Aetna Medical Policy Orthotics

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Foot Orthotics - Medical Clinical Policy Bulletins | Aetna

https://www.aetna.com/cpb/medical/data/400_499/0451.html

Note: Most Aetna plans exclude coverage of orthopedic shoes, foot orthotics or other supportive devices of the feet, except under the following conditions: 1. This exclusion does not apply to such a shoe if it is an integral part of a leg brace and its expense is included as part of the cost of the brace. See section … See more

Orthopedic Casts, Braces and Splints - Medical Clinical …

https://www.aetna.com/cpb/medical/data/1_99/0009.html

Policy. Note: Most Aetna traditional plans cover durable medical equipment …

Ankle Orthoses, Ankle-Foot Orthoses (AFOs), and Knee …

https://www.aetna.com/cpb/medical/data/500_599/0565.html

Policy. Aetna considers ankle orthoses, ankle-foot orthoses (AFOs), and knee-ankle-foot orthoses (KAFOs) medically necessary durable medical equipment (DME) …

Medical Clinical Policy Bulletins - Aetna

https://www.aetna.com/health-care-professionals/clinical-policy-bulletins/medical-clinical-policy-bulletins.html

Aetna has reached these conclusions based upon a review of currently available clinical information (including clinical outcome studies in the peer-reviewed published medical …

Lower Limb Prostheses - Medical Clinical Policy Bulletins …

https://www.aetna.com/cpb/medical/data/500_599/0578.html

Aetna does not consider a replacement prosthesis medically necessary unless the member's medical needs are not being met by the current prosthetic or it is broken and …

Upper Limb Prostheses - Medical Clinical Policy Bulletins …

https://www.aetna.com/cpb/medical/data/300_399/0399.html

Policy Aetna considers the following prosthetic devices medically necessary when an artificial limb is used to anatomically replace an absent or nonfunctioning body part with …

0451 Foot Orthotics - Aetna

https://www.aetnabetterhealth.com/pennsylvania/assets/pdf/pharmacy/pharmacy-bulletins/0451%20Foot%20Orthotics.pdf

Foot Orthotics - Medical Clinical Policy Bulletins | Aetna Page . 2 . of . 68 . This policy is consistent with CMS guidelines. Please check benefit plan descriptions for …

0451 Foot Orthotics Medical Clinical Policy Bulletins - Aetna

https://www.aetnabetterhealth.com/pennsylvania/assets/pdf/pharmacy/pharmacy-bulletins/0451%20Foot%20Orthotics%20Medical%20Clinical%20Policy%20Bulletins.pdf

Foot Orthotics - Medical Clinical Policy Bulletins | Aetna Page 6 of 63 A prosthetic shoe is a device used when all or a substantial portion of the front part of the foot is missing. A …

Physical Therapy - Medical Clinical Policy Bulletins | Aetna

https://www.aetna.com/cpb/medical/data/300_399/0325.html

Policy. Aetna considers physical therapy (PT) medically necessary when this care is prescribed by a chiropractor, DO, MD, nurse practitioner, podiatrist or other health …

Orthotic Devices and Shoes - Cigna

https://static.cigna.com/assets/chcp/pdf/coveragePolicies/medical/mm_0543_coveragepositioncriteria_orthotic_devices_shoes.pdf

This Coverage Policy addresses orthotic devices. Orthotic devices are defined as orthopedic appliances used to support, align, prevent or correct deformities. Static …

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