While Clinical Policy Bulletins define Aetna’s scientific policy, medical necessity determinations in reference to protection decisions are made on a case by case foundation. In the event that a member disagrees with a protection willpower, Aetna supplies its members with the proper to attraction the choice. However, applicable state mandates will take priority with respect to completely insured plans and self-funded non-ERISA (e.g., authorities, faculty boards, church) plans. General practitioners Infomation for common practioners including clinical practice, maternal and child health, immunisation, infectious illnesses, drugs and poisons, mental health, aged care and hospitals.
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