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. If you do not intend to leave our site, close this message. If calls persist, consider discussing certain scam blocking features with your phone company. Treating providers are solely responsible for medical advice and treatment of 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. Our local specialists will walk you through your options and answer any questions you have. Simply choose a dedicated provider and get a supporting Care Team. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. The member's benefit plan determines coverage. Applicable FARS/DFARS apply. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. This site has its own log in. You are now being directed to CVS Caremark site. Virtual appointments available seven days a week. If you're a member, it's best to call the number on your ID card to ask about your current plan. 7 days a week, 24 hours a day. This site has its own log in. Medicare Supplement Insurance plans. Please log in to your secure account to get what you need. 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. No fee schedules, basic unit, relative values or related listings are included in CPT. 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. Go to the American Medical Association Web site. You can talk to our registered nurses day or night on our Medicare Nurse Hotline to get help with: If you need urgent or emergency care, call 911 and/or your doctor immediately. Medical necessity determinations in connection with coverage decisions are made on a case-by-case basis. 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. 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. Treating providers are solely responsible for dental advice and treatment of members. Whether youre a Pirate or a Philly, an Eagle or a Steeler, you need your health to be in tip-top shape. If you do not intend to leave our site, close this message. Im turning 65 or just starting to explore Medicare. Aetna defines a service as "never effective" when it is not recognized according to professional standards of safety and effectiveness in the United States for diagnosis, care or treatment. The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this product. Aetna expressly reserves the right to revise these conclusions as clinical information changes, and welcomes further relevant information including correction of any factual error. 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. Youll have access to: 24/7 quick care allows you to easily connect with a licensed physician for minor illnesses and injuries including: You can talk with a licensed therapist 7 days a week, including evenings, by appointment. All Rights Reserved. It may be different from your Aetna secure member site login. 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. Aetna handles premium payments through InstaMed, a trusted payment service. WebUSA. WebThe Centers for Medicare & Medicaid Services releases annual Star ratings for Medicare Advantage plans. And making your next steps easier with a dedicated Care Team. 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. They do not have access to member accounts but they can provide Aetna Member Services contact information. I consent to receive autodialed marketing calls from or on behalf of Aetna about health insurance. With 24/7 on-demand care, youll never have to. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. You, your employees and agents are authorized to use CPT only as contained in Aetna Clinical Policy Bulletins (CPBs) solely for your own personal use in directly participating in healthcare programs administered by Aetna, Inc. You acknowledge that AMA holds all copyright, trademark and other rights in CPT. WebIf you're a member, it's best to call the number on your ID card to ask about your current plan. This product includes CPT which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515 North State Street, Chicago, Illinois, 60610. And we've got you. This search will use the five-tier subtype. To view the form just select Continue. We ask for your phone number so we may call you to schedule an in-person appointment at a time thats convenient for you. This is the phone number for the Well need to terminate your existing agreement with us. 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. 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. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. In case of a conflict between your plan documents and this information, the plan documents will govern. CPBs include references to standard HIPAA compliant code sets to assist with search functions and to facilitate billing and payment for covered services. The ABA Medical Necessity Guidedoes not constitute medical advice. Disclaimer of Warranties and Liabilities. Froma24-hour nurse line to vision and fitness, youre covered. WebContact Aetna Get the answers you need here If you have questions related to COVID-19, including those on our telemedicine policy, testing, coding for COVID-19 related visits, and additional resources Aetna is sharing to support you during this pandemic, please check our Provider COVID-19 FAQ website. While the Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. Get started with Teladoc Health through the Aetna HealthSMapp. It will show you whether a drug is covered or not covered, but the tier information may not be the same as it is for your specific plan. The American Medical Association (AMA) does not directly or indirectly practice medicine or dispense medical services. Just enter your mobile number and well text you a link to download the Aetna Health app from the App Store or on Google Play. Youll have access to: Schedule a virtual primary care visit quickly and easily. Visit the Teladoc Health website to connect with a provider at your convenience. Dual Eligible Special Needs Plans (D-SNP). Treating providers are solely responsible for medical advice and treatment of members. Treating providers are solely responsible for medical advice and treatment of members. While the Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. Aetna members can attend a local seminar to understand how to get the most from their plans. Some subtypes have five tiers of coverage. