Aetna Integration Test (2024)

Table of Contents

1. The Value of an Integrated Pharmacy & Medical Offering - Aetna 2. How Aetna and CVS Health are delivering a new model of ... 3. Understanding Health Care: Articles & Tips - Aetna 4. COVID-19 Testing & Treatment FAQs for Aetna Members 5. Aetna Integrated Primary Care Behavioral Health Program 6. Coronavirus (COVID-19) Resources for Aetna Members 7. Neuropsychological and Psychological Testing - Aetna 8. Over-the-counter (OTC) COVID-19 at home test kits - AetnaFeds.com 9. Genetic Testing - Medical Clinical Policy Bulletins - Aetna 10. Mental Health & Well-being Resources - Aetna 11. Aetna Coverage | Aetna Health Insurance | MinuteClinic - CVS 12. Pharmacogenetic and Pharmacodynamic Testing - Aetna 13. CVS Health Announces COVID-19 Resources for Aetna Members 14. Allergy and Hypersensitivity - Medical Clinical Policy Bulletins - Aetna 15. Aetna 2023 Medicare plans put money back in members' pockets 16. Complementary and Alternative Medicine - Medical Clinical ... - Aetna 17. Get to Know PayFlex® -- Aetna 18. Aetna Medicare | Medicare Advantage, Part D & Supplement Plans 19. CVS-Aetna merger - American Medical Association 20. Frequently Asked Questions (FAQs) - Banner Aetna 21. Virtual care, wherever you are - Aetna 22. How will the CVS-Aetna merger transform the patient care landscape? FAQs References

1. The Value of an Integrated Pharmacy & Medical Offering - Aetna

Evidence points to integration. Research published by Aetna® and validated by Harvard Medical School shows that when medical and pharmacy benefits are ...
Plan sponsors face many challenges, especially the rising cost of health care. Our research shows that integrating medical and pharmacy plans can lead to savings and help control the total cost of care. Learn more in this resource from Aetna.

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2. How Aetna and CVS Health are delivering a new model of ...

Aetna® and CVS Health® are offering a new model of integrated care. With over 10,000 pharmacy locations and a wide network of health care providers, we're ...
Health care is complex, but we can help you make smart decisions with information on how insurance works, health savings accounts, how to prep for your doctor visits and more.

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3. Understanding Health Care: Articles & Tips - Aetna

We get it — health insurance can be tough to understand. We're here to help you through it. Here's the place to learn about how insurance works, ...
Health care is complex, but we can help you make smart decisions with information on how insurance works, health savings accounts, how to prep for your doctor visits and more.

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4. COVID-19 Testing & Treatment FAQs for Aetna Members

Does Aetna's cost share coverage of COVID-19 testing apply to pre-admission testing? Aetna's standard policy covers testing for infectious disease as part of ...
Members, Aetna is here to keep you informed during the coronavirus (COVID-19) pandemic. Visit our FAQ page for answers to the most frequently asked questions regarding COVID-19 testing and treatment and to get the latest information.

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5. Aetna Integrated Primary Care Behavioral Health Program

The program offers a co-located behavioral health clinician in the primary care setting to address behavioral health, as well as health/wellness issues; ...
Aetna's Integrated Primary Care Behavioral Health Program supports a collaborative health care model that provides coordinated and effective services for individuals with mental health needs.

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6. Coronavirus (COVID-19) Resources for Aetna Members

COVID-19 resource center. Aetna® members, find helpful information on COVID-19 vaccines, testing, treatment and more.
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Aetna is here for you during the coronavirus (COVID-19) pandemic, no matter what. Learn about extra benefits and well-being resources just for you, find testing locations, get answers to the most frequently asked questions regarding COVID-19 and tips to stay safe, and much more.

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7. Neuropsychological and Psychological Testing - Aetna

Background. Psychological tests assess a range of mental abilities and attributes, including achievement and ability, personality, and neurological ...
Number: 0158

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8. Over-the-counter (OTC) COVID-19 at home test kits - AetnaFeds.com

Aetna will cover up to eight over the counter (OTC) at-home COVID-19 tests per 30-day period for each person covered under your plan. Note: Each test is counted ...
Beginning May 12, 2023, and in line with guidance recently issued by the Office of Personnel Management (OPM), Aetna Federal Plans will provide coverage for 8 OTC COVID-19 tests per rolling 30 days and other preventive COVID liberalizations as outlined below.

