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Under certain plans, if more than one service can be utilized to deal with a lined person’s dental condition, Aetna may decide to authorize coverage just for a more price effective lined service offered that sure terms are met. CPT is provided Health “as is” with out guarantee of any kind, either expressed or implied, together with but not restricted to the implied warranties of merchantability and fitness for a specific function. No charge schedules, basic unit, relative values or related listings are included in CPT.

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In addition, protection may be mandated by applicable legal requirements of a State or the Federal authorities. UNICEF is committed to helping kids and adolescents construct a solid basis for maturity. While Clinical Policy Bulletins define Aetna’s clinical coverage, medical necessity determinations in reference to protection decisions are made on a case by case foundation. In the occasion that a member disagrees with a protection determination, Aetna offers its members with the right to enchantment the choice. However, relevant state mandates will take priority with respect to fully insured plans and self-funded non-ERISA (e.g., authorities, college boards, church) plans.

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