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WEB AND MOBILE TERMS OF USE

AETNA WEB AND MOBILE TERMS OF USE

Welcome to Aetna’s web and mobile experience. These Aetna Web & Mobile Terms of
Use (the “Terms”) apply to those websites and software applications (including
mobile applications) that we operate and that contain a link to these Terms (an
“Application” or together the “Applications”).

By using our Applications you are agreeing to these Terms. Please read them
carefully.

We may modify these Terms at any time by posting the revised Terms on the
Applications. You can determine when these Terms were last revised by referring
to the “LAST UPDATED” legend at the bottom of these Terms. Any modifications
will be effective immediately upon such posting. Your use of or access to the
Applications after such modifications are posted will signify your acceptance of
the modifications and your agreement to be bound by them. Notwithstanding the
foregoing, any modifications to these Terms shall not apply to any dispute
between us arising prior to the date on which we post the revised Terms that
contain such modifications.

Information on the Applications is provided “AS IS” without warranty of any
kind, either express or implied, including, but not limited to, the implied
warranties of merchantability, fitness for a particular purpose, or
non-infringement. Some jurisdictions do not allow the exclusion of implied
warranties, so the above exclusion may not apply to you. The data set forth
herein is for informational purposes only, and no warranty is made that the
information is error-free. Please note that once you leave an Application or
arrive at an Application from another non-Aetna location, either by using a link
we may have provided for your convenience or by specifying your own destination,
Aetna accepts no responsibility for the content, products and/or services
provided at these non-Aetna locations. Aetna does not control, endorse, promote
or have any affiliation with any other website or software application
(including mobile applications) unless expressly stated herein.

LIMITATION OF LIABILITY

IN NO EVENT WILL AETNA BE LIABLE TO ANY PARTY FOR ANY DIRECT, INDIRECT, SPECIAL
OR OTHER CONSEQUENTIAL DAMAGES ARISING OUT OF ANY USE OF THE APPLICATIONS, OR
ANY OTHER HYPER-LINKED WEBSITE OR SOFTWARE APPLICATION (INCLUDING MOBILE
APPLICATIONS), INCLUDING, WITHOUT LIMITATION, ANY LOST PROFITS, BUSINESS
INTERRUPTION, LOSS OF PROGRAMS OR DATA ON YOUR EQUIPMENT, OR OTHERWISE, EVEN IF
WE ARE EXPRESSLY ADVISED OF THE POSSIBILITY OR LIKELIHOOD OF SUCH DAMAGES.

CHANGES TO THE APPLICATIONS

Information may be changed or updated without notice. Aetna has no obligation to
update information presented on the Applications, so information contained
herein may be out of date at any given time. Aetna may also make improvements
and/or changes in the products and/or programs described in this information at
any time without notice.

FORWARD-LOOKING STATEMENTS

Certain information related to financial and operating performance contained on
the Applications is forward-looking. You should consider forward-looking
statements to have been made only as of the date of their original publication
and you should not put undue reliance on forward-looking statements. Those
statements, while included on the Applications for historical reference, speak
only as of the date of their original publication and have not been updated. We
disclaim any intention or obligation to update or revise forward-looking
statements, whether as a result of new information, future events, uncertainties
or otherwise. Forward-looking information is based on management's estimates,
assumptions and projections, and is subject to significant uncertainties and
other factors, many of which are beyond the control of Aetna, CVS Heath
Corporation or any of their affiliates (together, the “Company”). The Private
Securities Litigation Reform Act of 1995 provides a safe harbor for
forward-looking statements made by or on behalf of the Company. By their nature,
all forward-looking statements are not guarantees of future performance or
results and are subject to risks and uncertainties that are difficult to predict
and/or quantify. Actual results may differ materially from those contemplated by
the forward-looking statements due to the risks and uncertainties described in
our Securities and Exchange Commission filings, including those set forth in the
Risk Factors section and under the heading “Cautionary Statement Concerning
Forward-Looking Statements” in our most recently filed Annual Report on Form
10-K and our most recently filed Quarterly Report on Form 10-Q.

