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, 链接网站的准确性或隐私惯例, 或这些网站上描述的产品或服务.
You have the right to make your voice heard about your health care experience — whether it’s about us, your plan, a health service or provider. 正规的电竞竞猜软件来这里是为了让投诉更容易一些.
If you have a non-Medicare plan, just click the button below to file your complaint.
If you have a non-Medicare plan, you can print and complete a form to mail or fax to us.
Find more information on the Medicare grievance process, and how to get help.
The federal health care reform law includes rules about appeals, which many plans must follow. If your plan is covered by this law,* you can get help with your appeal by calling the Employee Benefits Security Administration at 1-866-444-EBSA (3272).
Protect yourself as a health care consumer with good information. Below, you can explore your rights, review the complaint process, learn how to appeal decisions and more.
*This generally applies to most medical plans effective or renewed after September 23, 2010. 这通常不适用于牙科计划, vision-only plans, retiree-only plans, Medicare Advantage plans, 医疗保险D部分计划和医疗保险补充计划.
Aetna is the brand name used for products and services provided by one or more of the Aetna group of subsidiary companies, including Aetna Life Insurance Company and its affiliates (Aetna).
Health benefits and health insurance plans contain exclusions and limitations.
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, 链接网站的准确性或隐私惯例, 或这些网站上描述的产品或服务.
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, 链接网站的准确性或隐私惯例, 或这些网站上描述的产品或服务.
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, 链接网站的准确性或隐私惯例, 或这些网站上描述的产品或服务.
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, 链接网站的准确性或隐私惯例, 或这些网站上描述的产品或服务.
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, 或这些网站上描述的产品或服务.
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, 或这些网站上描述的产品或服务.
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, 或这些网站上描述的产品或服务.
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, 或这些网站上描述的产品或服务.
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, 或这些网站上描述的产品或服务.
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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.
每个福利计划都定义了包括哪些服务, which are excluded, 并且受美元上限或其他限制. 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.这一费用将由正规的电竞竞猜软件保险(Aetna)支付. 会员的福利计划决定保险范围. 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.