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/search-results.html

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/search-results.html

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EXPLORE PLANS

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 * Pharmacy
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MEMBER SUPPORT

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 * The health guide
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 * EXPLORE AETNA SITES

 * Individuals & Families
 * Affordable Care Act
 * Medicare
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MEDICARE

 * Browse Aetna Medicare plans
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 * Check our drug list
 * Understand Medicare
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HEALTH COVERAGE

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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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YOU ARE NOW BEING DIRECTED TO THE GIVE AN HOUR SITE

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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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YOU ARE NOW BEING DIRECTED TO THE CVS PHARMACY SITE

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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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YOU ARE NOW BEING DIRECTED TO THE CDC SITE

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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
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AETNA IS PROUD TO BE PART OF THE CVS HEALTH FAMILY.

You are now being directed to the CVS Health site.

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YOU ARE NOW BEING DIRECTED TO THE APPLE.COM COVID-19 SCREENING TOOL

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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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SITE

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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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YOU ARE NOW BEING DIRECTED TO THE CVS HEALTH COVID-19 TESTING SITE

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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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YOU ARE NOW BEING DIRECTED TO THE FIGHT IS IN US SITE

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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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YOU ARE NOW LEAVING THE AETNA WEBSITE

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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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GET A LINK TO DOWNLOAD THE APP

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Health app from the App Store or on Google Play.


 

Message and data rates may apply*

Error or missing data. Please check your entries for an error message.
MOBILE NUMBER Please be sure to add a 1 before your mobile number, ex:
19876543210








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
plan. Do you want to continue?
 

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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.

I Accept


AETNA IS PROUD TO BE PART OF THE CVS FAMILY.

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