PRODUCTS AND SERVICES OFFERINGS

“Aetna” is the brand name used for products and services provided by one or more
of the Aetna group of subsidiary companies.

The product and/or services descriptions, if any, provided on this site are not
intended to constitute offers to sell or solicitations in connection with any
product or service. All products are not available in all areas and are subject
to applicable regulation areas and in many instances may be offered only through
employers or other plan sponsors. Specific products may not be available in both
self-funded and insured forms.

Covered services and preferred benefits are provided under the terms of the
applicable plan contract, including limitations and exclusions.

Anyone interested in a particular product should contact their local Aetna
representative to determine whether the product and/or service is available in
their jurisdiction, and to request a copy of the applicable policy or prospectus
for a complete description of the product and/or service in question.

PAYMENT SERVICE OFFERINGS

A payment service may be available to some members of one or more of the Aetna
Applications. The payment service is powered by our payment service vendor,
Change Healthcare, Inc.

The payment service allows you to make payments to certain health care providers
based on our calculation of your patient responsibility. If you make use of the
payment service, you are responsible for determining the amount that you owe,
which may be less than the patient responsibility shown through our Application.
This may be due to other payments you may have already made directly with the
provider, or other factors that may reduce your outstanding balance with your
health care provider.

You may be able to make payments using a variety of your existing financial
accounts, such as credit card accounts and checking accounts. If you are able to
use an account that is regulated by section 213(d) of the IRS code, such as a
health saving account (HSA) or flexible spending account (FSA), you are
responsible for ensuring the eligibility of the expense under section 213(d).
Not all 213(d) accounts are eligible to be used through the payment service.

By using the payment service to make a payment, you authorize our payment
service vendor to process payment transactions initiated by you through the
payment service using your financial accounts that you designate. You agree that
you are fully responsible for any such transactions and agree to only use
financial accounts where you are an authorized user on the financial account.
You authorize our payment service vendor to make any debits, withdrawals,
charges or transfers from your financial account in the amount you ask for,
including any surcharges or fees that may apply.

In the event that there is an issue with our payment service vendor delivering
your funds to a provider, our vendor will use commercially reasonable efforts to
resolve the issue on your behalf in a timely manner. In certain cases, you can
request a refund of a specific payment. Contact the Aetna contact center to
answer any additional questions. When our payment service vendor needs to return
funds to you, the funds will be returned to the same financial account you
originally used to make the payment.

In no event will we or our payment service vendor be liable to any party for any
direct, indirect, special or other consequential damages arising out of any use
of the payment service. When using the payment service, your entered payment
method information will be protected by us and our payment service vendor. Our
payment service vendor follows major payment card industry (PCI) data security
standards.

THIRD PARTY RESOURCES

The Application may contain links to, or otherwise make available, third-party
sites, services, products, information, content, materials, merchandise,
functionality and/or other resources (“Third Party Resources”). These Third
Party Resources and links and access to them are provided for your convenience
and reference only. We do not control such Third Party Resources and, therefore,
we are not responsible for such Third Party Resources, or any content posted on
or made available by such Third Party Resources. Be aware that we do not
control, and we make no guarantees about, and disclaims any express or implied
representations or warranties about such Third Party Resources, including
without limitation the security of any materials, or the accuracy, relevance,
timeliness, completeness, or appropriateness for a particular purpose of the
information or the resources contained on or made available by such Third Party
Resources or any other Internet sites. We reserve the right to terminate such
links or such access at any time. The fact that we offer such links or access
should not be construed in any way as an endorsement, authorization, or
sponsorship of such Third Party Resources, or any content made available
thereby. Because some Third Party Resources employ automated search results or
otherwise link you to Third Party Resources containing information that may be
deemed inappropriate or offensive, we cannot be held responsible for the
accuracy, copyright compliance, legality, or decency of material contained in or
made available by Third Party Resources, and you hereby irrevocably waive any
claim against us with respect to such Third Party Resources. Your use of any
Third Party Resources is subject to the third party’s terms, conditions and
policies applicable to such products, services or materials (such as Terms of
Service or Privacy Policies of the providers of such products, services or
materials). We are not responsible for the privacy and security of any
information you share with that third party, including your credit card or
payment information. When you elect to receive these services from a third
party, you agree to hold that third party responsible for any unauthorized use
or disclosure of your personal information.

