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Oxygen - Medical Clinical Policy Bulletins | Aetna

    https://www.aetna.com/cpb/medical/data/1_99/0002.html
    1. Home oxygen therapy is only considered medically necessary if allof the followi…2. Where the above-listed criteria are met, Aetna considers oxygen for home us…3. Oxygen the… See more

Ambulatory Assist Devices: Walkers, Canes, and …

    https://www.aetna.com/cpb/medical/data/500_599/0505.html
    A heavy-duty walker is considered medically necessary DME for members who meet medical necessity criteria for a standard walker and who weigh more than 300 pounds. A …

Medical Clinical Policy Bulletins - Aetna

    https://www.aetna.com/health-care-professionals/clinical-policy-bulletins/medical-clinical-policy-bulletins.html
    Using Clinical Policy Bulletins to determine medical coverage. Medical Clinical Policy Bulletins (CPBs) detail the services and procedures we consider medically necessary, …

Wheelchairs and Power Operated Vehicles (Scooters)

    https://www.aetna.com/cpb/medical/data/200_299/0271.html
    Power operated vehicles (POV), commonly known as "scooters", are 3- or 4-wheeled non-highway motorized transportation systems for persons with impaired ambulation. Center …

Seat Lifts and Patient Lifts - Medical Clinical Policy …

    https://www.aetna.com/cpb/medical/data/400_499/0459.html
    Policy Seat Lifts. Aetna considers seat lift mechanisms medically necessary durable medical equipment (DME) when all of the following criteria are met:. The member must be …

Clinical guidelines and policy bulletins - Aetna

    https://www.aetnabetterhealth.com/clinical-guidelines-policy-bulletins.html
    Guidelines. We’ve chosen certain clinical guidelines to help our providers get members high-quality, consistent care that uses services and resources effectively. These include …

Therapeutic Chairs - Medical Clinical Policy Bulletins

    https://www.aetna.com/cpb/medical/data/400_499/0434.html
    Number: 0434. Policy. Note: Aetna HMO plans (HMO, QPOS, Health Network Only, Health Network Option, and Medicare Advantage) do not cover the specialized therapeutic …

Bathroom and Toilet Equipment and Supplies - Medical …

    https://www.aetna.com/cpb/medical/data/400_499/0429.html
    Policy. Aetna's HMO-based and health network plans (HMO, QPOS, Health Network Only, Health Network Option, Golden Medicare, and U.S. Access) generally follow Medicare's …

Wheelchairs and Power Operated Vehicles Scooters

    https://www.aetnabetterhealth.com/pennsylvania/assets/pdf/pharmacy/pharmacy-bulletins/0271%20Wheelchairs%20and%20Power%20Operated%20Vehicles%20Scooters.pdf
    Wheelchairs and Power Operated Vehicles Scooters - Aetna

Chest Physiotherapy and Airway Clearance Devices

    https://www.aetna.com/cpb/medical/data/1_99/0067.html
    Aetna considers high-frequency chest compression systems experimental and investigational for other indications in members who do not meet medical necessity …



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