Cardiovascular Monitoring Equipment for Home Use: Pulse, Blood Pressure, Telemonitors, and Pacemaker Monitors
AETNA-CPB-0548
Aetna covers self‑contained pacemaker monitors (audible/visible, digital readouts, and trans‑telephonic attachments) for members with implanted pacemakers and covers validated home arm blood‑pressure monitors as an alternative to ambulatory BP monitoring to confirm hypertension, while deeming AngelMed Guardian, home automated oscillometer BP monitors (e.g., Dinamap, BpTRU), CardioMems components, home CHF telemonitoring devices, and implantable CHF monitors (e.g., Chronicle IHM) experimental/investigational and not covered. Key requirements: home BP monitors are limited to adults (≥18) with office BP >140/90, must be physician‑prescribed arm devices with vendor‑assessed/provided correct cuff size, and only one cuff is considered medically necessary every 5 years; pacemaker monitors are covered for members who have a cardiac pacemaker.
"93280 dual lead pacemaker system"