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9. Genetic Testing - Medical Clinical Policy Bulletins - Aetna

Aetna considers genetic testing of PTPN11, SOS1, or KRAS genes medically necessary for the diagnosis of Noonan syndrome in persons with characteristic features ...
Number: 0140

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10. Mental Health & Well-being Resources - Aetna

Conditions & treatment · Preventive care · Women · Crisis hotlines
It’s important to take care of your mental health just like your do your physical health. The mind and body are connected. Feeling good physically works wonders mentally. The reverse is true, too. That’s why Aetna®, a CVS Health® company, offers resources to support the whole you, at every stage of your mental health journey.

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11. Aetna Coverage | Aetna Health Insurance | MinuteClinic - CVS

... exams, and more. If you have Aetna insurance, you may have some questions about what's covered, and how much it costs. Does MinuteClinic accept Aetna Insurance?
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CVS.com® is not available to customers or patients who are located outside of the United States or U.S. territories. We apologize for any inconvenience.

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12. Pharmacogenetic and Pharmacodynamic Testing - Aetna

The test can be performed before starting irinotecan therapy and is designed to identify patients who may be at risk for ADRs to the chemotherapeutic agent by ...
Number: 0715

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13. CVS Health Announces COVID-19 Resources for Aetna Members

Mar 6, 2020 · Diagnostic testing and telemedicine visits available with no co-pay. WOONSOCKET, R.I. — CVS Health (NYSE: CVS) today announced several steps ...
Diagnostic testing and telemedicine visits available with no co-pay

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14. Allergy and Hypersensitivity - Medical Clinical Policy Bulletins - Aetna

3 bias assessment tool to assess bias assessment risk, data integration risk, meta ... Cytotoxic Testing (Bryans Test) / Electrodermal Testing / IgG Testing ...
This Clinical Policy Bulletin addresses allergy and hypersensitivity.

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15. Aetna 2023 Medicare plans put money back in members' pockets

Oct 1, 2022 · New for 2023, Aetna will introduce the Aetna ... Aetna also expanded its Aetna Medicare Eagle ... exam from the comfort of the member's home.
Featuring reductions in prescription drug costs and money-saving Medicare Advantage benefits and extras that make a difference

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16. Complementary and Alternative Medicine - Medical Clinical ... - Aetna

Muscle testing; Musgutova Neurosensorimotor Reflex Integration (MNRI) method; Music therapy; Myotherapy (myofunctional therapy); Neural therapy (neural tension ...
Number: 0388

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17. Get to Know PayFlex® -- Aetna

Find costs of tests and doctor visits; Look up a ... PayFlex offers an integrated platform, multi ... (“PayFlex”), one of the nation's leading account-based third ...
As a part of the Aetna family, PayFlex® Systems USA, Inc. plays a major role in how consumer-directed products and services are delivered throughout the marketplace.

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18. Aetna Medicare | Medicare Advantage, Part D & Supplement Plans

Learn about your Medicare insurance options and find an Aetna Medicare plan.

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19. CVS-Aetna merger - American Medical Association

Although this outcome is not what the AMA fought for, the AMA is optimistic that this case and the thorough examination of its underlying facts are a sign of ...
The AMA aims to protect patients and physicians by actively opposing anticompetitive health insurer mergers.

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20. Frequently Asked Questions (FAQs) - Banner Aetna

These highly engaged and integrated teams have access to a member's medical history and test results. In-network, Banner Health Network emergency rooms have ...
Get answers to the most frequently asked questions about Banner|Aetna.

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21. Virtual care, wherever you are - Aetna

With telehealth services from Aetna, members can talk to a doctor by phone or video 24/7 so if you can't make an in-person visit or want to avoid the ER, ...
With telehealth services from Aetna, members can talk to a doctor by phone or video 24/7 so if you can’t make an in-person visit or want to avoid the ER, you have convenient support to take care of you. Learn more about how you can get virtual care anytime, anywhere.

