![]() ![]() When determining medical necessity, Clinical Policy Bulletins (CPBs) published by Aetna, the claims administrator may be used. It also means that experimental or investigational procedures, drugs, devices or biological products not proven by long-term clinical studies are generally not covered. 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. 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. Medication information and disclosure forms.Family Adjustment, Family Income, Contributory Group Life Insurance (Grandfathered).Financial Fitness Program (EY Financial Planning Center).Illinois Consumer Coverage Disclosure Act Information.New Benefits Plan deadlines due to COVID-19.Information on COVID OTC Test for Medicare Participants. ![]() COVID OTC Test - International Medical Dental Plan.ExxonMobil Vision Plan: ID cards update.Retiree Medical Plan summary plan descriptions.Summary of Material Modifications - Plan changes for the current year.Employee Medical Plan summary plan descriptions.Retiree Medical Plan summary plan descriptions HMO Aetna Select retiree | Basic Plan featuresĮmployee Medical Plan summary plan descriptions ![]()
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