I have a history of heartburn and acid reflux. Doc said hernia may contribute to the problem. Aetna considers repair of a true incisional or ventral hernia medically necessary. Aetna considers repair of a diastasis recti, defined as a thinning out of the anterior abdominal wall fascia, not medically necessary because, according to the clinical literature, it does not represent a "true" hernia and is of no clinical significance. What Aetna policy mean?
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Answers (5)
From board-certified doctors and trusted medical professionals
January 16, 2016
Answer: Insurance does not pay for diastasis repair