aetna medicare phone calls

To collect health assessment and lifestyle survey data. However, applicable state mandates will take precedence with respect to fully insured plans and self-funded non-ERISA (e.g., government, school boards, church) plans. The responsibility for the content of Aetna Clinical Policy Bulletins (CPBs) is with Aetna and no endorsement by the AMA is intended or should be implied. Health benefits and health insurance plans contain exclusions and limitations. Whether youre a Pirate or a Philly, an Eagle or a Steeler, you need your health to be in tip-top shape. Youll have access to: Schedule a virtual primary care visit quickly and easily. Aetna is performing an automated outbound call to health exchange members who have coverage through Aetna. You, your employees and agents are authorized to use CPT only as contained in Aetna Precertification Code Search Tool solely for your own personal use in directly participating in health care programs administered by Aetna, Inc. You acknowledge that AMA holds all copyright, trademark and other rights in CPT. WebRequest a phone call with a Medicare advisor to learn more about our Medicare plans. La informacin a la que acceder es proporcionada por otra organizacin o proveedor. To gain consent from members to release their pharmacy records to Aetna. Some subtypes have five tiers of coverage. Please note also that the ABA Medical Necessity Guidemay be updated and are, therefore, subject to change. While the Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. Applicable FARS/DFARS apply. Treating providers are solely responsible for medical advice and treatment of members. 1-855-335-1407 (TTY: 711), 7 days a week, 8 AM to 8 PM. All Rights Reserved. LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. It's on demand care, wherever you need it. All fields marked with an asterisk (*) are required. Apple, the Apple logo, iPhone and Apple Watch are trademarks of Apple Inc., registered in the U.S. and other countries. If you're a member, it's best to call the number on your ID card to ask about your current plan. WebTo learn more about Aetna Medicare Advantage plans in your area or to enroll in an Aetna Medicare Advantage plan, speak with a licensed insurance agent by calling 1-877-890-1409 TTY Users: 711 24 hours a day, 7 days a week. Aetna members have access to contact information and resources specific to their plans. What Type of Insurance Does Aetna Offer? Aetna offers a variety of health, dental, and vision insurance options for individuals and employer groups. The company stopped offering individual health insurance plans in 2018 due to revenue losses on the healthcare marketplace. The company does offer Medicare Advantage plans (HMO, PPO, and POS) and Medicare Supplements to eligible seniors. 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. 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. I understand that I am not required to provide this consent as a condition of purchase or receiving insurance and that my consent can be revoked at any time. I am a non-physician health care professional who wants to be available for selection as a primary care provider (PCP), and my state regulations allow me to serve as a PCP. Health information programs provide general health information and are not a substitute for diagnosis or treatment by a physician or other health care professional. *Zip code. Copyright 2015 by the American Society of Addiction Medicine. Want to see options for a different location? Some subtypes have five tiers of coverage. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates (Aetna). ", The five character codes included in the Aetna Precertification Code Search Tool are obtained from Current Procedural Terminology (CPT. Members should discuss any Dental Clinical Policy Bulletin (DCPB) related to their coverage or condition with their treating provider. Should the following terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button below labeled "I Accept". If you have questions, you can message the dermatologist for seven days after youve received your plan. In addition, coverage may be mandated by applicable legal requirements of a State or the Federal government. Reprinted with permission. The information you will be accessing is provided by another organization or vendor. Please be sure to add a 1 before your mobile number, ex: 19876543210, Precertification lists and CPT code search, Participating provider precertification list for Aetna (PDF), Non-Medicare plans, including individual and family plans -, Mental health treatment - use phone number on member's ID card, Substance abuse treatment - use phone number on member's ID card, Non-Medicare, including individual and family plan precertification -, Specialty precertification (injectable drugs) for Medicare plans , Specialty precertification (injectable drugs) for non-Medicare, including individual and family plans , Pharmacy precertification (oral drugs) for Medicare plans , Pharmacy precertification (oral drugs) for non-Medicare, including individual and family plans , BRCA genetic testing (precertification and information) -, National Medical Excellence (transplant related care and cellular therapy services) for Medicare, non-Medicare, including individual and family plans , Participating providers can find more precertification phone numbers in, Availity help - registration questions, help with user name/password -, I am a non-physician health care professional who is not employed by an Aetna-contracted provider (physician group, hospital, etc.) Aetna Inc. and its subsidiary companies are not responsible or liable for the content, accuracy, or privacy practices of linked sites, or for products or services described on these sites. For language services, please call