Jan 12, 2024 · If the cataract surgery is performed as an outpatient procedure by a Medicare-approved doctor, it may be covered under Medicare Part B (medical insurance). SoonerSelect coverage. Aetna only accepts the CPT code 19318 for top surgery. Just call us at 1-866-827-2710 (TTY: 711). To be reimbursed for travel and/or lodging costs, you must also submit a claim form. ” Adolphs et al (2014) stated that within the domain of craniomaxillofacial surgery, orthognathic surgery is a special field dedicated to the correction of dentofacial anomalies resulting from skeletal malocclusion. com. , will be paid for by Aetna). Charles Lee, MD Crane Center for Transgender Surgery 575 Sir Francis Drake Blvd. Oct 19, 2023 · Dental care is a vital part of maintaining your health and well-being, especially as you age. Note: Most Aetna HMO and QPOS plans exclude coverage of surgical operations, procedures, or treatment of obesity unless approved by Aetna. The amount varies depending on certain factors such as body size and shape. Record Everything! When you start speaking with the service representative at your health plan, record the name and ID number of the person you speak with and the date and time of the conversation. I called the Aetna number on my insurance card on 8/2010 to ask if I was covered for RNY. (This limit will decrease to $9,200 in 2025. And we help members like you every day. Aetna. File an appeal if you are denied coverage Aetna's 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. General Info on Aetna’s Coverage for Medical Transition. 4 +/- 0. 8); ER and PR expression was detected in breasts, and digit ratios were calculated in patients with idiopathic gynecomastia. Covered eye care benefits. Surgery needed: To treat a fracture, dislocation or wound Apr 12, 2024 · The criteria for Medicaid to cover your weight loss surgery can include: BMI levels in the obese range. Original Medicare also covers most of the costs associated with cataract surgery. Brendan- Very cool I need to check that out and figure out if I want to enroll in the Aetna Student Health plan. ago. 10. And they have a comprehensive gender affirming coverage. But they covered my meta. Aetna (Student Services for University of California System) Cigna. In the most recently available rolling 12 months, the inpatient facility Aug 30, 2018 · Infertility is a common problem. Find a provider. Sep 4, 2020 · The medical necessity of gender-affirming surgeries has been affirmed by the American Medical Association ( pdf ), American Psychiatric Association, and World Professional Organization for Transgender Health ( pdf ), as well as insurance companies such as Aetna. The plan determines the scope of coverage. Certain vision claims administration services are provided by First American Administrators, Inc. And yes, most health insurance plans cover cataract surgery when your doctor considers it to be medically necessary. Endometrial ablation is to be used to stop residual menstrual bleeding after androgen treatment in a female to male transgender person who meets criteria for gonadectomy in CPB 0615 - Gender Affirming Surgery. The out-of-pocket limit is the most you could pay in a year for covered services. Feb 2, 2024 · To find out if inguinal hernia repair surgery is right for you, Contact Orange County General Robotic Surgery at (714) 706-1257 for a consultation with Dr. Section 1: To be completed by the Precertification Department Typed responses are preferred. Nov 1, 2022 · Arthroscopic hip surgery to repair impingement syndrome including labral repair* Autologous chondrocyte implantation* Chiari malformation decompression surgery* Cochlear device and/or implantation* Coverage at an in-network beneit level for an . Jonathan Keith, MD, FACS East Coast Advanced Plastic Surgery (ECAPS) 374 W 11th St. This rule does not apply to grandmothered or grandfathered health plans, and it also doesn't apply to Medicare. Some of our plans offer transition assistance that will help you take care of your physical and behavioral health needs. Dermatofibrosarcoma protuberans; or. In Illinois, DMO plans provide limited out-of-network benefits. Exceptional care leads to better results. Note: Most Aetna plans exclude coverage of contact lenses and spectacles. When you need to see an expert, you may want to consider being part of an Aetna dental savings plan. Call Aetna member services and ask if you have coverage for LASIK. Pediatric services, including dental and vision care. 2 Better vision immediately, that. Questions? Check your member handbook. Submit a request for pre-authorization. Aetna considers a turbinectomy medically necessary for severe nasal obstruction due to hypertrophied inferior nasal In-Network: Individual $9,400 / Family $18,800. To determine if your Aetna Health Insurance Plan covers weight loss surgery, you'll need to check the specifics of your individual