In addition, protection may be mandated by applicable authorized necessities of a State or the Federal authorities. UNICEF is dedicated to helping kids and adolescents build a strong basis for adulthood. While Clinical Policy Bulletins define Aetna’s clinical policy, medical necessity determinations in reference to protection choices are made on a case by case basis. In the occasion that a member disagrees with a coverage willpower, Aetna supplies its members with the right to enchantment the choice. However, applicable state mandates will take priority with respect to fully insured plans and self-funded non-ERISA (e.g., government, school boards, church) plans.
- Care is supplied through an integrated network of six main care polyclinics, acute care and tertiary hospitals, national specialty centres and business divisions.
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