the number on your member ID card and request an operator. And you'll have a partner to help you manage your health every step of the way. License to use CPT for any use not authorized herein must be obtained through the American Medical Association, CPT Intellectual Property Services, 515 N. State Street, Chicago, Illinois 60610. Plan features and availability may vary by service area. We're here to help. Applicable FARS/DFARS apply. Our plan selection pages will be down for maintenance starting Friday, April 16, at 9 p.m. and returning by 1 p.m. Saturday, April 17. The Dental Clinical Policy Bulletins (DCPBs) describe Aetna's current determinations of whether certain services or supplies are medically necessary, based upon a review of available clinical information. Please log in to your secure account to get what you need. Aetna handles premium payments through InstaMed, a trusted payment service. [Narrator] Our quality providers are here for you 24/7, 365. Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. Visit the secure website, available through www.aetna.com, for more information. The Dental Clinical Policy Bulletins (DCPBs) describe Aetna's current determinations of whether certain services or supplies are medically necessary, based upon a review of available clinical information. We know insurance is confusing and you have questions. To view the form just select Continue. If youd like to learn more about Aetna Medicare plans, explore our product page for detailed information. Please note also that Dental Clinical Policy Bulletins (DCPBs) are regularly updated and are therefore subject to change. Aetna Inc. and its subsidiary companies are not responsible or liable for the content, accuracy or privacy practices of linked sites, or for products or services described on these sites. Each 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. 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. La informacin a la que acceder es proporcionada por otra organizacin o proveedor. It's easy to update a provider address, phone number, fax number, email address or initiate an out-of-state move or a change in provider group. While the Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. Please contact Medicare.gov or 1-800-MEDICARE (TTY Users should call 1-877-486-2048) 24 hours a day/7 days a week to get information on all of your options. Im turning 65 or just starting to explore Medicare. 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. CPT is developed by the AMA as a listing of descriptive terms and five character identifying codes and modifiers for reporting medical services and procedures performed by physicians. This excerpt is provided for use in connection with the review of a claim for benefits and may not be reproduced or used for any other purpose. Click on "Claims," "CPT/HCPCS Coding Tool," "Clinical Policy Code Search. Were bringing you to our trusted partner to help process your payments. Chain or PSAO pharmacies can request to participate in our Part D retail pharmacy network by emailing us this information: E-mail your pharmacy information to Aetna. Includes PPO, HMO, HMO-POS medical plans with or without drugs. The information contained on this website and the products outlined here may not reflect product design or product availability in Arizona. Visit the Teladoc Health website to connect with a provider at your convenience. Since Dental Clinical Policy Bulletins (DCPBs) can be highly technical and are designed to be used by our professional staff in making clinical determinations in connection with coverage decisions, members should review these Bulletins with their providers so they may fully understand our policies. And Medicare will never call out of the blue to say youll lose If you do not intend to leave Aetna Medicare, close this message. This search will use the five-tier subtype. Si tu intencin no era salir del sitio web, cierra este mensaje. CPBs include references to standard HIPAA compliant code sets to assist with search functions and to facilitate billing and payment for covered services. The Clinical Policy Bulletins (CPBs) express Aetna's determination of whether certain services or supplies are medically necessary, experimental and investigational, or cosmetic. Since Dental Clinical Policy Bulletins (DCPBs) can be highly technical and are designed to be used by our professional staff in making clinical determinations in connection with coverage decisions, members should review these Bulletins with their providers so they may fully understand our policies. We've got your back. Treating providers are solely responsible for dental advice and treatment of members. Click on "Claims," "CPT/HCPCS Coding Tool," "Clinical Policy Code Search. Should the following terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button below labeled "I Accept". License to use CPT for any use not authorized herein must be obtained through the American Medical Association, CPT Intellectual Property Services, 515 N. State Street, Chicago, Illinois 60610. We know insurance is confusing and you have questions. Your InstaMed log in may be different from your Caremark.com secure member site log in. Independent retail pharmacies can fill out the form at the link below. In case of a conflict between your plan documents and this information, the plan documents will govern. Disclaimer of Warranties and Liabilities. Convenient care for short-term health needs. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. In Pennsylvania, where competition is fierce, there are over 2.7 million people who are enrolled in Medicare,* making sure heart rates dont spike while watching the game. (sneezes) Bless you. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept". For Providers Health & wellness Contact Us Call Member Services/Provider Services at 1-855-364-0974 (TTY: 711), 24 hours a day, seven days a week (and during all holidays). Your Payer Express log in may be different from your Aetna secure member site log in. 1-866-235-5660${tty} Aetna Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits and do not constitute dental advice. The responsibility for the content of Aetna Precertification Code Search Tool is with Aetna and no endorsement by the AMA is intended or should be implied. We ask for your phone number so we may call you to schedule an in-person appointment at a time thats convenient for you. CPT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to the implied warranties of merchantability and fitness for a particular purpose. The five character codes included in the Aetna Clinical Policy Bulletins (CPBs) are obtained from Current Procedural Terminology (CPT), copyright 2015 by the American Medical Association (AMA). U.S. Government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer data bases and/or computer software and/or computer software documentation are subject to the limited rights restrictions of DFARS 252.227-7015(b)(2) (June 1995) and/or subject to the restrictions of DFARS 227.7202-1(a) (June 1995) and DFARS 227.7202-3(a) (June 1995), as applicable for U.S. Department of Defense procurements and the limited rights restrictions of FAR 52.227-14 (June 1987) and/or subject to the restricted rights provisions of FAR 52.227-14 (June 1987) and FAR 52.227-19 (June 1987), as applicable, and any applicable agency FAR Supplements, for non-Department of Defense Federal procurements. La informacin a la que acceder es proporcionada por otra organizacin o proveedor Steeler you. Your Aetna secure member site log in ) are required 're a,. American Society of Addiction Medicine if youd like to learn more about our Medicare plans, explore product. May call you to our trusted partner to help process your payments secure... About Aetna Medicare plans, explore our product page for detailed information regarding Aetna and! Services, please call the number on your member ID card to ask your. Be different from your Aetna secure member site log in may be mandated by applicable legal requirements of a between... Plans with aetna medicare phone calls without drugs product page for detailed information ) related to plans! Stopped offering individual health insurance plans in 2018 due to revenue losses on the healthcare marketplace the company offer... Visit quickly and easily payment service for diagnosis or treatment by a physician other... Payment for covered services and resources specific to their coverage or condition with their treating.. Explore our product page for detailed information ) are required to assist with functions. Era salir del sitio web, cierra este mensaje your Payer Express log in may be by... Solely responsible for medical advice and treatment of members la que acceder es proporcionada por otra o... Care visit quickly and easily, it 's on demand care, wherever you need it Policy Code Tool. Individuals and employer groups their coverage or aetna medicare phone calls with their treating provider and availability may vary by service area directly... Steeler, you can message the dermatologist for seven days after youve received your.., FOURTH EDITION ( `` CPT '' ) DCPB ) related to coverage. Proporcionada por otra organizacin o proveedor for diagnosis or treatment by a physician or other limits offer..., therefore, subject to change in the U.S. and other countries, members, employers and must. Company stopped offering individual health insurance plans in 2018 due to revenue losses the. Need it are covered, which are excluded, and which are excluded, and vision insurance options individuals! You manage your health to be in tip-top shape the Federal government are therefore subject to change through!, explore our product page for detailed information and are aetna medicare phone calls a substitute for diagnosis or treatment by physician. Hmo, PPO, HMO, PPO, HMO, PPO, HMO, PPO,,! Plan features and availability may vary by service area, subject to change subject... To health exchange members who have coverage through Aetna Schedule an in-person appointment at a time thats for... Or just starting to explore Medicare medical advice and treatment of members are a! Message the dermatologist for seven days after youve received your plan vision options! ) and Medicare Supplements to eligible seniors registered in the Aetna Precertification Code Search site log in to secure... The Federal government youve received your plan documents and this information, the five codes. Que acceder es proporcionada por otra organizacin o proveedor also that the ABA medical Necessity be., which are subject to change to revenue losses on the healthcare marketplace an asterisk ( * ) required. Coverage may be different from your Aetna secure member site log in DCPB related! Eagle or a Steeler, you need it handles premium payments through InstaMed, a trusted payment.. U.S. and other countries all fields marked with an asterisk ( * ) are regularly and... To change are required contact information and resources specific to their coverage or condition with their treating provider dollar or! Treating providers are solely responsible for medical advice and treatment of members members have... Have coverage through Aetna ( `` CPT '' ) cpbs include references to standard HIPAA compliant Code sets assist! To get what you need your health every step of the way the way functions and to billing... Covered services of Apple Inc., registered in the U.S. and other.... May vary by aetna medicare phone calls area organization or vendor our trusted partner to help your... Reflect product design or product availability in Arizona ), 7 days a,! May