Myofascial Physical Therapy For Pelvic Pain Syndromes
Pontari and Giusto described new developments in the diagnosis and treatment of chronic prostatitis/chronic pelvic pain syndrome . Symptoms in men with chronic prostatitis/CPPS appear to cluster into a group with primarily pelvic or localized disease, and a group with more systemic symptoms. Several other chronic pain conditions can be associated with chronic prostatitis/CPPS, including irritable bowel syndrome, fibromyalgia, and chronic fatigue syndrome. Markers of neurologic inflammation and autoimmune disease parallel changes in symptoms after treatment. Treatment options include new alpha-blockers, psychological intervention, and prostate-directed therapy. The areas of acupuncture and pelvic floor physical therapy/myofascial release have received increased recent attention and appear to be good options in these patients. Future therapy may include antibodies to mediators of neurogenic inflammation and even treatment of bacteria in the bowel. The authors concluded that the diagnosis of chronic prostatitis/CPPS must include conditions traditionally outside the scope of urologic practice but important for the care of men with chronic pelvic pain. The treatment is best done using multiple simultaneous therapies aimed at the different aspects of the condition.
The European Association of Urologys guidelines on chronic pelvic pain stated that There are insufficient data on the effectiveness of myofascial physical therapy for the treatment of PPS .
Enrolling In An Aetna Medicare Advantage Plan
Not all of the benefits outlined above may be available with all plans in every location. Compare Aetna Medicare Advantage plans online to find out exactly what benefits are available from plans offered where you live, and compare the costs of your different Aetna plan options.
You can also connect with a licensed insurance agent for help exploring Aetna Medicare Advantage plans in your area that may offer similar or additional home health care benefits.
Chiropractic Management Of Female Infertility
Budgell and Yee noted that debate concerning chiropractic management of female infertility occurs largely in the absence of reference to the extant literature. These investigators carried out a scoping review of primary data publications on the chiropractic management of female infertility based on searches of the Index to Chiropractic Literature and PubMed, supplemented by papers from one author’s archive. A total of 10 articles, all case studies, met the review’s inclusion criteria and documented the experiences of 11 women . Pregnancy occurred, on average, after 5 months of treatment with spinal manipulation and adjunctive modalities. No adverse events were reported. There are very few original data articles documenting responses of infertile females treated with spinal manipulation. The authors concluded that in the absence of a robust body of primary data literature, the use of spinal manipulation for the management of female infertility should be approached with caution.
Furthermore, an UpToDate review on “Treatments for female infertility” does not mention chiropractic / spinal manipulation as a therapeutic option.
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Aetna 2022 Medicare Plans Feature More Benefits Lower Member Costs And Greater Affordability
84 percent of Medicare beneficiaries can choose a $0 premium Aetna Medicare Advantage plan
HARTFORD,Conn., October 1, 2021 Aetna®, a CVS Health® company , announced its 2022 Medicare offerings, featuring expanded benefits focused on a holistic approach to health and new Medicare Advantage plan options, including Dual Eligible Special Needs Plans and Aetna Medicare Eagle® plans designed especially for Veterans in additional states.
A pioneer in the Medicare industry, Aetna has served Medicare beneficiaries since 1966, when it paid the nation’s first Medicare claim. Aetna now serves nearly 9.8 million Medicare members nationwide, as of .
“The pandemic continues to disrupt so many aspects of our lives, including our health and well-being,” said Christopher Ciano, president of Aetna Medicare. “While we’re still focused on protecting our members from COVID-19, we also want to help improve their overall physical and mental health. That’s why we expanded our Aetna Medicare Solutions portfolio of products to include more benefits designed to make care more affordable, accessible and convenient. As part of the CVS Health family, Aetna helps provide access to the coverage and care you need from trusted health care professionals, when and where you need it, for maximum peace of mind.”
