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...
As a new employee, I was given cases that hadn’t been touched in months and told I must have a plan to get into compliance. Over 200+ members when I was told upon my interview to expect less than half of that. Hired for particular counties and was told due to operational need ...
As a new employee, I was given cases that hadn’t been touched in months and told I must have a plan to get into compliance. Over 200+ members when I was told upon my interview to expect less than half of that. Hired for particular counties and was told due to operational need ...
However, the company is very money-oriented and they place the plan sponsor above anything else. The majority of plan sponsors are not concerned if the patient is the main focus and receives any real benefit. As long as they save boatloads of money they are happy. What is the work ...
The treatment plan for gender dysphoria varies and can include psychotherapy, hormone treatment, and gender affirmation surgery, which is, in part, an irreversible change of sexual identity. Procedures for transformation to the female sex include facial feminization surgery, vaginoplasty, clitoroplasty,...
I worked for Aetna for six years.The compensation was decent but the benefits lacked in substance.The health insurance was more of a discount than a plan. Management has expectations set too high, almost on purpose to be able to have job security in coaching you. ...
This policy statement supplements plan coverage language by identifying procedures that Aetna considers medically necessary despite cosmetic aspects, and other cosmetic procedures that Aetna considers not medically necessary. Please note that, while this policy statement addresses many common procedures, it do...
Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, 3 independent investigators searched for studies published in PubMed/Medline, the Cochrane Library, Google Scholar, Scielo, and Web of Science. A bias analysis was carried out following NICE guidance...
Aetna does not cover breast and ovarian cancer gene susceptibility testing of Aetna members if testing is performed primarily for the medical management of other family members that are not covered under an Aetna benefit plan. In these circumstances, the benefit plan for the family members who are...