TRADEMARKS

The Aetna logo, Aetna, Aetna Navigator®, Aetna Better Health®, ActiveHealth®,
bSwift®, CareEngine®, Carelink®, Coventry®, DocFind®, Healthagen®, Healthy
Merits®, Innovation Health®, iTriage®, Meritain Health®, PayFlex®, Practice IQ®,
Resources for Living®, WellMatch® and all other trademarks, service marks, trade
names, logos, domain names, URLs and icons (“Marks”) appearing on this website,
registered or not, are the property of Aetna Inc. or their respective owners.
Nothing on this website grants you any right or license to use any of the Marks
on this site without the express written permission of Aetna Inc. or the third
party owners of the Marks. Unauthorized use may violate trademark and other
laws.

OWNERSHIP OF THE APPLICATIONS

The Applications (including any content made available through the Applications)
are the property of Aetna (or its licensors) and are protected by applicable
intellectual property laws. The Applications are licensed, not sold, to you. You
may utilize the Applications only as permitted by these Terms. You may not, and
will not permit any other party to: (1) modify, adapt, alter, translate or
create derivative works of the Applications; (2) use or merge the Applications,
or any component or element thereof, with other software, databases or services
not provided by Aetna; (3) sublicense, distribute, sell or otherwise transfer
the Applications to any third party; (4) use the Applications as a service
bureau, or lease, rent or loan the Applications to any third party; (5) reverse
engineer, decompile, disassemble or otherwise attempt to derive the source code
or structure of the Applications; (6) interfere in any manner with the operation
of the Applications; (7) circumvent, or attempt to circumvent, any electronic
protection measures in place to regulate or control access to the Applications;
(8) create a database by systematically downloading and storing the
Applications; (9) use any robot, spider, site search/retrieval application or
other manual or automatic device to retrieve, index, “scrape” “data mine” or in
any way gather the Applications or reproduce or circumvent the navigational
structure or presentation of the Applications without our express prior written
consent; or (10) use the Applications for any commercial purposes. You agree not
to develop, distribute or sell any software or other functionality capable of
launching, being launched from or otherwise integrated with the Applications.
You may not remove, alter or obscure any copyright notice or any other
proprietary notice that appears on or in the Applications.

SESSION DATA

You consent to the use of tracking technologies on the website to collect and
record your real-time activities and movements across the Applications
throughout your browsing session. You consent to our sharing of your session
data with our vendors. Please review our privacy policy for more information
about our collection, use, and sharing of session data.

TERMINATION

Aetna may suspend or terminate your use of or access to the Applications if you
fail to comply with these Terms. Such suspension or termination may result in
the permanent deletion of your information or other previously available
content.

NOT A SOLICITATION

Nothing in this site should be construed as a solicitation or offer to purchase
coverage from Aetna or any of its affiliated companies.

NOT A SUBSTITUTE FOR PROFESSIONAL HEALTH CARE OR ADVICE

The health information contained in these Applications (for example, Aetna
InteliHealth, Aetna Behavioral Health, and Aetna Dental) is general in nature
and is not a substitute for professional health care. It is not meant to replace
the advice of health care professionals. If you have specific health care needs,
or for complete health information, please see a doctor or other health care
provider.