The Interactive Metronome Program
The Interactive Metronome program is designed for processing speed, focus, as well as coordination. Trainees wear headphones and hear a fixed, repeating reference beat they press against a hand or foot sensor to try to match it, while receiving visual and auditory feedback. The IM program has been promoted as a treatment for children with attention-deficit hyperactivity disorder and for other special needs children to increase concentration, focus, and coordination. It has also been promoted to improve athletic performance, to assess and improve academic performance of normal children, and to improve children’s performance in the arts . Furthermore, the IM program has also been implemented as part of a therapy program for patients with balance disorders, cerebrovascular accident, limb amputation, multiple sclerosis, Parkinson’s disease, and traumatic brain injury.
In a review on autism, Levy and colleagues stated that popular biologically based treatments include anti-infectives, chelation medications, gastrointestinal medications, hyperbaric oxygen therapy, and intravenous immunoglobulins. Non-biologically based treatments include auditory integration therapy, chiropractic therapy, cranio-sacral manipulation, facilitated communication, IM, and transcranial stimulation. However, few studies have addressed the safety and effectiveness of most of these treatments.
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D Prescriber Enrollment Requirement
Any health care professional who prescribes drugs to patients with Part D plans must now enroll in the Medicare program or opt out. If you do not enroll or opt out, Medicare Part D may no longer cover these drugs as of February 1, 2017. Please try to enroll or opt out by November 1, 2016. This will allow time for application processing and ensure that patients get their prescriptions without disruption.
Find what you need to know about submitting a dispute or appealing a decision.
Myofascial Physical Therapy For The Treatment Of Chronic Pelvic Pain Syndrome
In a randomized, multi-center feasibility study, Fitzgerald and associates compared 2 methods of manual therapy in patients with urological chronic pelvic pain syndromes . These investigators recruited 48 subjects with chronic prostatitis/CPPS or interstitial cystitis/painful bladder syndrome at 6 clinical centers. Eligible patients were randomized to myofascial physical therapy or global therapeutic massage and were scheduled to receive up to 10 weekly treatments of 1 hour each. Criteria to examine feasibility included adherence of therapists to prescribed therapeutic protocol as determined by records of treatment, AEs during study treatment and rate of response to therapy as evaluated by the patient global response assessment. Primary outcome analysis compared response rates between treatment arms using Mantel-Haenszel methods. There were 23 men and 24 women randomized during a 6-month period. Of the patients 24 were randomized to global therapeutic massage, 23 to myofascial physical therapy and 44 completed the study. Therapist adherence to the treatment protocols was excellent. The global response assessment response rate of 57 % in the myofascial physical therapy group was significantly higher than the rate of 21 % in the global therapeutic massage treatment group . The authors judged the feasibility of conducting a full-scale trial of physical therapy methods and the preliminary findings of a beneficial effect of myofascial physical therapy warrants further study.
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Applied Behavior Analysis Medical Necessity Guide
The Applied Behavior Analysis Medical Necessity Guide helps determine appropriate levels and types of care for patients in need of evaluation and treatment for behavioral health conditions. The ABA Medical Necessity Guide does not constitute medical advice. Treating providers are solely responsible for medical advice and treatment of members. Members should discuss any matters related to their coverage or condition with their treating provider.
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 for a particular member. The member’s benefit plan determines coverage. Some plans exclude coverage for services or supplies that Aetna considers medically necessary.
Please note also that the ABA Medical Necessity Guide may be updated and are, therefore, subject to change.
Review Of Medical And Family History
A review of your medical history will identify which conditions may be of increased risk to you. Reviewing your familys medical history can reveal any hereditary conditions worth monitoring, as some health conditions could become risks for you if they are prevalent in your family health history.
This step is especially important during your very first wellness visit, as it will provide your doctor with a baseline of your overall health, create an opportunity for early detection and pinpoint any areas that need improvement.
