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Visco precert form aetna

Visco precert form aetna 2025

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The document is a precertification request form for viscosupplementation injectable medication, specifically for patients with osteoarthritis of the knee. It requires detailed patient, insurance, prescriber, and clinical information to assess eligibility for treatment. The form includes sections for diagnosis codes, treatment history, and acknowledgment of the request's accuracy.

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Versions	Form popularity	Fillable & printable
2024	4.8 Satisfied (48 Votes)
2020	4.9 Satisfied (28 Votes)
2019	4.1 Satisfied (27 Votes)
2018	4 Satisfied (48 Votes)
2015	4.4 Satisfied (56 Votes)
2013	4.3 Satisfied (91 Votes)

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Does insurance cover viscosupplementation?

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.

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.

What are the preferred Viscosupplementations for Aetna?

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.

What is the number for Aetna preauthorization?

For more help understanding what you need prior authorization for, call the Member Services number on your member ID card, 1-833-570-6670 (TTY: 711). Were available between 8 AM and 8 PM, 7 days a week. Are you happy with your Aetna plan?

Does Medicare require prior authorization for Euflexxa?

If you choose to enroll in a Medicare Advantage (MA) plan, you will have at least the same Part A and Part B benefits as Original Medicare, but many MA plans offer additional benefits. Certain policies may require documentation of medical necessity or prior authorization before Euflexxa injections can be administered.