Aetna Expands Definition of “Experimental” For Chiropractic Treatment
Posted on April 10, 2008
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This post at ChiroEco.com caught my eye:
A new Aetna Mid-Atlantic policy distributed by American Specialty Health Networks treats interferential current therapy (IFC) and the use of manual spinal adjusting instruments as experimental and investigational, and are therefore not covered, according to the American Chiropractic Association (ACA).
According to the ACA, attempts to contact Aetna in regard to these policy changes, which became effective March 1, have not been successful and no response has been received. The ACA states it would continue to work with Aetna to develop policies, but will also explore other options if its collaborative effort is not productive.
The reason that it caught my eye—well, my little war against Aetna got started because they had previously been paying for procedures such as the one my wife underwent last year…but which they started to decline as “experimental” at about the time of my wife’s surgery.
What do you expect from a company which observed in their most recent denial letter, “your claim was reviewed by a board-certified pediatrician”. (Since when have board-certified pediatricians been best qualified to review claims from middle-aged women suffering from chronic pain conditions?)
Tags: Chiropractic, Experimental
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