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Policy. Aetna considers fully or partially implantable bone-anchored hearing aids (BAHAs) or temporal bone stimulators medically necessary prosthetics for persons aged 5 years and older with a unilateral or bilateral conductive or mixed conductive and sensorineural hearing loss who have any of the following conditions, where the condition prevents restoration of hearing using a External prosthetic appliances. - Biofeedback. - Speech therapy.

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When it comes to staying well, physically, Internal and external prosthetic devices / surgical and medical appliances †Coverage based on Cigna medical guidelines. Deductible, then 20% to the Out of Pocket Maximum DURABLE MEDICAL EQUIPMENT Deductible, then 20% to the Out of Pocket Maximum EXTERNAL PROSTHETIC APPLIANCES Deductible, then 20% to the Out of Pocket Maximum OTHER BENEFITS ORAL SURGERY (accidents only) REMOVAL OF BONEY IMPACTED WISDOM TEETH Cigna care management helps you access the right care, at the right time, in the right setting. With precertification, you find out in advance if a service is covered, which can help you lower costs and avoid unnecessary procedures. › External prosthetic appliances Proclaim - 8458148 - V 15 5 of 14 ©Cigna 2019 Benefit In-Network Out-of-Network Breast Feeding Equipment and Supplies Limited to the rental of one breast pump per birth as ordered or prescribed by a physician Includes related supplies Your plan pays 100% After the plan deductible is met, your plan pays 70% External Prosthetic Appliances (EPA) Cigna care management helps you access the right care, at the right time, in the right setting. With precertification, – External prosthetic appliances – Speech therapy – Cosmetic or reconstructive procedures – Infertility treatment – Sleep management – Transplants External prosthetic devices/surgical and medical appliances Silver Health Gold Health Platinum Health; ฿65,000 (For each prosthetic device) ฿100,000 (For each prosthetic device) ฿100,000 (For each prosthetic device) Specialists' consultation fees Silver Health Gold Health Platinum Health; Paid in full.

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The item is furnished on a physician's order. • See the Durable Medical Equipment (DME), Prosthetics, Corrective Appliances/Orthotics External Prosthetic Appliances No charge Family Planning Services Office Visits (Test, Counseling) Office Visit - $15 Copay Surgical Sterilization Procedure (Women) Surgical Sterilization Procedure (Men) Inpatient Hospital – No charge Outpatient Facility – No charge Inpatient Hospital - $100 Copay per admission prosthetic utilization beyond simple locomotion. Level 4: Has the ability or potential for prosthetic ambulation that exceeds basic ambulation skills, exhibiting high impact, stress, or energy levels. Typical of the prosthetic demands of the child, active adult, or athlete.

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Appliances is limited to the most appropriate and cost effective alternative as determined by the utilization review. Physician. Jan 1, 2020 Medical necessity for a lower limb prosthetic appliance is based on an A duplicate external facial prosthesis is considered a convenience  IN-NETWORK. OUT-OF-NETWORK.

1 DentaCare Level 3 Dentistry is an important part of everyone's healthcare. Your company value you as their employee so your health and well-being is as important to them as it is to you.With a Cigna dental plan they have given you the opportunity to get the protection and care your teeth deserve.
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Your costs in Original Medicare. You pay 20% of the Medicare-approved amount for external prosthetic devices, and the Part B Deductible applies. Medicare will  Cigna care management helps you access the right care, at the right time, in the right participating Cigna doctor or facility: External prosthetic appliances. Jan 1, 2020 Cigna may designate one for you until you make this designation.

i) surgical appliance used by the physician during surgery, except all external prosthesis, special braces, equipment or appliances; and j) Medically Necessary western medicine services, medical disposals andconsumable, excluding items being covered under the other benefits of the Hospitalization and Surgical Benefits Fully covered 13. The most important factor in choosing an external penile prosthetic is how well it fits into your sex life. This requires not only a genuine acknowledgment of your own sexual desires (and limitations) but those of your partner as well. If using the device makes you or your partner embarrassed or uncomfortable, it is unlikely to work.
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Other Cigna Medical Plan options are described in other SPDs that are available on the . Your External prosthetic appliances, often referred to as prosthetic devices or prostheses, are devices used to replace the functions of missing body parts. A passive prosthesis is a type of device that must be moved manually, typically by the opposite arm. The standard prosthetic appliance for replacement of an upper Your CIGNA HealthCare PPO plan Page 1 PPO 2006-AZ External Prosthetic Appliances $200 EPA deductible per calendar year $1,000 maximum per calendar year# Internal prosthetic devices/surgical and medical appliances: Paid in full. External prosthetic devices/surgical and medical appliances: “Cigna®" is a – External prosthetic appliances – Biofeedback “CIGNA” and the “Tree of Life” logo are registered service marks of CIGNA Intellectual Property, Inc Cigna covers the surgical reimplantation of a medically necessary penile prosthetic device, following the medically necessary removal of a penile prosthesis, when benefit coverage is available.

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- Cosmetic or reconstructive procedures. - Infertility treatment. • Requests for services provided   BENEFIT HIGHLIGHTS.

You pay 20% of the Medicare-approved amount for external prosthetic devices, and the Part B Deductible applies.