It does not mean precertification as defined by Texas law, as a reliable representation of payment of care or services to fully insured HMO and PPO members. The term precertification here means the utilization review process to determine whether the requested service, procedure, prescription drug or medical device meets the company's clinical criteria for coverage.Should the following terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button below labeled "I Accept". In the event that a member disagrees with a coverage determination, member may be eligible for the right to an internal appeal and/or an independent external appeal in accordance with applicable federal or state law. Medical necessity determinations in connection with coverage decisions are made on a case-by-case basis. Please note also that the ABA Medical Necessity Guide may be updated and are, therefore, subject to change. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. The member's benefit plan determines coverage. The conclusion that a particular service or supply is medically necessary does not constitute a representation or warranty that this service or supply is covered (i.e., will be paid for by Aetna) for a particular member. Members and their providers will need to consult the member's benefit plan to determine if there are any exclusions or other benefit limitations applicable to this service or supply. Members should discuss any matters related to their coverage or condition with their treating provider.Įach benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Treating providers are solely responsible for medical advice and treatment of members. The ABA Medical Necessity Guide does not constitute medical advice. The Applied Behavior Analysis (ABA) Medical Necessity Guide helps determine appropriate (medically necessary) levels and types of care for patients in need of evaluation and treatment for behavioral health conditions. Strohbehn and his family are excited to be part of the Wolfe Eye Clinic and serve the patients of their home state.By clicking on “I Accept”, I acknowledge and accept that: He enjoys all types of exercise and playing tennis with family and friends. Strohbehn enjoys family time with his wife, Alisa, and their two children. Strohbehn enjoys using modern medical and surgical techniques to care for his patients and help enrich their quality of life.
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He enjoys performing service activities and has worked with the MedZou Free Medical Clinical at the University of Missouri as well as the Missouri Prevention of Blindness organization.ĭr. He has published numerous articles about retinal disease and has given many scientific presentations and educational lectures to his peers. Strohbehn is a member of the American Academy of Ophthalmology, the American Society of Retina Specialists, and the Phi Kappa Phi Honor Society. Strohbehn enhanced his skills and training further by completing a Vitreoretinal Surgery fellowship at the Mason Eye Institute, University of Missouri.ĭr. After an internship at the University of Missouri, he completed his ophthalmology residency at the Mason Eye Institute, University of Missouri, where he was Chief Resident. Strohbehn graduated Summa Cum Laude with his Bachelor of Science degree in Biology from Iowa State University followed by a Doctorate of Medicine from the Carver College of Medicine at the University of Iowa.
Strohbehn is a native Iowan who grew up in Council Bluffs.
Strohbehn joined Wolfe Eye Clinic in 2021 and sees patients at our Ames, Carroll, Des Moines, Pleasant Hill, and Spencer office locations.ĭr. Strohbehn, MD is a board-certified, fellowship trained retina specialist whose focus includes the medical and surgical management of retinal diseases including macular degeneration, diabetic eye disease, and retinal tears or detachment. Strohbehn, MD – Iowa Retina SpecialistĪustin L.
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