It also means that experimental or investigational procedures, drugs, devices or biological products not proven by long-term clinical studies are generally not covered.
#Aetna well baby visits series
Claims are reviewed as submitted, and some or all of any claim or series of services could be denied as not being medically necessary. Care is medically necessary if it is a therapeutic procedure, service or supply used in the medical treatment of an injury, disease, or pregnancy, which is generally recognized by the United States medical community as appropriate. Medically necessaryĮxpenses are covered under these options only if they are medically necessary.
#Aetna well baby visits update
Participants may update their PCP by calling Member Services or through. Your PCP serves as your guide to care in today's complex medical system and will coordinate and monitor your overall care. You may not select a physician group as your PCP. When choosing a PCP, use the website to select an individual physician. These providers are independent physicians and facilities that are monitored for quality of care, patient satisfaction, cost effectiveness of treatment, office standards and ongoing training.Įach participant in the Plan must select a Primary Care Physician (PCP) when they enroll.
Plan participants have access to a network of participating Primary Care Physicians (PCPs), specialists and hospitals that meet Aetna’s requirements for quality and service. The Plan generally covers only medically necessary care and services.
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