Community Affairs Events

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href="https://www.cvshealth.com/services/health-care-and-wellness.html" target="_self" data-linklocation="Navigation" data-linktype="Regular" data-modal="Please Select">Well-being</a> </li> <li class="megamenumobile__secondary--item"> </li> </ul> </nav> </div> </section> <section class="megamenumobile__panel--tertiary" id="idMegamenumobile__panel--tertiary"> </section> </div> </div> </div> </div> </div> <main> <div class="content_section" id="content__main"> <div class="pageherobanner"> <div class="hero_banner_ps_wrapper hero_banner_secondary "> <div class="hb_image "> <img class=" lazyload" data-src="/content/dam/aetna/asset-libraries/photos/GBFB NVD Picture4_1800X520.jpg" alt width="1800" height="520"/> </div> <div class="hb_content"> <div class="container"> <div class="row"> <div class="col-sm-12 col-md-11 col-lg-5 hb_content--wrapper"> <div class="hb_white_box "> <h1 class="hb_white_box_title page__title__hero">Join us in your community</h1> <div class="hb_white_box_subcopy rte-component-wraper mb-0"><p>Where you live is a big part of your health and well-being. That’s why we’re meeting you where you are, in your community, to better serve you.</p> </div>    <div><div class="calltoaction section"> <div class="component__cta"> <div data-cmp-is="cta"> <div class="cta__linkswrapper "> <a class="btn--primary type__btn--primary " href="https://www.aetna.com/about-us/community-affairs.html#events" data-modal="Please Select" data-linktype="Primary CTA" target="_self" role="button" data-analytics-name="Find events" data-linklocation="primary" data-ctahrefholder="https://www.aetna.com/about-us/community-affairs.html#events">Find events</a> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> <div class="multitext"><div data-cmp-is-css="multitext" class="component multitext "> <div class="container"> <div class="row "> <div class="offset-md-1 col-md-7 col-lg-6 multitext__mainwrapper"> <div class="multitext__mainsection"> <div class="multitext__description body__copy rte-component-wraper"><h2><span class="title__block">Healthier happens together™</span></h2> <p> </p> <p>The more we get to know you, the more we can tailor programs and services to meet your needs. That’s what Community Affairs is all about. It starts with engaging face-to-face with people in their communities to help eliminate daily barriers to good health like food insecurity, lack of access to housing, and other factors. That’s just the beginning.</p> <p> </p> <h3><span class="title--secondary">Bringing health, community and partnership together</span></h3> <p>We work with national partners, community organizations and faith leaders across the country to support the health of the mind, body and soul.</p> </div> </div> </div> </div> <div class="row multitext__multisection multitext__wrapper--5"> <div class="offset-md-1 offset-lg-0 col-md-6 col-lg-5 textsection--1"> <div class="row--inner multitext__textsection"> <div class="multitext__image__wrapper"> <div class="multitext__image multitext__image--1"> <div class="media__content"> <img class="logo lazyload" data-src="/content/dam/aetna/asset-libraries/pictograms_2021/Pictogram_onF5_Delivery_box.svg" alt/> </div> </div> </div><div class="multitext__textarea multitext__textarea--1"> <h3 class="title--secondary">Volunteerism efforts</h3> <div class="multitext__blockText body__copy"> <div> </div> </div> </div> </div> </div> <div class="offset-md-4 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class="media__content"> <img class="logo lazyload" data-src="/content/dam/aetna/asset-libraries/pictograms_2021/Pictogram_onF5_Family2.svg" alt/> </div> </div> </div><div class="multitext__textarea multitext__textarea--5"> <h3 class="title--secondary">Support for children and families</h3> <div class="multitext__blockText body__copy"> <div> </div> </div> </div> </div> </div> <div class="offset-md-5 offset-lg-0 col-md-6 col-lg-5 textsection--6"> <div class="row--inner multitext__textsection"> <div class="multitext__image__wrapper"> <div class="multitext__image multitext__image--6"> <div class="media__content"> <img class="logo lazyload" data-src="/content/dam/aetna/asset-libraries/pictograms_2021/Pictogram_onWhite_Members_older3.svg" alt/> </div> </div> </div><div class="multitext__textarea multitext__textarea--6"> <h3 class="title--secondary">Resources for aging populations</h3> <div class="multitext__blockText body__copy"> <div> </div> </div> </div> </div> </div> </div> </div> </div> </div> <div class="textwithmedia"><div class="textmedia " data-cmp-is-async="textwithmedia/one" data-content-well="yes" data-disablereadmore="true"> <div class="container textmedia__componentwrapper textmedia--one component--right textmedia--one--small"> <div class="row"> <div class="col-12 d-md-none"> <h2 class="title__block