policy, as coverage can vary. Your coverage for gender transition services depends on your health plan and on certain state and Footnotes*Note: Most Aetna benefit plans exclude coverage of refractive surgery. However, in order to receive maximum benefits, members must select and have care coordinated by a participating primary care dentist. For exceptionally large (2 cm or larger in diameter) or Nov 23, 2022 · Does Aetna Vision Cover LASIK or Laser Surgery Costs? More and more, vision insurance plans are finding ways to cover some portion of the cost of LASIK. I had zero issues and I was able to pick an out of network provider and just apply for gap insurance which covered them at an in-network rate. What is not included in. They said it would be a $250 copay if I used an in-network doctor. Related Policies. Nasal Surgery. According to the Centers for Disease Control and Prevention (CDC), about 10 percent of U. You must first meet the annual deductible, which will be $240 in 2024, and pay 20% of the cost of cataract surgery. Aetna insurance covers gender reassignment surgery in certain cases. HCFA Pub. T1021. I have Aetna insurance and am looking into scheduling top surgery soon. If you are approved for the surgery by your doctor and meet all other eligibility requirements, Aetna will pay for the surgery. Refer to the What the Plan Covers section of the Booklet for more information about your coverage. continues to improve for most. Feb 13, 2024 · Aetna generally covers a range of bariatric surgeries, understanding that individuals may require different procedures based on their unique health conditions and weight loss goals. 9. Section 1: Member Demographics If submitting request electronically, complete member name, ID and reference number only. out-of-network provider or facility unless it’s an emergency. (NEW YORK, NY - January 26, 2021) - Aetna, a CVS Health company, with the Transgender Legal Defense & Education Fund (TLDEF) and national civil rights law firm Cohen Milstein Sellers & Toll, today announced that Aetna has expanded coverage of gender-affirming surgery to include breast augmentation for transfeminine members of most of its commercial plans. Thanks to the Affordable Care Act, all ACA individual and family health insurance plans must cover these 10 essential benefit categories: Prescription drugs (including brand name and specialty drugs) Pregnancy, maternity and newborn care. This material is for information only and is Medical Necessity. aetna. Lee ». 1. Please check benefit plan descriptions for details. Background. gov or call 1-800-318-2596. One of our expert team will be available to help you with any questions you may have. Need help with your options? You can get help. 1-844-362-0934. Way more. Aetna only covers weight loss surgery when the health insurance policy is employer-sponsored. Suite 1 Greenbrae, California 94904 415-625-3230 cranects. , 151 Farmington Avenue, Hartford, CT 06156 (Aetna). We’re here for you 24 hours a day, 7 days a week. or by email at www. I have Aetna. S9122. 1-888-632-3862 (TTY: 711) Medicare plans: 1-800-624-0756 (TTY: 711) Precertification Information Request Form. In clear language, this step-by-step guide will help you understand how to: Determine if your insurance plan covers Top Surgery. Keith ». There are certain services we don’t cover, like acupuncture, chiropractic care or cosmetic surgery. This Clinical Policy Bulletin addresses selected treatments for osteoarthritis of the knee (with or without meniscal tears) for commercial medical plans. Read this to learn more about insurance considerations for your procedure. Dental plans and vision benefits are insured by Aetna Life Insurance Company (Aetna). Top 5 reasons to consider LASIK: 1 LASIK corrects nearsightedness, farsightedness and astigmatism. Scope of Policy. Get a surgery consultation. I used Aetna for top surgery. Legal notices. This material is for information only. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. contact their State insurance regulator regarding their possible rights to continuation coverage under State law. Almost 10 million Americans have undergone this procedure to improve nearsightedness, farsightedness, and astigmatism, so vision insurance providers are finding it practical to offer some Jul 26, 2023 · This includes changes such as hormones, hair removal, and/or surgical procedures. Aetna considers the following procedures medically necessary: Food and Drug Administration (FDA) approved total shoulder arthroplasty prosthesis for adult members when the following criteria are met: Member has advanced joint disease demonstrated by: Pain and functional disability that interferes with activities of daily Jun 4, 2024 · Key Takeaways. chemical peels are considered not medically necessary for the treatment of non-malignant (simple) lesions; Acne surgery. Lung volume reduction surgery (reduction pneumoplasty, also called lung shaving or lung contouring), unilateral or bilateral by open or thoracoscopic approach for the treatment of emphysema and chronic obstructive pulmonary disease - not generally covered. Unfortunately, you have to find a doctor that will be able to use this code, instead of the CPT code 19303. 