Does Aetna cover paternity testing?
Aetna considers DNA testing for CADASIL medically necessary for either of the following indications: Pre-symptomatic individuals where there is a family history consistent with an autosomal dominant pattern of inheritance and there is a known mutation in an affected member of the family; or.
Does Aetna cover breast cancer?
Aetna considers reconstructive breast surgery medically necessary after a medically necessary mastectomy or a medically necessary lumpectomy that results in a significant deformity (i.e., mastectomy or lumpectomy for treatment of or prophylaxis for breast cancer and mastectomy or lumpectomy performed for chronic.
Is the NIPT test covered by Aetna insurance?
Aetna considers noninvasive prenatal testing (NIPT) using measurement of cell-free fetal nucleic acids in maternal blood (e.g., MaterniT21, MaterniT21 PLUS, Verifi Prenatal Test, Harmony Prenatal Test, Panorama Prenatal Test, QNatal Advanced) medically necessary for screening for fetal aneuploidy (trisomy 13, 18 and 21 …
Does insurance cover a DNA test?
Insurance companies do not view DNA paternity tests as a medical procedure. Therefore, they do not cover the cost. Each insurance company like Medicaid, Tricare, or Life Insurance companies, has different guidelines for handling unique situations.
Will Aetna pay for breast reduction?
Aetna considers breast reduction surgery cosmetic unless breast hypertrophy is causing significant pain, paresthesias, or ulceration (see selection criteria below). Reduction mammoplasty (also spelled as ‘mammaplasty’) for asymptomatic members is considered cosmetic.
When does Aetna mammogram?
Does Aetna cover mammograms? Aetna considers annual mammography screening a medically necessary preventive service for women aged 40 and older. Annual screening is also considered medically necessary for younger women who are judged to be at high- risk by their primary care physician.
Does Aetna cover amniocentesis?
Aetna considers invasive prenatal diagnosis by chorionic villus sampling (CVS), genetic amniocentesis, and percutaneous umbilical blood sampling (PUBS) (cordocentesis) medically necessary for diagnosis of fetal chromosomal abnormalities.
Does Aetna cover prenatal care?
We cover your routine care visits throughout your pregnancy (prenatal and antepartum care). We only cover tests and ultrasounds that monitor your baby’s health and development. Review your plan benefits for testing. We cover the hospital stay for your delivery.
Does Tricare cover paternity testing?
TRICARE doesn’t cover paternity tests.
Does Aetna pay for circumcision?
Most health insurance plans offered by AETNA cover the costs of adult circumcision when performed for medically necessary reasons. Circumcision performed for religious, aesthetic or hygienic reasons is not typically covered by AETNA.
What BMI is required for breast reduction?
Body mass index (BMI). Some insurance companies will deny breast reduction surgery unless the BMI is <30, others <35, while others need to see documentation that the patient has attempted to lose weight in the past through diet, exercise or weight loss surgery. This is because breast size may decrease with weight loss.
When to use The OVA1 blood test for cancer?
The OVA1 blood test is used to continue the assessment to determine the possibility of a malignancy being present. It is usually ordered after the ultrasound and independent clinical observations. The OVA1 blood test by itself cannot be used to screen for cancer or other health concerns.
What kind of cancer testing does Aetna do?
Aetna considers human papillomavirus (HPV) tumor testing (p16) medically necessary for the workup of head and neck cancer or occult primary cancers. Aetna considers each of the following experimental and investigational. For screening, diagnosis, staging or routine surveillance of gastric cancer.
Is the OVA1 blood test covered by Medicare?
Not every health insurance provider currently covers the OVA1 blood test. Patients will need to obtain pre-authorization if the are not covered by Medicare for this test in many circumstances.
Is there a Pap test for ovarian cancer?
One major obstacle to appropriately referring patients with an ovarian mass to a specialist is the difficulty identifying who is most likely to have ovarian cancer. There is no screening test for ovarian cancer, unlike the Pap test for cervical cancer or a mammogram for breast cancer.