title--mobile">We can’t wait to see you at one of our community events</h2> </div> <div class="col-md-6 col-lg-6 mediawrapper--right"> <div class="textmedia__wrapper"> <h2 class="d-none d-md-block title__block">We can’t wait to see you at one of our community events</h2> <div class="textmedia__wrapper--inner"> <div class="textmedia__text textmedia__text--top body__copy"><div class="textdescription text"><div class="rte-component-wraper component--default "> <p>You’ll find us at these events around the country:</p> <p> </p> <ul> <li>Community vaccine clinics</li> <li>Health fairs and screenings</li> <li>Food distribution events</li> <li>Community housing activities and programs</li> <li>Virtual and in-person wellness activities</li> </ul> </div> </div> </div> </div> <div> </div> </div> </div> <div class="col-md-4 col-lg-4 mediawrapper__small__xsmall mediawrapper--left"> <div class="mediacontainer__slot1 "> <div data-src="/content/dam/aetna/asset-libraries/photos/2023 April - Univision & CVS y Mas & Aetna - Los Angeles California_696x522.jpg" class="media__one__image media--hide"></div> <div class="media__one media__image--horizontal" data-slot1-image-loaded="false"> <div class="media__content media__image--animate"> <img class=" lazyload" data-src="/content/dam/aetna/asset-libraries/photos/2023 April - Univision & CVS y Mas & Aetna - Los Angeles California_696x522.jpg" alt width="696" height="522"/> </div> </div> </div> </div> </div> </div> </div> </div> <div class="responsivegrid"> <div> <div class="container "> <div class="row"> <div class="aem-Grid aem-Grid--12 aem-Grid--default--12 aem-Grid--xs--12 "> <div class="separator aem-GridColumn aem-GridColumn--default--12"> <a id="events" data-name="events" class="name__anchor" data-cmp-is-async="separator"><span class="sr-only"></span></a> </div> <div class="text aem-GridColumn--default--none aem-GridColumn--offset--xs--0 aem-GridColumn aem-GridColumn--default--10 aem-GridColumn--xs--none aem-GridColumn--offset--default--2 aem-GridColumn--xs--12"><div class="rte-component-wraper component--default "> <h2><span class="title__section">Upcoming events</span></h2> </div> </div> <div class="xmlfilter aem-GridColumn--default--none aem-GridColumn--offset--xs--0 aem-GridColumn aem-GridColumn--default--10 aem-GridColumn--xs--none aem-GridColumn--offset--default--2 aem-GridColumn--xs--12"><div class="px-0 xmlfiltercontainer generic-aet-form " data-cmp-is-async="xmlfilter" data-xmlfile="/content/aetna/en/about-us/community-affairs/xml/sheet1.xml">  <div class="loading-msg-cont" role="alert"> <div class="loading-wrapper"> <div class="loading-msg"> <div class="loading-text"></div> <div class="loading-spinner-cont"> <div class="loading-spinner"> <div></div><div></div><div></div><div></div><div></div><div></div><div></div><div></div><div></div><div></div><div></div><div></div> </div> </div> </div> </div> </div> <div class="row"> <div class="col-sm-12 xmlfilter__parentcontainer se-results">   <div><div class="filter__container row" data-resulttype="singlecolumn" data-resulttextfield="start-date" data-resulttablelinks="[{"jcr:primaryType":"nt:unstructured","tableLinkField":"start-date","tableLinkLabel":"Date","dataLinkField":"text"},{"jcr:primaryType":"nt:unstructured","tableLinkField":"city","tableLinkLabel":"City","dataLinkField":"text"},{"jcr:primaryType":"nt:unstructured","tableLinkField":"code-for-url","tableLinkLabel":"Event url","dataLinkField":"text"}]" data-resulttableheadings="," data-resultsortby="start-date"> <div class="comboCont forminput generic-form-input col-lg-3"> <div class="forminput__wrap"> <label for="1034738303-year"><span class="forminput__label">Select a year</span></label> <select name="year" id="1034738303-year" class="selectItem customSelect xmlcontentfilter_state"> <option value="">Select</option> </select> </div> </div> <div class="comboCont forminput generic-form-input col-lg-3"> <div class="forminput__wrap"> <label for="1034738303-state"><span class="forminput__label">Select a state</span></label> <select name="state" id="1034738303-state" class="selectItem customSelect xmlcontentfilter_state"> <option value="">Select</option> </select> </div> </div> </div> </div>  <div class="xmlfilter__resultcontainercount" role="status"></div> <div class="xmlfilter__resultcontainer block--hidden responsive-input "> <div role="region" class="resultsFromXml"> <div class="xmlContentFilterResults"> <div class="descriptionResult"> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> <div class="mediagallery"><div class="gallery " data-cmp-is-async="mediagallery" data-disablereadmore="true"> <div class="container"> <div class="row gallery__featuredarea--wrapper"> <div class="col-md-6 featuredarea--media"> </div> <div class="offset-md-1 col-md-5 featuredarea__contentwrapper "> <div class="featuredarea--content "> <div class="featuredarea--heading"> <h2 class="title__block">Doing more, doing better. Together.