![]() ![]() Your Texas Health Aetna plan benefits cover a range of free or low-cost services, including: Routine adult physical exams and immunizations. One policy should not have anything to do with the previous years policies, especially since these companies are extorting higher and higher premiums for less service every year. Don’t put off preventative and routine care if you’re worried about costs. Since children in this country must pass a physical before attending school, and most health insurance plans run January 1st through December 31st, I believe Aetna was intentionally deceiving their customers. It was only until I questioned Aetna regarding the non-approval that I was told of this. X 7-14 days, X, (vital screening tests) 2 months, X, (critical immunizations and well-child exam) 4 months, X, (. It did not mention that my child was only eligible for one well child visits per calendar year as well. I also checked the booklet that I received in January after enrolling in my insurance policy. During an uncomplicated pregnancy, this could include routine obstetrician visits, ultrasound or other scans, recommended vitamins and your hospital stay. I understand that this pamphlet is a published by my employer. This was not on the pamphlet I received from my employer when I signed up for the plan. They told me that she already had a well child visit on 9/5, and she is only eligible to have one per calendar year. Nonfacility payment rates for telehealth services will remain the same through 2023 (physician offices are defined by Medicare as nonfacility setting, so this means telehealth payments will remain the same as in-person through 2023. The status of the well child visit was not approved. Category 3 telehealth services will be covered through 2023. I went online to my Aetna account and looked through the claims. ![]() I recently received a collection letter from my child's doctor for this visit. According to the pamphlet, my child may receive a well child visit, which there is no co-payment for. When I signed up for this policy, I get a pamphlet from my employer which gives an overview of each plan, and what is covered. Your child’s care provider does many important things at child well visits, like checking your baby’s development and giving immunizations. My policy begins January 1st and ends December 31st, each year. I have an Aetna Co-payment health insurance policy through my employer. ![]()
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