HIV Testing
AETNA-CPB-0542
Aetna covers HIV screening with FDA‑approved antigen/antibody combination immunoassays as the initial test with reflex to an FDA‑approved HIV‑1/HIV‑2 antibody differentiation immunoassay for reactive results and to an HIV‑1 NAT when differentiation is nonreactive/indeterminate, and requires confirmatory testing per this algorithm. Aetna excludes over‑the‑counter home/self‑test kits that don’t require a prescription (e.g., Confide, Home Access), notes limited support for home‑based testing models, and cautions that oral‑fluid tests (OraQuick) have sensitivity limitations that may require blood‑based confirmation.
"For screening persons for HIV infection, according to the recommendations of the U."
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