</h2> </div> </div> </div> </div> <div class="row"> <div class="offset-md-1 col-md-10 gallery__mediacontainer"> <ul class="gallery__media--wrapper"> <li class="gallery__media block--hidden gallery__media--small"> <div class="media section"> <div class="mediadisplay" data-type="image"> <div class="image__container"> <div class="media__content"> <img class=" lazyload" data-src="/content/dam/aetna/asset-libraries/photos/fl-branches-toy-drive-december-2022_696x522.jpg" alt width="696" height="522"/> </div> </div> <div class="media__heading"> </div> <div class="media__caption"><h3><span class="title--secondary">Spreading holiday joy</span></h3> <p> </p> <p>December 2022: Volunteers and staff help parents select and wrap new toys for their children. It’s part of the Florida-based nonprofit Branches' annual "Under the Tree Toy Shops” event, sponsored by Aetna®. (With Community Affairs Sr. Territory Manager, Brenda Pabon.)</p> </div> </div> </div> </li> <li class="gallery__media block--hidden gallery__media--small"> <div class="media section"> <div class="mediadisplay" data-type="image"> <div class="image__container"> <div class="media__content"> <img class=" lazyload" data-src="/content/dam/aetna/asset-libraries/photos/oh-bretton-woods-housing-grand-opening-april-2023_696x522.jpg" alt width="696" height="522"/> </div> </div> <div class="media__heading"> </div> <div class="media__caption"><h3><span class="title--secondary">Welcoming seniors home</span></h3> <p> </p> <p>April 2023: A celebration for the grand-opening of Bretton Woods, a 62-unit affordable housing community for low-income seniors in Columbus, Ohio. Together with CVS Health®, $5.2 million was invested in the project. It features one-bedroom apartments, free health assessments and legal assistance.</p> </div> </div> </div> </li> <li class="gallery__media block--hidden gallery__media--small"> <div class="media section"> <div class="mediadisplay" data-type="image"> <div class="image__container"> <div class="media__content"> <img class=" lazyload" data-src="/content/dam/aetna/asset-libraries/photos/Ga-community-foodbank-volunteering-april-2023_696x522.jpg" alt width="696" height="522"/> </div> </div> <div class="media__heading"> </div> <div class="media__caption"><h3><span class="title--secondary">Helping food insecure communities</span></h3> <p> </p> <p>April 2023: Aetna colleagues, led by Southeast Region Community Affairs lead Gabe Oliveros, participate in National Volunteer Week at the Atlanta Community Food Bank. About 20,813 pounds of food (or 17,344 meals) were packed and sorted for communities in the metro-Atlanta area.</p> </div> </div> </div> </li> <li class="gallery__media block--hidden gallery__media--small"> <div class="media section"> <div class="mediadisplay" data-type="image"> <div class="image__container"> <div class="media__content"> <img class=" lazyload" data-src="/content/dam/aetna/asset-libraries/photos/oh-pride-festival-june-2023_696x522.jpg" alt width="696" height="522"/> </div> </div> <div class="media__heading"> </div> <div class="media__caption"><h3><span class="title--secondary">Showing LQBTQIA+ pride</span></h3> <p> </p> <p>June 2023: Local colleagues march in solidarity with over 700,000 attendees to show support for LBGTQIA+ colleagues and community members at the Stonewall Columbus Pride Festival in Ohio. Aetna is a proud sponsor of this event.</p> </div> </div> </div> </li> <li class="gallery__media block--hidden gallery__media--small"> <div class="media section"> <div class="mediadisplay" data-type="image"> <div class="image__container"> <div class="media__content"> <img class=" lazyload" data-src="/content/dam/aetna/asset-libraries/photos/Tx-urban-harvest-volunteerism-june-2023_696x522.jpg" alt width="696" height="522"/> </div> </div> <div class="media__heading"> </div> <div class="media__caption"><h3><span class="title--secondary">Growing a school garden</span></h3> <p> </p> <p>June 2023: Aetna colleagues (including Texas Regional Director of Community Affairs, Simone Simon) volunteer alongside local nonprofit Urban Harvest to clean, harvest and plant flowers for the Lantrip Elementary School in Houston, Texas.