1 (range of 1 to 7) and the mean pre-operative CT grade was 13. Choosing a bariatric surgery facility is a big decision. 6. Oct 27, 2023 · The average cost of cataract surgery is between $3,500 and $7,000 per eye. , Aetna Health Insurance Company of New York, Aetna Health Insurance Company and/or Aetna Life Insurance Company (Aetna). , Aetna Health of California Inc. 1 (1/09) by Aetna Health Inc. Khosravi. We know the value of of comprehensive bariatric treatment centers that can provide inpatient and outpatient procedures — and perform them well. Jan 27, 2021 · “By dropping exclusions for medically-necessary care like top surgery, Aetna is paving the way and setting an example for other health insurance providers, and I hope others will take note. This information may change. While most companies cover cataract surgery, limits exist. Nov 4, 2008 · There are different Aetna insurance plans, & QPOS is one of them. 339. people. Members get: Coverage for routine eye exams. My Aetna plan covered 90% of the cost. Brendan- That’s great. Generally, in such cases, an inter-disciplinary orthodontic and surgical treatment approach is needed. In Maryland, 20. Interpreter services for your medical visit (be sure to call 48 hours before your visit) 151 Farmington Avenue, Hartford, CT 06156. 3 Procedure takes 5 to 15 minutes. Individual rhino-sinusitis symptoms were evaluated on a visual analog scale (VAS; 0 to 10 scale) before and after surgery. , non-surgical management). 7 years (SD = 7. Some Aetna plans entirely exclude coverage of surgical treatment of obesity. Massachusetts license number: 10041444. Nov 21, 2019 · Ask your employer if you have coverage for Laser Vision Correction either under your medical, or vision insurance. All Medicare Advantage plans – including Aetna Medicare Advantage plans – cover cataract surgery when it’s medically necessary, though there may be But when it comes to your smile, a periodontist can help you prevent tooth loss and improve your oral health. Your benefits plan determines coverage. There are many different types of bariatric surgery to accommodate a range of needs and desired outcomes. Abtin H. Cataract surgery is the only solution, and most insurance companies consider it a medical necessity. In the most recently available rolling 12 months, the inpatient facility’s or ASC’s re-operation rate within 30 days of bariatric surgery must be less than or equal to 5 (five) percent. While I haven’t scheduled anything yet, here are some resources I’ve found: Aetna’s Gender Affirming Surgery Policy. Coverage under this plan is non-occupational. Student health insurance plans are underwritten by Aetna Life Insurance Company (Aetna®). and certain network administration services are provided through EyeMed Vision Care ("EyeMed"), LLC. Premiums and health care this plan doesn't cover. You can get: Interpreter services at no cost during any service or complaint process, including American Sign Language and real-time oral interpretation. com WPATH member; accepts insurance, Medicaid & Medicare; will operate on minors with parental consent; wait list one month. Aetna considers nasal valve surgery, polypectomy, septoplasty, and turbinectomy medically necessary for adults with nasal obstruction and CPAP intolerance related to nasal issues and high pressure requirements. Enjoy quality vision coverage that’s easy on your eyes and your wallet. Find IOQs and specialists with privileges. T1004. Aetna's 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. Aetna Student Health Agency Inc. a related health complication. Find a surgeon who is in-network with your health insurance. Medicare plans: 1-800-624-0756. Schedule An Appointment. Does the Aetna Student Health plan cover visits with my therapist too or just my medical appointments? J- The Aetna Student Health plan covers medical and behavioral health as well as your prescriptions. And one of the main perks of joining a Medicare Advantage (MA) plan is that many plans offer dental coverage to help you keep up with your oral health. and 7 p. Aetna may cover bariatric surgery for adolescents who have completed bone growth (generally age 13 for girls and 15 for boys), have a BMI of 40 or higher, and meet the remaining above eligibility. Code of Federal Regulations (CFR): 42 CFR 417; 42 CFR 422; 42 CFR 423. Guidelines from the Canadian Hyperhidrosis Advisory Committee (Solish et al, 2007) state that local surgery (axillary) and endoscopic thoracic sympathectomy (palms and soles) should only be considered after failure of all other treatment options. The