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Medical Necessity Aetna considers core decompression medically necessary for the treatment of early/pre-collapse (stage I or II; before X-ray changes are evident) avascular necrosis of the hip (femoral head and/or neck).
How do I get my 1099 form from Aetna?
To request a copy of your 1099-Miscellaneous form, please contact Aetna Provider Tax Line @ 855-849-7539 or 860-273-8400.
How to get Aetna to cover Ozempic?
Aetnas Approved Criteria for Ozempic Coverage Ozempic is covered for individuals diagnosed with Type 2 Diabetes Mellitus who require improvement in glycemic control. A prescription from a licensed healthcare provider is necessary, indicating the use of Ozempic as a part of a comprehensive diabetes treatment plan.
Does Aetna cover trigger point injections?
See CPB 0135 - Acupuncture). Aetna considers acupuncture and trigger point injections medically necessary for persons with temporomandibular pain. For acute pain, generally 2 visits per week for 2 weeks are considered medically necessary.
Does Aetna cover injectables?
Aetna covers injectable medications when an appropriate oral alternative drug does not exist. This coverage includes those medications intended to be self-administered. The medication must be medically necessary and appropriate to the members needs or condition.
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Does Aetna Medicare cover trigger point injections?
Aetna considers acupuncture and trigger point injections medically necessary for persons with temporomandibular pain. For acute pain, generally 2 visits per week for 2 weeks are considered medically necessary. Additional treatment is considered medically necessary when pain persists and further improvement is expected.
Related links
Procedures, programs and drugs that require precertification
Providers can use the drug-specific SpecialtyMedication Request Form located online under Specialty. PharmacyPrecertification. . Providers can submit
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