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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 piedmont medicine if there are any native american medicine wheel 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 native american medicine wheel covered i.
The member's benefit plan determines coverage. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Medical necessity determinations in connection with coverage decisions are made on a case-by-case basis. 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.
Copyright by the American Society of Addiction Medicine.
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Eric R. Carlson, DO Family Medicine. Kirsi N. Kuiper, MD Family Medicine. Libby K. Sisson, MD Family Medicine. David E. Utley, DO Family Medicine.
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