Aetna Advantage (FEHB plan) MNT coverage: limits
1 row: Aetna Advantage (FEHB). Public policy, not the member's benefits.
Aetna Advantage (FEHB plan)
Aetna Advantage Plan, Federal Employees Health Benefits, 2026 (RI 73-906). Not a Medicare Advantage plan. · All states
| 97802 | Not published |
|---|---|
| 97803 | Not published |
| G0270 | Not published |
| G0271 | Not published |
| Where it applies | FEHB plan underwritten and administered by Aetna Life Insurance Company. Serves all 50 states and DC, but you must live or work in the plan's geographic service area to enroll. [1] |
| Diagnoses | For people at or above the USPSTF obesity prevention risk factor level, under the USPSTF A and B recommendations. [1] |
| Telehealth POS | Not published: call the payer. |
| Telehealth modifier | Not published: call the payer. |
| Visit limits | Adults: intensive nutrition and behavioral weight-loss counseling therapy, limited to 26 visits per person per calendar year. Children: intensive nutrition and behavioral weight-loss counseling therapy; the brochure states no visit limit in that passage. [1] |
| Referral and prior auth | Not published: call the payer. |
| Payment | In-network: nothing at a network provider. Out-of-network: all charges until you satisfy your deductible, then 50% of the Plan allowance and any difference between the allowance and the billed amount. [1] |
- OPM: 2026 Aetna Advantage brochure, FEHB (RI 73-906), checked October 30, 2026
Check an Aetna Advantage (FEHB) claim against the row
Before an Aetna Advantage (FEHB plan) claim goes out, compare it with the row above: the code is one the policy lists, the place of service and modifier match for a video visit, and the units fit the limit. Change the filters to compare Aetna Advantage (FEHB) with another payer, then download the PDF of what you see.