Exclusive benefits just for members (2024)

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  • Aetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. Treating providers are solely responsible for medical advice and treatment of members. Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider.
  • While the Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. The Clinical Policy Bulletins (CPBs) express Aetna's determination of whether certain services or supplies are medically necessary, experimental and investigational, or cosmetic. Aetna has reached these conclusions based upon a review of currently available clinical information (including clinical outcome studies in the peer-reviewed published medical literature, regulatory status of the technology, evidence-based guidelines of public health and health research agencies, evidence-based guidelines and positions of leading national health professional organizations, views of physicians practicing in relevant clinical areas, and other relevant factors).
  • Aetna makes no representations and accepts no liability with respect to the content of any external information cited or relied upon in the Clinical Policy Bulletins (CPBs). The discussion, analysis, conclusions and positions reflected in the Clinical Policy Bulletins (CPBs), including any reference to a specific provider, product, process or service by name, trademark, manufacturer, constitute Aetna's opinion and are made without any intent to defame. Aetna expressly reserves the right to revise these conclusions as clinical information changes, and welcomes further relevant information including correction of any factual error.
  • CPBs include references to standard HIPAA compliant code sets to assist with search functions and to facilitate billing and payment for covered services. New and revised codes are added to the CPBs as they are updated. When billing, you must use the most appropriate code as of the effective date of the submission. Unlisted, unspecified and nonspecific codes should be avoided.
  • Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Members and their providers will need to consult the member's benefit plan to determine if there are any exclusions or other benefit limitations applicable to this service or supply. The conclusion that a particular service or supply is medically necessary does not constitute a representation or warranty that this service or supply is covered (i.e., will be paid for by Aetna) for a particular member. The member's benefit plan determines coverage. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. If there is a discrepancy between a Clinical Policy Bulletin (CPB) and a member's plan of benefits, the benefits plan will govern.
  • In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members.

See CMS's Medicare Coverage Center

  • Please note also that Clinical Policy Bulletins (CPBs) are regularly updated and are therefore subject to change.
  • Since Clinical Policy Bulletins (CPBs) can be highly technical and are designed to be used by our professional staff in making clinical determinations in connection with coverage decisions, members should review these Bulletins with their providers so they may fully understand our policies. Under certain circumstances, your physician may request a peer to peer review if they have a question or wish to discuss a medical necessity precertification determination made by our medical director in accordance with Aetna’s Clinical Policy Bulletin.
  • While Clinical Policy Bulletins (CPBs) define Aetna's clinical policy, medical necessity determinations in connection with coverage decisions are made on a case by case basis. In the event that a member disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision. In addition, a member may have an opportunity for an independent external review of coverage denials based on medical necessity or regarding the experimental and investigational status when the service or supply in question for which the member is financially responsible is $500 or greater. However, applicable state mandates will take precedence with respect to fully insured plans and self-funded non-ERISA (e.g., government, school boards, church) plans.

See Aetna's External Review Program

  • The five character codes included in the Aetna Clinical Policy Bulletins (CPBs) are obtained from Current Procedural Terminology (CPT®), copyright 2015 by the American Medical Association (AMA). CPT is developed by the AMA as a listing of descriptive terms and five character identifying codes and modifiers for reporting medical services and procedures performed by physicians.
  • The responsibility for the content of Aetna Clinical Policy Bulletins (CPBs) is with Aetna and no endorsement by the AMA is intended or should be implied. The AMA disclaims responsibility for any consequences or liability attributable or related to any use, nonuse or interpretation of information contained in Aetna Clinical Policy Bulletins (CPBs). No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. Any use of CPT outside of Aetna Clinical Policy Bulletins (CPBs) should refer to the most current Current Procedural Terminology which contains the complete and most current listing of CPT codes and descriptive terms. Applicable FARS/DFARS apply.

LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT®")

CPT only copyright 2015 American Medical Association. All Rights Reserved. CPT is a registered trademark of the American Medical Association.

You, your employees and agents are authorized to use CPT only as contained in Aetna Clinical Policy Bulletins (CPBs) solely for your own personal use in directly participating in healthcare programs administered by Aetna, Inc. You acknowledge that AMA holds all copyright, trademark and other rights in CPT.

Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. License to use CPT for any use not authorized herein must be obtained through the American Medical Association, CPT Intellectual Property Services, 515 N. State Street, Chicago, Illinois 60610. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt.

Go to the American Medical Association Web site

U.S. Government Rights

This product includes CPT which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515 North State Street, Chicago, Illinois, 60610. U.S. Government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer data bases and/or computer software and/or computer software documentation are subject to the limited rights restrictions of DFARS 252.227-7015(b)(2) (June 1995) and/or subject to the restrictions of DFARS 227.7202-1(a) (June 1995) and DFARS 227.7202-3(a) (June 1995), as applicable for U.S. Department of Defense procurements and the limited rights restrictions of FAR 52.227-14 (June 1987) and/or subject to the restricted rights provisions of FAR 52.227-14 (June 1987) and FAR 52.227-19 (June 1987), as applicable, and any applicable agency FAR Supplements, for non-Department of Defense Federal procurements.

