agents and brokers ...
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...
“Plaintiff’s analysis to date has showed tens of millions of dollars of damages to the plan as a result of Defendant’s neglect and misconduct,” the lawsuit reads. “Plaintiff suspects the damages will grow significantly upon receipt of the remaining data which continues to be withheld.” M...
You can find a list of the most commonly covered drugs under your plan (your formulary) below. After your effective date, just log in to your member website to check costs and coverage for a specific drug. Drug coverage Find a covered drugSearch another plan or year ...
Please check benefit plan descriptions for details. Weight Reduction Devices Aetna considers the FDA-cleared weight reduction device, Plenity (Gelesis, Inc.), as medically necessary to aid in weight management in overweight and obese adults with a Body Mass Index (BMI) of 25-40 kg/m2, when ...
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,...
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 Statement of Medical Necessity (SMN) precertification forms, see Specialty Pharmacy Precertif...
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...