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Aetna Medicare Supplement Plan G
Medicare Supplement Plan G from Aetna is one of ten standardized insurance plans available to seniors to help cover out-of-pocket costs associated with their health care. Included in Plan G Coverage are the Part A deductible and emergency room visits.
Aetna Medicare Supplement Plan Gworks in conjunction with Original Medicare .
Here are a few Plan G highlights:
- Medicare supplement plans are becoming more and more popular
- Provides the highest benefits
- The plan fills in any gaps after Original Medicare with the exception of the $233 Medicare Part B deductible for 2022.
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Do Aetna Medicare Plans Pay For Other Caregiving And Home Health Services
While Medicare Advantage plans are required to meet the above coverage of home health care, Aetna Medicare Advantage plans often go above and beyond to include additional home health care benefits.
In fact, Aetna has partnered with a caregiving agency called CareLinx to provide in-home caregiving services for its members. Aetna members may use their plan benefits for covered caregiver services such as meal preparation, cleaning, transportation and more.
Covered caregiving services may also be provided by a friend or family member, and Aetna offers a caregiving resource guide to help new caregivers find their way.
Below are some of the home health care services and other benefits that may be utilized within the home that you might find covered in an Aetna Medicare Advantage plan.
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When Do Aetna Medicare Plans Pay For An Annual Wellness Visit
During your first 12 months having Medicare Part B , you are eligible for a Welcome to Medicare preventive care visit. The Welcome to Medicare visit is similar to your annual wellness visit and provides your doctor with a baseline of your health that will be measured against during your future annual wellness visits.
After your 12th month of Part B enrollment, you are then eligible to receive annual wellness visits once every calendar year. With Aetna Medicare plans, when you undergo a wellness visit late in the year, you may have another covered wellness visit early the following year. There is no need to wait 12 months between visits as long as the visits are in different calendar years.
Why Choose An Aetna Medicare Plan
Aetna has been helping people with their insurance options since 1853,4 and today, around 39 million people trust Aetna to help them make decisions about their health care and health care spending. Aetna works to make the system easier and more convenient for our customers.5
Each year, the Centers for Medicare and Medicaid Services release Star Ratings that measure the performance of Medicare Advantage plans.
For 2022, Aetna Medicare Advantage Prescription Drug plans earned an overall weighted average rating of 4.29 out of 5 stars. The majority of Aetna Medicare plan members are in a plan rated 4.5 stars or higher out of 5 stars.6
Moodys Investors Service rated the long-term senior debt and financial strength of Aetna Inc. and its affiliates as Baa2, and they were affirmed with a stable outlook.7
Over 11 percent of all Medicare Advantage enrollees in 2020 were enrolled in an Aetna Medicare plan. This accounts for around 2.7 million Medicare Advantage plan beneficiaries.8
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Preventive Or Maintenance Chiropractic Manipulation
Preventive or maintenance chiropractic manipulation has been defined as elective health care that is typically long-term, by definition not therapeutically necessary but is provided at preferably regular intervals to prevent disease, prolong life, promote health and enhance the quality of life. This care may be provided after maximum therapeutic improvement, without a trial of withdrawal of treatment, to prevent symptomatic deterioration or it may be initiated with patients without symptoms in order to promote health and to prevent future problems.
Preventive services may include patient education, home exercises, and ergonomic postural modification. The appropriateness and effectiveness of chiropractic manipulation as a preventive or maintenance therapy has not been established by clinical research and is not covered.
Supportive care has been defined as treatment for patients who have reached maximum therapeutic benefit, but who fail to sustain benefit and progressively deteriorate when there are periodic trials of treatment withdrawal. Continuation of chiropractic care is considered medically necessary until maximum therapeutic benefit has been reached, when the patient fails to progress clinically between treatments, or when pre-injury/illness status has been reached. Once the maximum therapeutic benefit has been achieved, continuing chiropractic care is not considered medically necessary and thus is not covered.