</p> </div> </div> </div> </li> </ul> <div class="gallery__media--btn block--hidden"> <button type="button" class="btn--primary" data-show-less="Show less">Load More </button> </div> </div> </div> </div> </div> </div> <div class="responsivegrid"> <div> <div class="container "> <div class="row"> <div class="aem-Grid aem-Grid--12 aem-Grid--default--12 aem-Grid--xs--12 "> <div class="formcontainer aem-GridColumn--offset--xs--0 aem-GridColumn aem-GridColumn--xs--none aem-GridColumn--default--12 aem-GridColumn--xs--12"> <form class="formstyle--fullbox generic-aet-form container section dynamicform form_pagination_all_devices " data-use-formsectionalldevices="true" novalidate="novalidate" method="POST" aria-live="polite" data-cmp-is-async="form" data-use-paginationtext="Testimonial {0} of {1}"> <div class="row"> <div class="col col-lg-10-12"> <div class="white__bg py-5 "> <div class="row"> <div class="form__heading mb-4 mb-md-0 col-md-3"> <h2 class="title__block">What our partners are saying</h2> </div> <div class="form__wrapper col-md-9"> <div class="thanks-message hidden responsive-row"> <div class="aem-Grid aem-Grid--12 aem-Grid--default--12 "> </div> </div> <div class="form-body"> <section class="formsection-container"> <div class="formsection__fieldsets"> <div class="aem-Grid aem-Grid--12 aem-Grid--default--12 "> <div class="formsection aem-GridColumn aem-GridColumn--default--12"><fieldset class="section__slide none" data-cbxPosition="above"> <legend> <h2><span class="mobile-step"></span>Mid-Ohio Food Bank</h2> </legend> <div class="row"> <div class="aem-Grid aem-Grid--12 aem-Grid--default--12 "> <div class="text aem-GridColumn aem-GridColumn--default--12"><div class="rte-component-wraper component--default "> <p style="text-align: left;">Aetna colleagues help contribute to over 40,000 pounds of food sorted and packed across the region during National Volunteer Week.</p> <p style="text-align: left;"> </p> <p style="text-align: left;">“Without our dedicated volunteer base, the work we do each day simply wouldn’t be possible. Whether it’s spent sorting donations, stocking shelves, or preparing meals, every moment of donated time is critically important and helps put food on the table for our neighbors in need. Thank you, Aetna, for helping us create healthier, hunger free communities.”</p> <p style="text-align: left;"> </p> <p style="text-align: right;"><span class="title--secondary">— Erich Hiner, Mid-Ohio Food Bank</span></p> <p style="text-align: left;"> </p> </div> </div> </div> </div> </fieldset> </div> <div class="formsection aem-GridColumn aem-GridColumn--default--12"><fieldset class="section__slide none" data-cbxPosition="above"> <legend> <h2><span class="mobile-step"></span>National Songs 4 Seniors campaign</h2> </legend> <div class="row"> <div class="aem-Grid aem-Grid--12 aem-Grid--default--12 "> <div class="text aem-GridColumn aem-GridColumn--default--12"><div class="rte-component-wraper component--default "> <p style="text-align: left;">A shareable playlist of musical compositions on the Aetna YouTube channel to help combat social isolation in senior homes and assisted living facilities.</p> <p style="text-align: left;"> </p> <p style="text-align: left;">“It’s very important for older adults to engage with each other and interact. That aspect of life is about 80% of successful living. I love that CVS Health is doing this … it’s a wonderful program for older adults and you can just seem them come alive!”</p> <p> </p> <p style="text-align: right;"><span class="title--secondary">— Kelly Michel, Director of Lifestyle at Friendship Village</span></p> <p style="text-align: left;"> </p> </div> </div> </div> </div> </fieldset> </div> <div class="formsection aem-GridColumn aem-GridColumn--default--12"><fieldset class="section__slide none" data-cbxPosition="above"> <legend> <h2><span class="mobile-step"></span>Arizona Hispanic Chamber of Commerce</h2> </legend> <div class="row"> <div class="aem-Grid aem-Grid--12 aem-Grid--default--12 "> <div class="text aem-GridColumn aem-GridColumn--default--12"><div class="rte-component-wraper component--default "> <p>Working together to sponsor local events, conferences and leadership development to support Latino professionals and communities.</p> <p> </p> <p>“On behalf of the Arizona Hispanic Chamber of Commerce Board, we send our GRACIAS to Aetna and CVS Health for your partnership and supporting supplier diversity.”</p> <p> </p> <p style="text-align: right;"><span class="title--secondary">— Tomás León, President of Equality Health Foundation</span></p> <p style="text-align: left;"> </p> </div> </div> </div> </div> </fieldset> </div> </div> <div class="container formsection__buttons block--hidden--notmobile"> <div class="row"> <div class="col-sm-12 col-lg-6"> <a href="#" class="block--hidden mt-2 mb-2 btn--secondary button button--magenta section__link section__link--prev" role="button">Read previous testimonial</a> </div> <div class="col-sm-12 col-lg-6"> <a href="#" class="mt-2 mb-2 btn--primary button button--magenta section__link section__link--next" role="button">Read next testimonial</a> </div> </div> </div> </div> </section> </div> </div> </div> </div> </div> </div> </form>  </div> </div> </div> </div> </div> </div> <div class="reference parbase"> <div class="cq-dd-paragraph"><div class="disclaimer_copy 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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?