Payer PolicyActive
Eating Disorders
AETNA-CPB-0511
Aetna
Effective: August 1, 2023
Updated: December 6, 2025
created · Dec 2, 2025
Policy Summary
Aetna covers medically necessary assessments for management of anorexia and bulimia, including CBC and serum chemistries (electrolytes, BUN/creatinine), liver function tests, electrocardiography, and bone density measurement specifically for evaluation of anorexic members. Aetna excludes (considers experimental/investigational) screening for eating disorders in adolescents and adults and tests with insufficient evidence—blood-based serotonergic biomarkers, brain imaging (MRI/PET/SPECT), COMT Val158Met genotyping, and EEG for bulimia/binge-eating.
Coverage Criteria Preview
Key requirements from the full policy
"Treatment: Pharmacotherapy for the treatment of bulimia (e."
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