Does Aetna Insurance have in-network Acupuncture Provider? by Dr.Arthur Fan

As a specialty of Acupuncture, Aetna acutally has NO acupuncturist network, at least in Virginia, Washington DC area.

Aetna only has one acupuncture discount rate network through ASH, say, American Specilty Health Acupuncture network. So, it means any acupuncturist has to accept a discount fee if he/she join the ASH network,if treating Aetna patient.

But, sometime, if the patient has Aetna Acupuncture benefit, Aetna may pay the acupuncture provider at a out-off network fee schedule–see, accoding to the rule, Aetna should have a acupuncturist network, then Aetna could pay the provider treating its HMO/EPO patient, but Aetna may refuse to pay,because the acupuncturist is out-of-network.

[Via http://arthuryinfan.wordpress.com]