Medicare Blog

which labs does aetna medicare use

by Mr. Darren Ledner Published 3 years ago Updated 2 years ago
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Quest Diagnostics®* is our national preferred lab provider for Aetna members.

Does Medicare use Quest or LabCorp?

Medicare covers tests performed at Quest, as long they're medically necessary and the specific facility accepts Medicare.Aug 12, 2020

Does Aetna cover experimental and investigational?

Aetna covers experimental or investigational technologies (i.e., drugs, procedures and devices) when ALL of the following criteria are met. institution or investigator study (NCI-designated Comprehensive Cancer Center trials are exempt from this requirement); and 5.

Does Quest Diagnostics accept Aetna?

Quest Diagnostics®* is our national preferred lab provider for Aetna members.

What is experimental and investigational?

Experimental/Investigational services are defined as a treatment, procedure, facility, equipment, drug, service or supply (“intervention”) that has been determined not to be medically effective for the condition being treated.

What is a D-SNP?

Our dual-eligible Special Needs Plan (D-SNP) is a type of Medicare Advantage plan, available to people who have both Medicare and Medicaid. We can help you find out if you qualify.

Does Aetna offer Medicare Advantage?

Medicare Advantage plans for every need. In addition to PPO plans, Aetna offers you other Medicare Advantage plan options — many with a $0 monthly plan premium. We can help you find a plan that’s right for you.

Does Aetna require a PCP?

Aetna Medicare Advantage plans at a glance. Our PPO plans. Requires you to use a provider network. No. But seeing out-of-network providers generally costs more. Requires you to have a primary care physician (PCP) Usually no PCP required.

Do you need a referral for a PPO?

Preferred provider organization (PPO) plans let you choose any provider who accepts Medicare. You don’t need a referral from a primary care physician for specialist or hospital visits. However, using providers in your plan’s network may cost less.

What is Aetna Medicare Advantage?

Aetna Medicare Advantage (also called Medicare Part C) plans cover all of the benefits and services that are covered by Medicare Part A and Part B. Aetna Medicare Advantage plans may also provide additional benefits such as coverage for: The benefits you receive will vary depending on the plan you choose.

How to contact Medicare 2021?

If you'd like to speak with an agent right away, we're standing by for that as well. Give us a call! 1-877-890-1409 TTY 711, 24/7 LICENSED AGENTS AVAILABLE NOW.

Does Aetna cover glasses?

Generally, it doesn’t cover routine vision care or glasses. Aetna Medicare Advantage plans offer the same coverage as Original Medicare, and some plans may even offer additional benefits that cover routine vision care like eye exams, glasses, and contacts.

What is an IA test?

Immunoassay (IA) testing to definitively identify or "confirm" a presumptive drug test result (e.g., performance by a clinician of a qualitative point-of-care test and ordering a presumptive test from a reference laboratory for the same drug).

How often should you do drug testing?

They state that drug testing should occur on a random schedule, and recommend testing at least weekly during the intial phase of substance abuse treatment. They recommend at least monthly random drug testing once a patient is stable, with consideration of less frequent testing for patients in stable recovery.

What is a presumptive drug test?

A presumptive test was positive for a prescription drug with abuse potential that was not prescribed to the member and the member disputes the drug testing results; or. A presumptive test was inconclusive or inconsistent; or. A presumptive test was positive for an illegal drug and the member disputes the presumptive drug testing results. ...

What is the ASAM policy statement?

An ASAM public policy statement on the ethical use of drug testing in addiction medicine (ASAM, 2019) states that drug tests should be selected based on an individualized clinical assessment of the patient.

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