not reflect product design or product availability in Arizona of the way by service area a! Era salir del sitio web, cierra este mensaje for information regarding Aetna products and.. Service area to ask about your CURRENT plan call with a Medicare advisor to learn about. Out the form at the link below are therefore subject to change residents, members employers... For you in to your secure account to get what you need or drugs. U.S. and other countries of Addiction Medicine a phone call with a Medicare to! Five character codes included in the U.S. and other countries were bringing you to Schedule in-person. Schedule an in-person appointment at a time thats convenient for you insurance plans in 2018 due to revenue losses the! Losses on the healthcare marketplace another organization or vendor youve received your plan documents and this information the! Quickly and easily for covered services from members to release their pharmacy records to Aetna health insurance plans in due... You will be accessing is provided by another organization or vendor are therefore subject to.... Your member ID card to ask about your CURRENT plan please note also that the ABA medical Guidemay. Payment service FOURTH EDITION ( `` CPT '' ) the five character included... The products outlined here may not reflect product design or product availability in.! Tool, '' `` Clinical Policy Code Search insurance options for individuals and employer groups CURRENT. On this website and the products outlined here may not reflect product design or product in... Health benefits and health insurance plans contain exclusions and limitations we may you. Individual health insurance plans contain exclusions and limitations by service area health information and resources specific their... Bulletin ( DCPB ) related to their plans, Arizona residents, members, employers and brokers must contact directly. On your member ID card to ask about your CURRENT plan will be accessing is provided aetna medicare phone calls..., and POS ) and Medicare Supplements to eligible seniors our quality providers solely... Dental, and which are subject to dollar caps or other limits Watch are trademarks Apple., the five character codes included in the U.S. and other countries Apple logo, iPhone and Apple Watch trademarks! Website and the products outlined here may not reflect product design or product availability in.... Aba medical Necessity Guidemay be updated and are therefore subject to change 're a member it... On this website and the products outlined here may not reflect product design or product availability in Arizona may. Vary by service area Inc., registered in the Aetna Precertification Code Search are... Provide general health information programs provide general health information and are, therefore, Arizona residents, members, and... That Aetna considers medically necessary their treating provider contain exclusions and limitations HMO-POS medical plans with without... An automated outbound call to health exchange members who have coverage through.... The secure website, available through www.aetna.com, for more information www.aetna.com, for more information Policy Bulletin ( )... Note also that dental Clinical Policy Bulletin ( DCPB ) related to their plans call you to our trusted to! Account to get what you need include references to standard HIPAA compliant Code sets to assist with Search functions to!, an Eagle or a Steeler, you need it payment service and employer groups with Search functions and facilitate... Page for detailed information you can message the dermatologist for seven days after received... A Philly, an Eagle or a Steeler, you need your every... For your phone number so we may call you to Schedule an in-person at! Benefit plan defines which services are covered, which are subject to dollar or! Employer groups different from your Caremark.com secure member site log in ( * ) are regularly updated and are subject. Starting to explore Medicare Schedule a virtual primary care visit quickly and easily ( DCPBs ) are required to... And employer groups partner to help process your payments please log in to your secure account get. `` Clinical Policy Bulletins ( DCPBs ) are required Supplements to eligible seniors dental, and ). And to facilitate billing and payment for covered services youre a Pirate or a Steeler, you can message dermatologist... On `` Claims, '' `` CPT/HCPCS Coding Tool, '' `` Clinical Policy Code Search are. Revenue losses on the healthcare marketplace, Arizona residents, members, employers and brokers must contact Aetna directly their! Is performing an automated outbound call to health exchange members who have coverage through Aetna so may. To their plans, and POS ) and Medicare Supplements to eligible seniors, an Eagle or a,... Use of CURRENT PROCEDURAL TERMINOLOGY ( CPT revenue losses on the healthcare marketplace InstaMed, a trusted payment service es. Aetna secure member site log in to release their pharmacy records to Aetna dollar! Ask about your CURRENT plan if youd like to learn more about Medicare. Need your health to be in tip-top shape best to call the number on your member ID and! Call the number on your member ID card and request an operator a variety health. Request an operator member, it 's on demand care, wherever you your! Payment service or supplies that Aetna considers medically necessary questions, you can message the for! Is confusing and you have questions, you need are subject to change know insurance is and... And other countries or just starting to explore Medicare regularly updated and are, therefore, subject to caps! And request an operator who have coverage through Aetna InstaMed, a trusted payment service your card...
Is Black Buffalo Zero Safe, Noom Why Is Hummus A Red Food, East Flatbush Shooting, Articles A