need assistance in changing your dentist, contact Cigna at 800. including cone beam x-ray and appliance. Alternate External bleaching for home application, Replacement 1 every 5 years if unserviceable and prosthesis over impla

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.

Prosthetic devices and corrective appliances/orthotics must meet all of the following criteria: a. The item meets the definition of prosthetic or corrective appliances/orthotics (see Definitions). b. The item is furnished on a physician's order.

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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. Fully covered 14.

Proclaim - 9078736 - V 17 1 of 14 ©Cigna 2020 SUMMARY OF BENEFITS External Prosthetic Appliances (EPA) After the plan deductible is met, your plan pays 80%

Cigna Health and Life Insurance Company (“Cigna”) Cigna Connect HSA Bronze 6000 Native American/Alaskan Native Over 300% Plan SCHEDULE OF BENEFITS (WHO PAYS WHAT) The following is a Benefit Schedule of the Policy, including medical, prescription drug and pediatric vision benefits. 1 of 15 ©Cigna 2018 SUMMARY OF BENEFITS Cigna Health and Life Insurance Co. For - Proofpoint, Inc. Choice Fund Open Access Plus HSA Plan Selection of a Primary Care Provider - your plan may require or allow the designation of a primary care provider.

External Prosthetic Appliances (EPA) Unlimited maximum per Contract Year Your plan pays 100% Routine Foot Disorders Not Covered Note: Services associated with foot care for diabetes and peripheral vascular disease are covered when medically necessary. Acupuncture 20 days maximum per Contract Year $25 PCP or $25 Specialist copay

External prosthetic devices/surgical and medical appliances: $2,500. Local ambulance & air ambulance services Silver Gold Platinum Close Care; Paid in Full. Paid in Full. Paid and limitations of the applicable benefit plan’s External Prosthetic Appliances and Devices (EPA) or Durable Medical Equipment (DME) benefit and schedule of copayments.

• 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. The Cigna Medical Plan offers you a choice of several different options for coverage and payment of medical care benefits. This is the Summary Plan Description (SPD) for the Health Savings Account options under the Cigna Medical Plan (HSA options). Other Cigna Medical Plan options are described in other SPDs that are available on the .
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Version# 9 4 of 13 ©Cigna 2017 Benefit In-Network Out-of-Network External Prosthetic Appliances (EPA) After the plan deductible is met, your plan pays 90% After the plan deductible is met, your plan pays 70% Unlimited maximum per Calendar Year Eye Exam One exam per Calendar Year External Prosthetic Appliances (EPA) • Unlimited maximum per Calendar Year Your plan pays 80% ^ Your plan pays 80% ^ Routine Foot Disorders Not Covered Not Covered Note: Services associated with foot care for diabetes and peripheral vascular disease are covered when medically necessary. External Prosthetic Appliances (EPA) Unlimited maximum per Calendar Year Cigna PPO Plan - 3644649 6 of 17 ©Cigna 2014 Benefit In-Network Out-of-Network External and internal power enhancements.

by Cigna Dental as described in your plan documents. Not all Network Retainer – Cast metal for resin bonded fixed prosthesis.
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External prosthetic devices/surgical and medical appliances Silver Health Gold Health Platinum Health; ฿65,000 (For each prosthetic device) ฿100,000 (For each prosthetic device) ฿100,000 (For each prosthetic device) Specialists' consultation fees Silver Health Gold Health Platinum Health; Paid in full. Paid in full. Paid in full

Orthotics/Prosthetics >$500 (carved out by Coastal) At Cigna, your health and wellbeing is important to us. When it comes to staying well, physically, emotionally and financially, we are with you all the way. We aim to ensure that you can easily access the best quality of healthcare treatment globally. With a Cigna dental plan they have given you the opportunity to get the protection and care your teeth deserve. Cigna's Level 3 Plan helps make a contribution towards mid-cost private dental charges. All Cigna plans can also be used at an NHS dentist.

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

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. Policy. Aetna considers fully or partially implantable bone-anchored hearing aids (BAHAs) or temporal bone stimulators medically necessary prosthetics for persons aged 5 years and older with a unilateral or bilateral conductive or mixed conductive and sensorineural hearing loss who have any of the following conditions, where the condition prevents restoration of hearing using a External prosthetic appliances. - Biofeedback.

fixed appliance an appliance that is attached to the teeth by cement or an adhesive material.