<br /> </p> <p><a data-analytics-name="back" data-linktype="Regular" href="/individuals-families/find-a-medication/2020-aetna-funding-advantage-small-group-value-plus-plan.html" class="link__text--back" target="_self">back</a></p> </div> </div> </div> <div class="component__cta "> <a href="#" class="modalContinueBtn btn--primary type__btn--primary ">Continue</a> </div> </div> </div> </div> </div> </div> <div class="interstitial section"><div class="aetna-modal" data-cmp-is="modal"> <div class="modal__box " id="applied-behavior-analysis" role="dialog" title="Applied Behavior Analysis Medical Necessity Guide" tabindex="-1" aria-labelledby="modal-heading-234773723"> <div class="modal__inner"> <button type="button" aria-label="Close" class="modal__close"></button> <div class="modal__content">  <h2 id="modal-heading-234773723" class="title__block center">Applied Behavior Analysis Medical Necessity Guide</h2> <div class="component__main"> <div class="text"><div class="rte-component-wraper component--default "> <p><strong>By clicking on “I Accept”, I acknowledge and accept that:<br /> </strong></p> <p>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.</p> <p>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.</p> <p>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.</p> <p>Please note also that the ABA Medical Necessity Guide may be updated and are, therefore, subject to change.</p> <p>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.</p> </div> </div> </div> <div class="component__cta "> <a href="#" class="modalContinueBtn btn--primary type__btn--primary ">I Accept</a> </div> </div> </div> </div> </div> </div> <div class="interstitial section"><div class="aetna-modal" data-cmp-is="modal"> <div class="modal__box " id="exit-cvs-caremark" role="dialog" title="Aetna® is proud to be part of the CVS® family." tabindex="-1" aria-labelledby="modal-heading-28807244"> <div class="modal__inner"> <button type="button" aria-label="Close" class="modal__close"></button> <div class="modal__content">  <h2 id="modal-heading-28807244" class="title__block ">Aetna® is proud to be part of the CVS® family.</h2> <div class="component__main"> <div class="text"><div class="rte-component-wraper component--default "> <p>You are now being directed to CVS Caremark<sup>®</sup> site.</p> </div> </div> </div> <div class="component__cta "> <a href="#" class="modalContinueBtn btn--primary type__btn--primary ">Continue</a> </div> </div> </div> </div> </div> </div> <div class="interstitial section"><div class="aetna-modal" data-cmp-is="modal"> <div class="modal__box modal--blocked " id="asam-modal" role="dialog" title="ASAM Terms and conditions" tabindex="-1" aria-labelledby="modal-heading-1817940071"> <div class="modal__inner"> <button type="button" aria-label="Close" class="modal__close"></button> <div class="modal__content">  <h2 id="modal-heading-1817940071" class="title__block ">ASAM Terms and conditions</h2> <div class="component__main"> <div class="text"><div class="rte-component-wraper component--default "> <p>By clicking on “I accept”, I acknowledge and accept that:</p> <p> </p> </div> </div> <div class="text"><div class="rte-component-wraper component--default "> <p>Licensee's use and interpretation of the American Society of Addiction Medicine’s ASAM Criteria for Addictive, Substance-Related, and Co-Occurring Conditions does not imply that the American Society of Addiction Medicine has either participated in or concurs with the disposition of a claim for benefits.</p> <p> </p> <p>This excerpt is provided for use in connection with the review of a claim for benefits and may not be reproduced or used for any other purpose.</p> <p> </p> <p>Copyright 2015 by the American Society of Addiction Medicine. Reprinted with permission. No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM.</p> </div> </div> </div> <div class="component__cta "> <a href="#" class="modalContinueBtn btn--primary type__btn--primary ">I accept</a> </div> </div> </div> </div> </div> </div> <div class="interstitial section"><div class="aetna-modal" data-cmp-is="modal"> <div class="modal__box modal--blocked " id="cpt-modal" role="dialog" title="Precertification lists" tabindex="-1" aria-labelledby="modal-heading-1737369633"> <div class="modal__inner"> <button type="button" aria-label="Close" class="modal__close"></button> <div class="modal__content">  <h2 id="modal-heading-1737369633" class="title__block ">Precertification lists</h2> <div class="component__main"> <div class="text"><div class="rte-component-wraper component--default "> <p>By clicking on “I accept”, I acknowledge and accept that:</p> <p> </p> </div> </div> <div class="text"><div class="rte-component-wraper component--default "> <p>Should the following terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button below labeled "I Accept".