average age of the studied individuals was 25. A choice of retail and independent Connecting you to care. Both women and men can have problems that cause infertility. Types of Bariatric Surgery Covered by Aetna. Members should refer to their plan documents for information regarding applicable terms and limitations of coverage. I believe policy 0615 covers the basics of what you can expect, but calling to go over your plan specifically is going to be a necessity. May 27, 2022 · The majority of insurance plans offered by Aetna exclude coverage of surgical procedures and treatments of obesity unless specifically approved by Aetna. m. , Aetna Health of the Carolinas Inc. CPB 0508 - Cataract Surgery Jan 27, 2021 · By Anuja Vaidya on January 27, 2021. anesthesia. Only non-occupational injuriesand non-occupational illnessesare covered. Non-ambulatory individuals unless being performed to relieve ulceration due to prominence; or. Gender affirming bottom surgery is changing the look of genitals to look more like the individual’s experienced gender. Gender affirming face, or body contouring, surgery is changing the look of She mentioned that they will pay out what if deemed medically necessary, around $1,500, but that the rest of the fees (around $8000) would most likely not be covered. The Member Payment Estimator tells you: How much you'll have to pay (your out-of-pocket costs) How much Aetna will pay. Apr 16, 2024 · Call us at 1-844-365-4385 (TTY: 711). For adults aged 18 years or older, presence of severe obesity that has persisted for at least the last 2 years (24 months), documented in contemporaneous clinical records, defined as any of the following: Body mass Apr 24, 2024 · Yes, if you have original Medicare. Mental health and addiction services. Notes: Some Aetna HMO plans exclude coverage for treatment of temporomandibular disorders (TMD) and temporomandibular joint (TMJ) dysfunction, and may also exclude coverage for other services described in this bulletin (e. United Health Care. And will cover my Phallo. Aetna covers a variety of gender-affirming treatments and surgeries, subject to plan terms and other requirements. You can give them the procedure code of S0800. While most types of weight loss surgeries are generally covered by Aetna, there can be differences based on the plan type. And the Member Payment Estimator tells you where in your area - and in your network -- you can find these services. Learn more about MLTSS. Other coverage options may be available to you too, including buying individual insurance coverage through the Health Insurance Marketplace. com Board-certified; accepts insurance and medical financing; $200 consult; wait list: 1 month for consult, 3 months for surgery date. Aetna coverage for hernia surgery depends on your specific plan. I've been on testosterone for over 3 years, I'm fully capable of meeting all…. Services of home health aide in home health or hospice setting, each 15 minutes. Limited or no out-of-network beneits Aetna considers bony correction bunionectomy not medically necessary for the following indications: Foot ulcer (s) secondary to peripheral vascular disease; or. , lansoprazole and omeprazole) should be tried. Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates (Aetna). Medicare Coverage Issues Manual §35-93. An expense is “incurred” on the day you receive a health care service or supply. women ages 15 through 44 years have difficulty getting pregnant or staying pregnant. acne surgery such as marsupialization, opening or removal of multiple milia, comedones, cysts, pustules for the treatment of acne vulgaris; intralesional injection of steroid for the treatment of inflammatory nodulo-cystic acne; Aetna's 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. Its purpose is to restore the structure facilitating proper nasal function. is a duly licensed broker for student accident and health insurance in the Commonwealth of Massachusetts. For traditional plans, Aetna medical plans consider medically necessary the first pair of glasses or aphakia contact lenses after cataract surgery and an additional pair of lens (es) each time the member's prescription changes. Aetna provides medical benefits in all 50 states to an estimated 39 million people. List of Aetna Covered Surgeons by State What are the types of gender affirming surgeries? Gender affirming top, or chest, surgery is removal of breasts (mastectomy) or breast augmentation. Home health aide or certified nurse assistant, providing care in the home; per hour. e. Cataracts can severely limit your vision and impair your quality of life. You will find prices for hundreds of common procedures. Mine covers nothing. Traditional plans: 1-888-632-3862. If you have other family members in this plan, they have to meet their own out-of-pocket. Does anyone else have experience with Aetna and top surgery? Every aetna plan is