Disclaimer of Warranties and Liabilities.

CPT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to the implied warranties of merchantability and fitness for a particular purpose. No fee schedules, basic unit, relative values or related listings are included in CPT. The American Medical Association (AMA) does not directly or indirectly practice medicine or dispense medical services. The responsibility for the content of this product is with Aetna, Inc. and no endorsement by the AMA is intended or implied. The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this product.

This Agreement will terminate upon notice if you violate its terms. The AMA is a third party beneficiary to this Agreement.

Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept".

The information contained on this website and the products outlined here may not reflect product design or product availability in Arizona. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services.

This information is neither an offer of coverage nor medical advice. It is only a partial, general description of plan or program benefits and does not constitute a contract. In case of a conflict between your plan documents and this information, the plan documents will govern.

Exclusive benefits just for members (2024)

FAQs

Is it worth it to join Rei Co-op? ›

REI Co-op Member Rewards

Arguably the most compelling and unique aspect of an REI Membership is what the brand calls its Co-op Member Rewards. Basically, you earn 10% back on all your REI purchases throughout the year, including most full-price items.

What are the membership benefits? ›

What are member benefits? Member benefits are the perks that come with being a member of an organization; they are what members receive for the price they pay for their memberships. Usually, perks come in the form of: Services, such as a free daily pass to your venue once a year and/or.

What does it cost to be an REI member? ›

Join once for just $30. Adventure for life. Buy a membership, get an annual 10% back* on all eligible purchases.

How much money do you get back from REI? ›

*10% is typical but not guaranteed.

What is the point in a co-op membership? ›

Co-op Members save more and help support their communities

You'll get access to exclusive offers, discounts and events, and you'll help support your local community too.

How much does the CEO of REI co-op make? ›

After reading all of that, you might be surprised to learn that her salary at REI was reportedly $2 million a year.

What are the 3 types of membership? ›

Types of membership
  • Full membership.
  • Affiliated membership.
  • Associate membership.

What are the perks of being a member? ›

10 Membership Benefit Ideas
  • Mentorship Program. A mentorship program allows participants to grow professionally by meeting fellow program participants. ...
  • Member Directory. ...
  • Job Boards. ...
  • Volunteer Opportunities. ...
  • Learning Resources. ...
  • Non-Industry Discounts. ...
  • Virtual and In-Person Events. ...
  • Voting Rights.

What are member perks? ›

MemberPerks®is managed by Venngo, Canada's largest provider of group discount programs, and provides savings and special deals on products or services across Canada.

Can my wife use my REI Membership? ›

While you can still earn rewards, only the original membership holder with their name on the record can view and use rewards. To see and use any available Total REI Rewards (Co-op Member Rewards or REI Co-op Mastercard Rewards), your online account details and membership record must match.

Can you shop at REI without a membership? ›

Yes, you can check out as a “guest” without having to log in to an REI Online Account. As a member, if you add your member number at checkout, you'll still earn REI Co-op Member Rewards on eligible purchases. The REI Online Account and the REI Membership are two separate accounts.

Do REI members get free returns? ›

For our REI Co-op Members, we accept returns of items within one (1) year of the purchase date, and for non-members, within 90 days of the purchase date, with a few exceptions. You can view our return policy for more information.

Is it worth it to become an REI member? ›

Is an REI Membership Worth it? This lifetime membership fee quickly pays for itself, so even if you're only an occasional REI shopper, becoming a Member will save you money. The benefits easily outweigh the one-time fee.

Can I cash out my REI rewards? ›

Can I receive my Total REI Rewards by cash or check? Co-op Member Reward:You will no longer be able to receive cash or a check for the 2022 Co-op Member Reward and beyond.

Does REI have good benefits? ›

REI provides affordable and comprehensive medical coverage available to all employees who need it – which includes free preventative care, and reimbursement for lodging, transportation, meals and more for gender affirming, reproductive care.

How does REI's co-op work? ›

REI has a member owned co-operative headquartered in Kent, Washington. It is owned by its members, who each hold a single voting share. Members are entitled to a patronage dividend.

What are the benefits of shopping at REI? ›

REI Co-op Membership Benefits
  • Free shipping.
  • Curated items just for members.
  • Used gear buy and trade-in.
  • An estimated 10% annual Co-op Member Reward earned on eligible full-price purchases.
  • And many more! ​

Do you have to be a member to shop at Rei Co-op? ›

No, each are different types of REI accounts. Anyone can shop at any REI store, on REI.com, ​​​​​​​​​​​use our mobile app or place an order at 1-800-426-4840. A free REI Online Account makes shopping faster and more convenient. An REI Co-op Membership means you are entitled to many member benefits.

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