</p> <p> </p> <ul> <li>The term precertification here means the utilization review process to determine whether the requested service, procedure, prescription drug or medical device meets the company's clinical criteria for coverage. It does not mean precertification as defined by Texas law, as a reliable representation of payment of care or services to fully insured HMO and PPO members.</li> <li>Applies to: Aetna Choice<sup>®</sup> POS, Aetna Choice POS II, Aetna Medicare<sup>℠</sup> Plan (PPO), Aetna Medicare Plan (HMO), all Aetna HealthFund<sup>®</sup> products, Aetna Health Network Only<sup>℠</sup>, Aetna Health Network Option<sup>℠</sup>, Aetna Open Access<sup>®</sup> Elect Choice<sup>®</sup>, Aetna Open Access HMO, Aetna Open Access Managed Choice<sup>®</sup>, Open Access Aetna Select<sup>℠</sup>, Elect Choice, HMO, Managed Choice POS, Open Choice<sup>®</sup>, Quality Point-of-Service<sup>®</sup> (QPOS<sup>®</sup>), and Aetna Select<sup>℠</sup> benefits plans and all products that may include the Aexcel<sup>®</sup>, Choose and Save<sup>℠</sup>, Aetna Performance Network or Savings Plus networks. Not all plans are offered in all service areas.</li> <li>All services deemed "never effective" are excluded from coverage. Aetna defines a service as "never effective" when it is not recognized according to professional standards of safety and effectiveness in the United States for diagnosis, care or treatment. Visit the secure website, available through www.aetna.com, for more information. Click on "Claims," "CPT/HCPCS Coding Tool," "Clinical Policy Code Search."</li> <li>The five character codes included in the Aetna Precertification Code Search Tool are obtained from Current Procedural Terminology (CPT<sup>®</sup>), copyright 2023 by the American Medical Association (AMA). CPT is developed by the AMA as a listing of descriptive terms and five character identifying codes and modifiers for reporting medical services and procedures performed by physicians.</li> <li>The responsibility for the content of Aetna Precertification Code Search Tool is with Aetna and no endorsement by the AMA is intended or should be implied. The AMA disclaims responsibility for any consequences or liability attributable or related to any use, nonuse or interpretation of information contained in Aetna Precertification Code Search Tool. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. Any use of CPT outside of Aetna Precertification Code Search Tool should refer to the most Current Procedural Terminology which contains the complete and most current listing of CPT codes and descriptive terms. Applicable FARS/DFARS apply.</li> </ul> <p> </p> <h3><strong>LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT<sup>®</sup>")</strong></h3> <p> </p> <ul> <li>CPT only Copyright 2023 American Medical Association. All Rights Reserved. CPT is a registered trademark of the American Medical Association. You, your employees and agents are authorized to use CPT only as contained in Aetna Precertification Code Search Tool solely for your own personal use in directly participating in health care programs administered by Aetna, Inc. You acknowledge that AMA holds all copyright, trademark and other rights in CPT. Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. License to sue CPT for any use not authorized herein must be obtained through the American Medical Association, CPT Intellectual Property Services, 515 N. State Street, Chicago, Illinois 60610. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt.</li> </ul> <p> </p> <h3><strong>U.S. Government Rights</strong></h3> <p> </p> <ul> <li>This product includes CPT which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515 North State Street, Chicago, Illinois, 60610. U.S. Government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer data bases and/or computer software and/or computer software documentation are subject to the limited rights restrictions of DFARS 252.227-7015(b)(2) (June 1995) and/or subject to the restrictions of DFARS 227.7202-1(a) (June 1995) and DFARS 227.7202-3(a) (June 1995), as applicable for U.S. Department of Defense procurements and the limited rights restrictions of FAR 52.227-14 (June 1987) and/or subject to the restricted rights provisions of FAR 52.227-14 (June 1987) and FAR 52.227-19 (June 1987), as applicable, and any applicable agency FAR Supplements, for non-Department of Defense Federal procurements.</li> </ul> <p> </p> <h3><strong>Disclaimer of Warranties and Liabilities.</strong></h3> <p> </p> <ul> <li>CPT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to the implied warranties of merchantability and fitness for a particular purpose. No fee schedules, basic unit, relative values or related listings are included in CPT. The American Medical Association (AMA) does not directly or indirectly practice medicine or dispense medical services. The responsibility for the content of this product is with Aetna, Inc. and no endorsement by the AMA is intended or implied. The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this product.