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Covered
Aetna covers a range of allergy immunotherapy treatments for eligible individuals when deemed medically necessary. These treatments include allergy skin testing, blood testing for specific IgE, and both subcutaneous (under the skin) and sublingual (under the tongue) immunotherapy. Coverage typically extends to the management of allergic rhinitis, asthma, and stinging insect allergies, where allergen immunotherapy is recognized for its efficacy in reducing symptoms and medication requirements over time. Aetna may also cover allergen immunotherapy for allergic conjunctivitis when accompanied by extensive documentation of medical necessity. Always check with the specific plan for details, as individual policies and state regulations can affect coverage options.
Uncovered
Aetna typically does not cover treatments and situations considered experimental or investigational in nature for allergy immunotherapy. Unproven services, self-administered allergen immunotherapy, and unconventional testing methods like cytotoxicity testing may also be excluded. Furthermore, certain non-standard allergens might not be eligible for coverage. It's important to review specific plan details, as exclusions can vary.
