Get Aetna GC-9 2002-2024

The Gold plan is a high-deductible health plan or “HDHP” in the Aetna Choice network.

We may ask you to submit clinical records before we pay a claim if the claim includes: A code appended with Modifier 22 (unusual procedural service). For example, we may request an operative report for surgical procedures or office notes for non• surgical procedures. Electronic claims | Aetna aetna.com https://.aetna.com › claims-payment-reimbursement aetna.com https://.aetna.com › claims-payment-reimbursement

Definitions: Out-of-pocket (OOP) max: The highest amount you could pay in a given year for services (excludes premium). Copay/coinsurance: The amount you pay per visit or prescription to treat an injury or illness. It typically counts toward your OOP max. 3 simple steps to assess your plan options - Aetna aetna.com https://.aetna.com › aon › Cost-comparison-tool aetna.com https://.aetna.com › aon › Cost-comparison-tool

Please note that the card is not accepted on Walmart.com, however in-store purchases are accepted.

Effective June 1, 2022, we will allow a maximum of four eligible interventions/modalities/therapeutic procedures or one hour of treatment time per date of service to outpatient facility claims. These changes apply to our commercial and Medicare members. Expanded modality limit to outpatient facility claims - Aetna Aetna https://.aetna.com › 90-day-notices-march-2022 Aetna https://.aetna.com › 90-day-notices-march-2022

Aetna is the brand name used for products and services provided by one or more of the Aetna group of subsidiary companies, including Aetna Life Insurance Company, Coventry Health and Life Insurance Company and their affiliates (Aetna).

Although Aetna policy indicates that a patient is entitled to a maximum of four units of each therapy per day, claims are being processed with a combined daily max of four units.

Expanding allergen immunotherapy limits* September 1, 2018 We are expanding our allergy policy. We currently apply a frequency limit to CPT code 95165, allowing up to 150 units annually in the build-up phase and 90 units in the maintenance phase. Aetna OfficeLink Updates™ All regions aetna.com https://.aetna.com › documents › olu-june2018 aetna.com https://.aetna.com › documents › olu-june2018

The Gold plan is a high-deductible health plan or “HDHP” in the Aetna Choice network.

We may ask you to submit clinical records before we pay a claim if the claim includes: A code appended with Modifier 22 (unusual procedural service). For example, we may request an operative report for surgical procedures or office notes for non• surgical procedures. Electronic claims | Aetna aetna.com https://.aetna.com › claims-payment-reimbursement aetna.com https://.aetna.com › claims-payment-reimbursement

Definitions: Out-of-pocket (OOP) max: The highest amount you could pay in a given year for services (excludes premium). Copay/coinsurance: The amount you pay per visit or prescription to treat an injury or illness. It typically counts toward your OOP max. 3 simple steps to assess your plan options - Aetna aetna.com https://.aetna.com › aon › Cost-comparison-tool aetna.com https://.aetna.com › aon › Cost-comparison-tool

Please note that the card is not accepted on Walmart.com, however in-store purchases are accepted.

Effective June 1, 2022, we will allow a maximum of four eligible interventions/modalities/therapeutic procedures or one hour of treatment time per date of service to outpatient facility claims. These changes apply to our commercial and Medicare members. Expanded modality limit to outpatient facility claims - Aetna Aetna https://.aetna.com › 90-day-notices-march-2022 Aetna https://.aetna.com › 90-day-notices-march-2022

Aetna is the brand name used for products and services provided by one or more of the Aetna group of subsidiary companies, including Aetna Life Insurance Company, Coventry Health and Life Insurance Company and their affiliates (Aetna).

Although Aetna policy indicates that a patient is entitled to a maximum of four units of each therapy per day, claims are being processed with a combined daily max of four units.

Expanding allergen immunotherapy limits* September 1, 2018 We are expanding our allergy policy. We currently apply a frequency limit to CPT code 95165, allowing up to 150 units annually in the build-up phase and 90 units in the maintenance phase. Aetna OfficeLink Updates™ All regions aetna.com https://.aetna.com › documents › olu-june2018 aetna.com https://.aetna.com › documents › olu-june2018