Aetna viscosupplementation form 2025

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The preferred products are Durolane and Synvisc-One. The preferred products do not require precertification. Multi injection products: Gelsyn-3, GenVisc, Hyalgan, Hymovis, Orthovisc, Supartz FX, TriVisc and Visco-3 are non-preferred. The preferred products are Euflexxa and Synvisc.
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.
Most insurance plans cover hyaluronic acid injections for symptomatic knee osteoarthritis not responding to other treatments. They often require that patients first try other treatments like physical therapy. Some insurance plans may only cover certain brands of shots.
The purpose of the Aetna corrected claim form is to submit necessary corrections to a previously submitted claim for healthcare services. This form allows healthcare providers to update any errors or missing information on the original claim, such as incorrect procedure codes, billing codes, or patient data.
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