Medical necessity determinations in connection with coverage decisions are made on a case-by-case basis. Please note also that the ABA Medical Necessity Guide may be updated and are, therefore, subject to change. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. The member's benefit plan determines coverage. The conclusion that a particular service or supply is medically necessary does not constitute a representation or warranty that this service or supply is covered (i.e., will be paid for by Aetna) for a particular member. Members and their providers will need to consult the member's benefit plan to determine if there are any exclusions or other benefit limitations applicable to this service or supply. Members should discuss any matters related to their coverage or condition with their treating provider.Įach benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Treating providers are solely responsible for medical advice and treatment of members. The ABA Medical Necessity Guide does not constitute medical advice. The Applied Behavior Analysis (ABA) Medical Necessity Guide helps determine appropriate (medically necessary) levels and types of care for patients in need of evaluation and treatment for behavioral health conditions. If you have Aetna Medicaid coverage, member cost share for diagnostic testing related to COVID-19 will be waived.īy clicking on “I Accept”, I acknowledge and accept that: We will no longer cover out-of-network lab tests for members who do not have out-of-network benefits. If you have a Medicare Advantage plan, beginning May 12, 2023, members will continue to pay $0 in-network. Select drive-thru locations including CVS Pharmacy®, Walgreens® and Rite Aid may also be available for COVID-19 diagnostic lab tests. Log in to your secure member website to review your specific Aetna plan and coverage information and search for local in-network providers. Benefit cost sharing means that you may have to pay a portion of the diagnostic testing cost, through your deductible, copay or coinsurance.
If you have coverage through your employer (plan sponsor), or an individual and family (ACA) plan, beginning May 12, 2023, most Aetna plans will cover COVID-19 diagnostic testing with standard benefit cost sharing for plans with in and out of network benefits including doctor's offices, clinics, labs and pharmacies where available. CVS ® reserves the right to modify this offer.The Public Health Emergency (PHE) for COVID-19 ended May 11, 2023, changing federal rules for coverage of testing, vaccinations, and treatment. Bearer assumes all sales and use tax liability. Los impuestos se cobran sobre el precio sin cupón donde así se lo exija. Coupon excludes alcohol, bottle deposits, bus passes, copays, ephedrine/pseudoephedrine products, gift cards, hunting and fishing licenses, lottery tickets, magazines, milk (where required by law or regulation), money orders, newspapers, postage stamps, prepaid cards, prescriptions, sale or promotional merchandise, any imposed governmental fees or items reimbursed by a government health plan. El cupón no se puede combinar con ningún otro cupón de CVS Pharmacy. Se requiere tarjeta ExtraCare ® para recibir los ahorros. Los cupones impresos de Internet o falsificados están prohibidos. El cupón no tiene validez si se copia o transfiere y donde esté prohibido por ley.
Reward cannot be issued in Arkansas, New Jersey and New York at Target or Schnucks locations or at MinuteClinic ® locations in Arkansas, Massachusetts, New Jersey, New York, Pennsylvania and Rhode Island. El ahorro de $5 se aplica a la compra total elegible de $20 en adelante (después de aplicar otros cupones y descuentos). Límite de uno por cliente por visita para aplicación de vacuna elegible. El cupón se envía por correo electrónico luego de la vacunación. *FOR $5 OFF $20 COUPON: Redeemable in store at CVS Pharmacy ® and Longs Drugs ® locations for one-time use only between August 14 through December 31, 2023.
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