</li> <li>This Agreement will terminate upon notice if you violate its terms. The AMA is a third party beneficiary to this Agreement.</li> <li>Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept".</li> <li>The information contained on this website and the products outlined here may not reflect product design or product availability in Arizona. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services.</li> <li>This information is neither an offer of coverage nor medical advice. It is only a partial, general description of plan or program benefits and does not constitute a contract. In case of a conflict between your plan documents and this information, the plan documents will govern.</li> </ul> </div> </div> </div> <div class="component__cta "> <a href="#" class="modalContinueBtn btn--primary type__btn--primary ">I accept</a> </div> </div> </div> </div> </div> </div> <div class="interstitial section"><div class="aetna-modal" data-cmp-is="modal"> <div class="modal__box modal--blocked " id="dcpb-modal" role="dialog" title="Dental clinical policy bulletins" tabindex="-1" aria-labelledby="modal-heading-1767983030"> <div class="modal__inner"> <button type="button" aria-label="Close" class="modal__close"></button> <div class="modal__content">  <h2 id="modal-heading-1767983030" class="title__block ">Dental clinical policy bulletins</h2> <div class="component__main"> <div class="text"><div class="rte-component-wraper component--default "> <p>By clicking on “I accept”, I acknowledge and accept that:</p> <p> </p> </div> </div> <div class="text"><div class="rte-component-wraper component--default "> <ul> <li>Aetna Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits and do not constitute dental advice. Treating providers are solely responsible for dental advice and treatment of members. Members should discuss any Dental Clinical Policy Bulletin (DCPB) related to their coverage or condition with their treating provider.</li> <li>While the Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. The Dental Clinical Policy Bulletins (DCPBs) describe Aetna's current determinations of whether certain services or supplies are medically necessary, based upon a review of available clinical information. 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. Aetna's 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). Your benefits plan determines coverage. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. If there is a discrepancy between this policy and a member's plan of benefits, the benefits plan will govern. In addition, coverage may be mandated by applicable legal requirements of a State or the Federal government.</li> <li>Please note also that Dental Clinical Policy Bulletins (DCPBs) are regularly updated and are therefore subject to change.</li> <li>Since Dental Clinical Policy Bulletins (DCPBs) can be highly technical and are designed to be used by our professional staff in making clinical determinations in connection with coverage decisions, members should review these Bulletins with their providers so they may fully understand our policies.</li> <li>Under certain plans, if more than one service can be used to treat a covered person's dental condition, Aetna may decide to authorize coverage only for a less costly covered service provided that certain terms are met.</li> </ul> </div> </div> </div> <div class="component__cta "> <a href="#" class="modalContinueBtn btn--primary type__btn--primary ">I accept</a> </div> </div> </div> </div> </div> </div> <div class="interstitial section"><div class="aetna-modal" data-cmp-is="modal"> <div class="modal__box modal--blocked " id="mcpbs-modal" role="dialog" title="Medical clinical policy bulletins" tabindex="-1" aria-labelledby="modal-heading-1142802819"> <div class="modal__inner"> <button type="button" aria-label="Close" class="modal__close"></button> <div class="modal__content">  <h2 id="modal-heading-1142802819" class="title__block ">Medical clinical policy bulletins</h2> <div class="component__main"> <div class="text"><div class="rte-component-wraper component--default "> <p>By clicking on “I accept”, I acknowledge and accept that:</p> <p> </p> </div> </div> <div class="text"><div class="rte-component-wraper component--default " data-linklocationGeneral="discoverable"> <p>Should the following terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button below labeled "I Accept".</p> <p> </p> <ul> <li>Aetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. Treating providers are solely responsible for medical advice and treatment of members. Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider.</li> <li>While the Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. The Clinical Policy Bulletins (CPBs) express Aetna's determination of whether certain services or supplies are medically necessary, experimental, investigational, unproven, or cosmetic. Aetna has reached these conclusions based upon a review of currently available clinical information (including clinical outcome studies in the peer-reviewed published medical literature, regulatory status of the technology, evidence-based guidelines of public health and health research agencies, evidence-based guidelines and positions of leading national health professional organizations, views of physicians practicing in relevant clinical areas, and other relevant factors).</li> <li>Aetna makes no representations and accepts no liability with respect to the content of any external information cited or relied upon in the Clinical Policy Bulletins (CPBs). The discussion, analysis, conclusions and positions reflected in the Clinical Policy Bulletins (CPBs), including any reference to a specific provider, product, process or service by name, trademark, manufacturer, constitute Aetna's opinion and are made without any intent to defame. Aetna expressly reserves the right to revise these conclusions as clinical information changes, and welcomes further relevant information including correction of any factual error.</li> <li>CPBs include references to standard HIPAA compliant code sets to assist with search functions and to facilitate billing and payment for covered services. New and revised codes are added to the CPBs as they are updated. When billing, you must use the most appropriate code as of the effective date of the submission. Unlisted, unspecified and nonspecific codes should be avoided.</li> <li>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. If there is a discrepancy between a Clinical Policy Bulletin (CPB) and a member's plan of benefits, the benefits plan will govern.</li> <li>In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members. </li> </ul> <p><a href="https://www.cms.gov/Center/special-topic/medicare-coverage-center.html" target="_blank" class="link__text" data-analytics-name="See CMS's Medicare Coverage Center" data-modal="exit" data-linktype="Regular">See CMS's Medicare Coverage Center</a></p> <p> </p> <ul> <li>Please note also that Clinical Policy Bulletins (CPBs) are regularly updated and are therefore subject to change.</li> <li>Since Clinical Policy Bulletins (CPBs) can be highly technical and are designed to be used by our professional staff in making clinical determinations in connection with coverage decisions, members should review these Bulletins with their providers so they may fully understand our policies. Under certain circumstances, your physician may request a peer to peer review if they have a question or wish to discuss a medical necessity precertification determination made by our medical director in accordance with Aetna’s Clinical Policy Bulletin.</li> <li>While Clinical Policy Bulletins (CPBs) define Aetna's clinical policy, 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, Aetna provides its members with the right to appeal the decision. In addition, a member may have an opportunity for an independent external review of coverage denials based on medical necessity or regarding the experimental and investigational status when the service or supply in question for which the member is financially responsible is $500 or greater. However, applicable state mandates will take precedence with respect to fully insured plans and self-funded non-ERISA (e.g., government, school boards, church) plans.</li> </ul> <p><a href="/individuals-families/member-rights-resources/claims-coverage/aetna-external-review-program.html" target="_self" class="link__text" data-analytics-name="See Aetna's External Review Program" data-modal="Please Select" data-linktype="Regular">See Aetna's External Review Program</a></p> <p> </p> <ul> <li>The five character codes included in the Aetna Clinical Policy Bulletins (CPBs) are obtained from Current Procedural Terminology (CPT®), copyright 2015 by the American Medical Association (AMA). CPT is developed by the AMA as a listing of descriptive terms and five character identifying codes and modifiers for reporting medical services and procedures performed by physicians.</li> <li>The responsibility for the content of Aetna Clinical Policy Bulletins (CPBs) is with Aetna and no endorsement by the AMA is intended or should be implied. The AMA disclaims responsibility for any consequences or liability attributable or related to any use, nonuse or interpretation of information contained in Aetna Clinical Policy Bulletins (CPBs). No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. Any use of CPT outside of Aetna Clinical Policy Bulletins (CPBs) should refer to the most current Current Procedural Terminology which contains the complete and most current listing of CPT codes and descriptive terms. 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