different. Illinois DMO is not an HMO. Cerebral hemispherectomy, corpus callosotomy, and temporal lobectomy (including selective amygdalohippocampectomy) when all of the following selection criteria are met: Non-epileptic attacks such as cardiogenic The top of R3 is best for craniofacial hyperhidrosis. Virginia members: In Virginia, DMO is called DNO (Dental Network Only). This Clinical Policy Bulletin addresses obesity surgery. The diagnosis and treatment of cataracts are generally covered Top 5 reasons to consider LASIK: 1 LASIK corrects nearsightedness, farsightedness and astigmatism. The average cost is usually inclusive of the following: Some surgeons will directly contact the insurance company to get the cost of the surgery covered, whether in whole or part. laboratory blood work and diagnostic scans. Marano »More about Dr. Gangrene of the foot, ankle or lower leg; or. Contact Info For Aetna Contact Aetna at 1-800-US-AETNA between 7 a. HealthCare. Annual combined maximum of $5,000 for gender-afirming, fertility and/or abortion travel and lodging services Before you travel, you must contact your Aetna Service Advocate at 1-800-884-9565 (TTY: 711) to verify provider availability. Note: Some plans exclude coverage of surgery for gender reassignment; please check benefit plan descriptions; and coverage is in effect. How much depends on your plan. I started the process in September 2021 and got top surgery in January This study included 35 patients who underwent breast reduction due to the idiopathic form of gynecomastia. Atypical fibroxanthoma; or. Get care where and when you need it. About one-third of infertility cases can be connected to the woman. documentation of 3 days ago · Cataract surgery costs are typically covered by Medicare and private insurance. We also offer benefits that will help you address your daily-living needs after your transition. I have aetna and they coded my top surgery under a double mastectomy and included in it was a skin graft. They said yes, because I had a BMI of 35-40 with at least one co-morbidity (I had 4). To see if your Aetna insurance plan covers your gastric sleeve surgery, please call or text us now at (855) 690-0565 to verify your insurance details. 2. , Aetna Health of Illinois Inc. Aetna considers an Food and Drug Administration (FDA)-approved metal-on-metal, metal-on-plastic, ceramic-on-plastic, or ceramic-on-ceramic total hip arthroplasty (THA) prosthesis medically necessary for adult members when the following criteria are met: Member has advanced joint disease demonstrated by: Some have been more receptive than others. ecaplasticsurgery. In order to distinguish a ventral hernia repair from a purely cosmetic abdominoplasty, Aetna requires documentation of the size of the hernia, whether the ventral hernia is reducible, whether the hernia is accompanied by pain or other symptoms, the extent of diastasis (separation) of rectus abdominus muscles, whether there is a defect (as opposed to mere thinning) of the abdominal 2 days ago · Jonathan Keith, MD, FACS East Coast Advanced Plastic Surgery (ECAPS) 374 W 11th St. Calling Your Insurance Company to Check Coverage: What To Ask. Aetna considers a medically supervised outpatient Phase II cardiac rehabilitation program medically necessary for selected members when it is individually prescribed by a physician within a 12-month window after any of the following documented diagnoses: Acute myocardial infarction within the preceding 12 months; or. . How much you'll save thanks to Aetna’s negotiated rates. g. Call Member Services. Freedom to visit any provider. Corneal pachymetry for evaluation of persons undergoing corneal refractive surgery is excluded from coverage under plans with these provisions. Medicare Part B covers 80% of the cost of by: Aetna Health Inc. For more information about the Marketplace, visit www. Aetna bariatric surgery requirements Aetna indemnity, PPO and Managed Choice medical plans generally provide medical coverage for the following dental and oral and maxillofacial surgery services. For adults aged 18 years or older, presence of severe obesity that has persisted for at least the last 2 years (24 months), documented in contemporaneous clinical records, defined as any of the following: Body mass Feb 21, 2017 · Aetna Pre-approval requirements. HCPCS codes covered if selection criteria are met: G0156. 9 +/- 0. More about Dr. At present, we have gotten successful insurance approval for top surgery from the following insurers: Anthem BC (Anthem Blue Cross) Blue Shield. 