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22. How will the CVS-Aetna merger transform the patient care landscape?

Dec 19, 2017 · Healthcare strategy post called How will the CVS-Aetna merger transform the patient care landscape? % ... tests and diagnostic services. A person ...
Healthcare strategy post called How will the CVS-Aetna merger transform the patient care landscape? %

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FAQs

Is Aetna no longer covering telehealth services? ›

Under the new policy, audio-only and asynchronous telehealth services provided to Aetna self-insured/ERISA enrollees are considered non-covered services that are the responsibility of the patient, effective December 1, 2023. For more details on the new policy, click here.

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Does Aetna allow pass through billing? ›

Update: Previously set to take effect on September 1, 2017, Aetna has changed the effective date in which they will no longer accept pass-through billing for most lab charges from a facility or a non-facility provider. The effective date will now be October 1, 2017.

Does Aetna cover a stress test? ›

Aetna considers cardiac stress testing and stress echocardiography experimental and investigational for cardiovascular disease risk assessment in asymptomatic low risk individuals.

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What is the 95 modifier for Aetna? ›

When a provider reports modifier GT or 95, it certifies the patient received services via an audiovisual telecommunications system. Click herefor more information about our telemedicine liberalization in response to the Coronavirus COVID-19 outbreak.

What is the 2 midnight rule for Aetna? ›

Background. Originally published in 2013 and amended in 2016, the two-midnight rule provides that inpatient services are generally payable under Medicare Part A if a physician expects a patient to require medically necessary inpatient hospital care that spans at least two midnights.

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Why is telehealth declining? ›

There are several factors driving the decline in telehealth utilization in healthcare settings. One reason is cost — many insurance companies are not covering telehealth visits at the same rate as in-person visits, which can make them less attractive to patients.

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Does Aetna deny a lot of claims? ›

The payer denied 93 percent of the emergency room claims that California investigated, underscoring that surprise billing remains a relevant issue during the coronavirus pandemic.

Is EKG covered by insurance Aetna? ›

Effective August 12, 2006 Aetna will consider claims for electrocardiograms (EKG) 12-lead service (CPT code 93010) when billed with an Emergency Room Evaluation & Management (E&M) service (CPT codes 99281-99285) with or without appending a Modifier 25 to the E&M Code.

Will Aetna cover a CT scan? ›

Aetna considers annual low-dose computed tomography (LDCT) scanning, also known as spiral CT or helical CT scanning, medically necessary for current or former smokers ages 50 to 80 years with a 20 pack-year or more smoking history and, if a former smoker, has quit within the past 15 years.

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What is modifier 95 stand for? ›

95. Telehealth modifier defined as "synchronous telemedicine service rendered via real-time Interactive audio and video telecommunications system".

Does Aetna require CQ modifier? ›

Aetna will require the use of the CO and CQ modifiers to signify services furnished in whole or in part by an OTA (use the CO modifier) or a PTA (use the CQ modifier). This Billing Reduction change was first adopted by Medicare in 2022 which was required by law through the 2018 Bipartisan Budget Act.

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Should I use modifier GT or 95? ›

There is much overlap between the use of GT and 95 modifiers, but 95 is commonly used for psychiatric, nutrition, and genetic services, among others. Modifier 95 is like GT in use cases, but unlike GT there are limits to the codes that it can be appended.

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What is the CMS final rule for telehealth in 2024? ›

Through December 31, 2024, all patients can get telehealth wherever they're located. They don't need to be at an originating site, and there aren't any geographic restrictions. A distant site is the location where a physician or practitioner provides telehealth.

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Does Aetna CVS cover telehealth? ›

We accept most insurance plans for our Virtual Care services. This includes Aetna. However, you should get in touch with Aetna to ensure that your plan will cover a Virtual Care visit with us.

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Is Medicare no longer covering telehealth? ›

Medicare Fee-for-Service Telehealth Coverage. Most of the changes discussed below will end when the federal Public Health Emergency (PHE) expires. It is currently set to expire on January 16, 2022, unless it is declared over by the Secretary before then or renewed.