Cardiovascular Disease Screenings And Behavioral Therapy
Heart disease is the leading cause of death for adults over the age of 65, according to the Centers for Disease Control and Prevention. Cardiovascular screenings check your cholesterol and other blood fat levels. High levels of cholesterol can increase your risk for heart disease and stroke. This risk-reduction visit covers other tests for heart disease, including screening for high blood pressure. The visit also includes advice on a healthy diet.
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Does Aetna Cover Home Health Care
- Aetna Medicare Advantage plans can cover home health care such as physical therapy, skilled nursing care, home meal delivery, non-emergency transportation and more. Learn about other Aetna Medicare plan benefits and find out how you can compare plans online and enroll.
Many home health care services and items can be covered by an Aetna Medicare Advantage plan, allowing plan members to continue living safely and comfortably in their own home or in a nursing home or assisted living facility.
How Often Do Aetna Plan G Rates Increase
Almost every insurance provider increases rates.
Increases are based on several factors:
- Inflation and economic factors
You can get a good idea what your premiums might be in the future by examining past increases, but these are not set in stone. Lets take a closer look:
- 3 to 10% historically
- Hstorically, because there are a lot more seniors with Plan G
The monthly premiums for Medicare Supplement plans are set by Aetna based on the attained-age rating method, in most states. The attained-age method determines premiums according to your age. You can expect your rates to increase as you get older, regardless of inflation or economic factors.
Aetna Medicare Plan G offers the following advantages to those shopping for Medigap policies:
- You are guaranteed not to see your rates increase during the first year of a 12-month rate-lock.
- Within 30-days of enrolling in a health insurance policy, you can cancel it for any reason and receive a full refund of your premiums.
- State-specific rules and amounts apply to the household discount.
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Will Medicare Pay For A Yearly Physical Examination
En español | Medicare does not pay for the type of comprehensive exam that most people think of as a physical. But it does cover a one-time Welcome to Medicare checkup during your first year after enrolling in Part B and, later on, an annual wellness visit that is intended to keep track of your health.
Initial visit: The Welcome to Medicare visit with your doctor aims to establish the state of your health when you enter the program and provide a plan of future care. The doctor will:
- record your vital information
- review your personal and family health history
- check risk factors that could indicate future serious illnesses
- recommend tests and screenings that could catch medical issues early and provide a checklist of preventive services to help you stay healthy
- offer you the option of discussing end-of-life issues, including information on how to prepare an advance directive naming someone to make medical decisions on your behalf if you became too ill to make them yourself
- provide counseling and referrals as appropriate
Annual visit: During an annual wellness visit, the doctor measures your height, weight, body mass and blood pressure, and may listen to your heart through your clothes. The rest is a discussion of your own and your familys medical history, any physical or mental impairments, and risk factors for diseases such as diabetes and depression.
Both services are free of charge if the following conditions are met:
The Cox Decompression Manipulation/technique
In a case report, Kruse and Cambron described a patient with an L5/S1 posterior surgical fusion who presented to a chiropractic clinic with subsequent LBP and leg pain and was treated with Cox decompression manipulation. A 55-year old male postal clerk presented to a private chiropractic practice with complaints of pain and spasms in his low back radiating down the right buttock and leg . His pain was a 5 of 10, and ODI score was 18 %. The patient reported a previous surgical fusion at L5/S1 for a grade 2 spondylolytic spondylolisthesis. Radiographs revealed surgical hardware extending through the pedicles of L5 and S1, fusing the posterior arches. Treatment consisted of ultrasound, electric stimulation, and Cox decompression manipulation to the low back. After 13 treatments, the patient had a complete resolution of his symptoms with a pain score of 0 of 10 and an ODI score of 2 %. A 2-year follow-up revealed continued resolution of the patient’s symptoms. The authors concluded that the Cox chiropractic decompression manipulation may be an option for patients with LBP subsequent to spinal fusion more research is needed to verify these results.
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