APPLE-SPECIFIC TERMS AND CONDITIONS

In addition to your agreement with the foregoing Terms, and notwithstanding
anything to the contrary herein, you acknowledge and agree to the following
provisions with respect to your use of any Application that is compatible with
the iOS operating system of Apple Inc. (“Apple”). Apple is not a party to these
Terms and does not own and is not responsible for the Application. Apple is not
providing any warranty for the Application, except if applicable, to refund the
purchase price for it. Apple is not responsible for maintenance or other support
services for the Application and shall not be responsible for any other claims,
losses, liabilities, damages, costs or expenses with respect to the Application,
including, without limitation, any third-party product liability claims, claims
that the Application fails to conform to any applicable legal or regulatory
requirement, claims arising under consumer protection or similar legislation,
and claims with respect to intellectual property infringement. Any inquiries or
complaints relating to the use of the Application, including those pertaining to
intellectual property rights, must be directed to Aetna. The license you have
been granted herein is limited to a non-transferable license to use the
Application on an Apple-branded product that runs Apple's iOS operating system
and is owned or controlled by you, or as otherwise permitted by the Usage Rules
set forth in Apple's App Store℠ Terms of Service. In addition, you agree to
comply with the terms of any third-party agreement that is applicable to you
when using the App, such as your wireless data service agreement. You
acknowledge and agree that Apple and Apple's subsidiaries are third-party
beneficiaries of this Agreement and that, upon your acceptance of the terms and
conditions of this Agreement, Apple will have the right (and will be deemed to
have accepted the right) to enforce this Agreement against you as a third-party
beneficiary thereof. Notwithstanding the immediately preceding sentence, Aetna's
right to enter into, rescind or terminate any variation, waiver or settlement
under these Terms is not subject to the consent of any third party.

LEGAL NOTICES

Aetna is the brand name used for products and services provided by one or more
of the Aetna group of companies, including Aetna Life Insurance Company and its
affiliates (Aetna).

Health benefits and health insurance plans contain exclusions and limitations.

See all legal notices

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YOU ARE NOW BEING DIRECTED TO THE AMA SITE

Links to various non-Aetna sites are provided for your convenience only. Aetna
Inc. and its subsidiary companies are not responsible or liable for the content,
accuracy or privacy practices of linked sites, or for products or services
described on these sites.

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Inc. and its subsidiary companies are not responsible or liable for the content,
accuracy, or privacy practices of linked sites, or for products or services
described on these sites.

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THIS SEARCH USES THE FIVE-TIER VERSION OF THIS PLAN

Each main plan type has more than one subtype. Some subtypes have five tiers of
coverage. Others have four tiers, three tiers or two tiers. This search will use
the five-tier subtype. It will show you whether a drug is covered or not
covered, but the tier information may not be the same as it is for your specific
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APPLIED BEHAVIOR ANALYSIS MEDICAL NECESSITY GUIDE

By clicking on “I Accept”, I acknowledge and accept that:

The Applied Behavior Analysis (ABA) Medical Necessity Guide helps determine
appropriate (medically necessary) levels and types of care for patients in need
of evaluation and treatment for behavioral health conditions. The ABA Medical
Necessity Guide does not constitute medical advice. Treating providers are
solely responsible for medical advice and treatment of members. Members should
discuss any matters related to their coverage or condition with their treating
provider.

Each benefit plan defines which services are covered, which are excluded, and
which are subject to dollar caps or other limits. Members and their providers
will need to consult the member's benefit plan to determine if there are any
exclusions or other benefit limitations applicable to this service or supply.

The conclusion that a particular service or supply is medically necessary does
not constitute a representation or warranty that this service or supply is
covered (i.e., will be paid for by Aetna) for a particular member. The member's
benefit plan determines coverage. Some plans exclude coverage for services or
supplies that Aetna considers medically necessary.

Please note also that the ABA Medical Necessity Guide may be updated and are,
therefore, subject to change.

Medical necessity determinations in connection with coverage decisions are made
on a case-by-case basis. In the event that a member disagrees with a coverage
determination, member may be eligible for the right to an internal appeal and/or
an independent external appeal in accordance with applicable federal or state
law.

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/search-results.html

POST /aem-services/api/gatewayservice/post

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www.aetna.com Open in urlscan Pro
45.223.19.220 Public Scan

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