There are many reasons to get private medical insurance. You may be an individual who needs physiotherapy, a health care worker wanting to provide the best care for their client, or an employer who wants to ensure their workers are getting adequate treatment.
Whichever box you tick, you want to find an insurance company you can trust. Aetna is one of the insurance companies with the most comprehensive coverage for physiotherapy. Read on to find out what this insurer covers and under what conditions.
Physiotherapy for Aetna Patients
Physiotherapy for Aetna patients is provided by licensed professionals who can ensure the patient‘s needs are met at all times. They perform a comprehensive service, beginning with the patient‘s complete evaluation and ending with applying suitable therapy. If there are any changes in the patient‘s condition, a One Body Aetna registered therapist will adjust the treatment to get maximum results. Once the maximum therapeutic benefits a patient can receive during the sessions are achieved, the therapists may continue prescribing home exercise programs. If continued supervision during the home exercise period is medically necessary, this also falls under Aetna‘s scope.
Aetna Therapy Coverage
Aetna considers physiotherapy medically necessary only when this care is specified by a health professional qualified to prescribe physiotherapy according to the laws of the city where they practice. Aetna professionals are obligated to prove that the treatment will significantly improve, substitute, or restore physical functions the patient lost or damaged because of an injury, illness, or surgical procedure.
The coverage also stipulates that the therapy is provided when there is a reasonable expectation that the patient‘s condition will improve within a predictable amount of time. The therapy must be in accordance with any other treatment plans devised by the treating physician.
They must continue to evaluate the patient‘s condition and review their treatment plans whenever there is a change in the patient‘s condition. The physiotherapist and the general physician need to provide sufficient data that proves to the insurance provider the medical necessity of the proposed treatment. Aetna‘s coverage for physiotherapy may also depend on the complexity of the treatment services. In most cases, the therapeutic approach must be complex enough to be performed by a healthcare professional specialized in that field.
The fully trained One Body therapists are registered with Aetna health insurance and are waiting to start your physio and deep tissue massage treatments today.
Click here to book your treatment session and select private health insurance.
We look forward to seeing you.