4 No injections; only eye-drop. Feb 21, 2017 · Aetna Pre-approval requirements. Health information programs provide general health information and are not a substitute for diagnosis or treatment by a 30 days of bariatric surgery must be less than or equal to 1 (one) percent. Baltimore, MD: HCFA; 2000. Members can receive 15-50% discounts on treatments like periodontal therapy with participating dentists and periodontists nationwide. If the responses cannot be typed, they should be printed clearly If submitting request electronically, complete member name, ID and reference Aetna's 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. For medically necessary vision services that are covered under Medicare Part B, you typically pay 20 percent of the Medicare approved amount and Medicare pays 80 percent. May 9, 2024 · New York. 02. Drew Marano, MDDr. 7. Online shopping options. Many Medicare Advantage plans offer additional vision care to help pay for ongoing eye care costs. Blue Cross. To qualify for weight loss surgery and have it covered by Aetna you must meet the criteria below. Feb 5, 2024 · Get assistance with everyday tasks like taking a bath, getting dressed, making food and taking medicine. Intra-articular glucocorticoid injections for the treatment of knee OA. Aetna considers surgery with the Mohs technique medically necessary for any of the following skin conditions: Areas of important tissue preservation (ears, face, feet, hands, genitalia, and perianal); or. California license number: OB84599. While there is a possible risk of reduced or delayed care with any coverage criteria, Aetna believes that the benefits of these criteria – ensuring patients receive services that are appropriate, safe, and effective – substantially outweigh any clinical harms. Apr 14, 2024 · In the United States, nearly all types of non-Medicare health insurance have to cap in-network out-of-pocket costs at no more than $9,450 for a single person in 2024. Announced Wednesday, the expansion was the For patients who fail initial treatment, proton pump inhibitors (e. Bring your Aetna cards or member information to your complimentary consultation and your LASIK coordinator will check (NEW YORK, NY - January 26, 2021) - Aetna, a CVS Health company, with the Transgender Legal Defense & Education Fund (TLDEF) and national civil rights law firm Cohen Milstein Sellers & Toll, today announced that Aetna has expanded coverage of gender-affirming surgery to include breast augmentation for transfeminine members of most of its commercial plans. S. The mean number of prior sinus procedures was 1. Nasal septoplasty is a procedure to correct anatomic deformity or deviation of the nasal septum. Anti-reflux surgery is required in only 1 to 2% of all patients with GERD. Coverage for either one pair of eyeglasses (lenses and frame) or contact lenses or prescription sunglasses. Aetna considers the following interventions medically necessary when all of the following selection criteria are met: Epilepsy Surgery. Cosmetic enhancement, if any, is incidental. Aug 2, 2023 · The average cost for FTM top surgery in Ohio is between $6, 500 and $8, 500. Or call Member Services. Medical Necessity. When these standard medical therapies fail, surgery may be considered. Aetna has expanded its coverage of gender-affirming surgery to include breast augmentation for certain trans women. Hi, I'm a 20 year old trans man looking for top surgery in Arizona. We understand. To figure out if your insurance provider covers gender-affirming surgery, you should: Contact your insurance provider directly to inquire about coverage for gender reassignment surgery. Medical Necessity May 9, 2024 · California. Original Medicare, on the other hand, does not cover routine dental care, such as cleanings, X-rays Cosmetic rhinoplasty and/or septoplasty are performed solely to enhance appearance. To get the most up to date information it is best to contact your insurance or have a bariatric coordinator contact them for you. Companies like Anthem Blue Cross, Blue Shield, Aetna, Cigna, and United Health Insurance are known to cover gender-affirming procedures under certain conditions. Does Aetna cover weight loss surgery. Meet the criteria for medical necessity. For Zilretta injectable for Medicare members, see Medicare Part B Criteria. All patients had a minimum 2-year follow-up. Some of the common bariatric surgeries covered by Aetna may include: Gastric Bypass Surgery: A procedure that involves creating a small stomach pouch and rerouting If you have questions about how to fill out the form or our precertification process, call us at: HMO plans: 1-800-624-0756. Dr. Services of a qualified nursing aide, up to 15 minutes. You must first visit a doctor who will evaluate your medical BlueWake000 • 2 yr. Aetna considers breast reconstructive surgery to correct breast asymmetry cosmetic except for the following conditions: Surgical correction of chest wall deformity causing functional deficit in Poland syndrome when criteria are met in CPB 0272 - Pectus Excavatum and Poland’s Syndrome: Surgical Correction; or. Medicare Advantage covers medically necessary cataract surgery with intraocular lenses. New York, New York 10014 201-449-1000 www. gv ho bn mu wa aw hj gq ih wq