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Certain Cigna Companies and/or lines of • External Facial Prosthetic Device • Upper Limb Prosthetic Device (Myoelectric) Medical necessity for a lower limb prosthetic appliance is based on an individual’s functional ability . w. hen using the prosthetic device. applicable benefit plan’s External Prosthetic Appliances and Devices (EPA) or Durable Medical Equipment (DME) benefit and schedule of copayments. Coverage for replacement and/or repair of an Cigna covers an external facial prosthesis (HCPCS code L8040, L8041, L8042, L8043, L8044, L8045, External Prosthetic Appliances (EPA) Plan Specific.
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Pregnancy Complications Covers hospitalization and surgical costs associated with pregnancy An external device (e.g., Spinal Stim) uses pulsating electromagnetic energy to induce weak electrical currents in the underlying tissue. The external electrical stimulation device consists of the magnetic coils incorporated into a corset like device which the patient wears 8 to 10 hours per day, usually while sleeping. 2017-04-25 · fitting and alignment of external prosthetic components that are connected to a percutaneous OI implant. Fitting and alignment of the externally located prosthetic limb components requires special considerations when there is direct skeletal attachment of these components through use of a percutaneous OI implant. Orthotic and Prosthetic Appliances: Billing Codes and Reimbursement Rates – Orthotics Page updated: August 2020 This section lists the HCPCS codes and maximum allowances for orthotic appliances. Refer to the Orthotic and Prosthetic Appliances and Services section in the appropriate Part 2 manual for policy information. Number: 0403.
The following Coverage Policy applies to health benefit plans administered by Cigna Companies.
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. External Prosthetic Appliances (EPA) Your plan pays 100% $200 EPA annual deductible per Contract Year Unlimited maximum per Contract Year External prosthetic appliances meant to replace, in whole or in part, an arm, a leg or an eye: benefit levels will be the same as the benefit levels for primary care benefits.
performed by your Network Dentist, unless otherwise authorized by Cigna Dental Charge. Implant Supported Prosthetics – All charges for crown and bridge ( fixed partial denture) Orthodontic Retention – Removal of Appliances, Constr @Cigna 2019. Medicare Surround Cigna Health and Life Insurance Company. For Retirees of County of External Prosthetic Appliances.
Typical of the prosthetic demands of the child, active adult, or athlete. Define prosthetic device. prosthetic device synonyms, prosthetic device pronunciation, prosthetic appliance; prosthetic appliance; prosthetic appliance;
Agreement for the applicable medical equipment, medical supplies, and prosthetic devices benefits/coverage. Coding: A4280 Adhesive skin support attachment for use with external breast prosthesis, each (medical supply) L8000 Breast prosthesis, mastectomy bra (prosthesis)
i) surgical appliance used by the physician during surgery, except all external prosthesis, special braces, equipment or appliances; and j) western medicine services, medical disposals and consumable.
w. hen using the prosthetic device. applicable benefit plan’s External Prosthetic Appliances and Devices (EPA) or Durable Medical Equipment (DME) benefit and schedule of copayments. Coverage for replacement and/or repair of an Cigna covers an external facial prosthesis (HCPCS code L8040, L8041, L8042, L8043, L8044, L8045, External Prosthetic Appliances (EPA) Plan Specific. Routine Foot Disorders Not Covered Not Covered • All possible Step Therapy medications are identified on the Cigna prescription drug list with an "ST" suffix.
PRESCRIPTION DRUG Coverage for replacement of external prosthetic appliances and devices is
Cigna Health and Life Insurance Co. For - Sunrun Cigna may designate one for you until you make this designation. External Prosthetic Appliances (EPA). Jul 1, 2018 Cigna Telehealth Connection (see details on myCigna.com). Deductible, then EXTERNAL PROSTHETIC APPLIANCES. Deductible, then
Cigna Dental considers infection control and/or sterilization to be incidental to Prosthetics (removable tooth replacement - dentures) - Includes up to 4 adjustments within first 6 $345.00. Orthodontic retention – Removal of appl
CIGNA HEALTH AND LIFE INSURANCE COMPANY.
Energy demand increases with complexity, a problem that is … Prosthetic appliance means any artificial device that is not surgically implanted and that is used to replace a missing limb, appendage or any other external human body part including devices such as artificial limbs, hands, fingers, feet and toes, but excluding dental appliances and largely cosmetic devices such as artificial breasts, eyelashes, wigs, or other devices which should not by Durable Medical Equipment (DME)/External Prosthetic Appliances (EPA) and Supplies. Determined by Coastal Care Options. Orthotics/Prosthetics >$500 (carved out by Coastal) Hearing Aids. Hospital Grade Breast Pumps. Outpatient Chemotherapy treatment Facility Charge. Myoelectric upper limb prosthetic components may be considered medically necessary when the following conditions are met: • The patient has an amputation or missing limb at the wrist or above (forearm, elbow, etc.); AND • Standard body-powered prosthetic devices cannot be used or are insufficient to meet the 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.
Jan 1, 2020 Cigna may designate one for you until you make this designation.
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Does accumulate towards the out-of- pocket maximum. You pay 20%. Plan pays 80% after the deductible is met. Jan 1, 2014 mammograms, external prosthetic appliances, the first 2 in-network office visits, in -network urgent care visits, generic and preferred-brand. performed by your Network Dentist, unless otherwise authorized by Cigna Dental Charge. Implant Supported Prosthetics – All charges for crown and bridge ( fixed partial denture) Orthodontic Retention – Removal of Appliances, Constr @Cigna 2019. Medicare Surround Cigna Health and Life Insurance Company.
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Lower limb prostheses are used to replace the function of a lower extremity. 1 of 12 ©Cigna 2016 . SUMMARY OF BENEFITS. Cigna Health and Life Insurance Co. Open Access Plus Plan External Prosthetic Appliances (EPA) Plan Specific. Prosthetic devices Silver Gold Platinum Close Care; Paid in Full. Paid in Full.