Treating providers are solely responsible for medical advice and treatment of members. It is only a partial, general description of plan or program benefits and does not constitute a contract. Health benefits and health insurance plans contain exclusions and limitations. EXPIRED - CPT or HCPCS code entered is no longer valid for use by health plan providers. Category: Health Detail Health. Health Insurance Plans | Aetna While Clinical Policy Bulletins (CPBs) define Aetna's clinical policy, medical necessity determinations in connection with coverage decisions are made on a case by case basis. Please confirm with the provider when you call them. Please review the plan benefit coverage documentation under the link below. Reprinted with permission. What's covered? Due to the impact of the COVID-19 pandemic, many provider offices may need to adjust their office hours or redirect patients to others offices. Aetna Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits and do not constitute dental advice. Please be sure to add a 1 before your mobile number, ex: 19876543210. U.S. Government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer data bases and/or computer software and/or computer software documentation are subject to the limited rights restrictions of DFARS 252.227-7015(b)(2) (June 1995) and/or subject to the restrictions of DFARS 227.7202-1(a) (June 1995) and DFARS 227.7202-3(a) (June 1995), as applicable for U.S. Department of Defense procurements and the limited rights restrictions of FAR 52.227-14 (June 1987) and/or subject to the restricted rights provisions of FAR 52.227-14 (June 1987) and FAR 52.227-19 (June 1987), as applicable, and any applicable agency FAR Supplements, for non-Department of Defense Federal procurements. Aetna Better Health - LIBERTY Dental Plan Click on "Claims," "CPT/HCPCS Coding Tool," "Clinical Policy Code Search. Experience and expertise to help our customers and members navigate the complex global health care landscape. Youll find these doctors with the label Quality Care, Effective , https://www.aetna.com/individuals-families/find-a-doctor.html, North country health care university flagstaff, Jps health network schedule appointments, Health care information system examples, 2021 health-improve.org. Find a Doctor :: State of Illinois - Aetna Neither Aetna Inc. nor its subsidiaries are Guardian affiliates. By clicking on I Accept, I acknowledge and accept that: The Applied Behavior Analysis (ABA) Medical Necessity Guidehelps determine appropriate (medically necessary) levels and types of care for patients in need of evaluation and treatment for behavioral health conditions.
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