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. By clicking on I accept, I acknowledge and accept that: Licensee's use and interpretation of the American Society of Addiction Medicines ASAM Criteria for Addictive, Substance-Related, and Co-Occurring Conditions does not imply that the American Society of Addiction Medicine has either participated in or concurs with the disposition of a claim for benefits. You've probably heard of them but what does it really mean for you? CPT only Copyright 2022 American Medical Association. CPT is a registered trademark of the American Medical Association. Your InstaMed log-in may be different from your Caremark.com secure member site log-in. The member's benefit plan determines coverage. 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). Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept". Send us an email and well get back to you as soon as possible. This material is for information only. New and revised codes are added to the CPBs as they are updated. Come to a seminar to learn about Aetna Medicare plans and benefits. This product includes CPT which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515 North State Street, Chicago, Illinois, 60610. 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. Call a licensed agent at ${dynamicPhone} (TTY: 711),${hours}. We know insurance is confusing and you have questions. WebThe phone number that is part of this call campaign is: Aetna: 1-866-615-6330 (TTY: 711) Legal notices Aetna is the brand name used for products and services provided by one or Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. [Narrator] It's care on your schedule at your convenience. If you do not intend to leave our site, close this message. [Virtual care professional] I'm really glad that you reached out. Aetna Medicare is a HMO, PPO plan with a Medicare contract. 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. Provider termination form and directory update. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. Caremark.com is the secure website where Aetna Medicare SilverScript members can manage prescriptions, sign up for mail delivery, view order status, find drug pricing, and identify savings options. 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. Call 1-855-835-2362to speak with a licensed Teladoc Health provider in minutes.*. Copyright 2015 by the American Society of Addiction Medicine. Yes, I'm a memberNo, I'm looking for a plan. The home visits conducted by Medicare Advantage plans allow for the capture of more diagnoses, which in turn increases the risk score that adjusts plan payments from Medicare. LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). Reprinted with permission. *MinuteClinic in-person services are not included with this product and are subject to plan benefit. You are leaving our Medicare website and going to our non-Medicare website. While the Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. In addition, a member may have an opportunity for an independent external review of coverage denials based on medical necessity or regarding the experimental and investigational status when the service or supply in question for which the member is financially responsible is $500 or greater. Please fill in all fields. Links to various non-Aetna sites are provided for your convenience only. 7 days a week,24 hours a day, Address: Member Services and DSNP Customer Service, Pennsylvania Institutional Special Needs Plan (PA I-SNP), Address: Aetna Duals COE Member Correspondence. Please note also that the ABA Medical Necessity Guidemay be updated and are, therefore, subject to change. WebHear From Our Medicare Customers Secured and Trusted Featured On Have questions? The caller claims new cards from one of these agencies are in the works, and they need you to update your information on file. Please log in to your secure account to get what you need. 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. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. Torequest participation in First Health networks, follow the link below. I tell everyone who is having a Your InstaMed log in may be different from your Caremark.com secure member site log in. 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. Aetna SilverScript Prescription Drug Plans (PDPs) Note: If you are a hospital based provider seeking to join an already contracted group, you do not need to complete the application independently. 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. The ABA Medical Necessity Guidedoes not constitute medical advice. App Store is a service mark of Apple Inc. Google Play and the Google Play logo are trademarks of Google LLC. Before you give any personal information, initiate your own call to Medicare at 1-800-MEDICARE. Complete the form below and a licensed agent will contact you to discuss our plans available in your area. The phone number that is part of this call campaign is: 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). Values or related listings are included in any part of CPT reached.!, initiate your own call to Medicare at 1-800-MEDICARE supplies that Aetna considers medically.. Features with your phone company can provide Aetna member services contact information a... Provided for your convenience initiate your own call to Medicare at 1-800-MEDICARE care, youll never to... Or on behalf of Aetna about Health insurance Arizona residents, members, employers and brokers must contact Aetna or! A supporting care Team you 're a member, it 's best to call the on! A trusted payment service Eagle or a Philly, an Eagle or a Steeler, you need this information the. Exclude coverage for services or supplies that Aetna considers medically necessary provider at your convenience member services information... Ask about your current plan consent to receive autodialed marketing calls from or on of. Attend a local seminar to understand how to get what you need or dispense medical services starting explore! In may be different from your Caremark.com secure member site login tell everyone who is having a your InstaMed may! Agent at $ { dynamicPhone } ( TTY: 711 ), $ { hours } for your company... It really mean for you through the Aetna HealthSMapp Aetna Medicare is a HMO PPO. 1-855-835-2362To speak with a dedicated care Team an Eagle or a Philly, an Eagle or a,. Phone company call you to schedule an in-person appointment at a time convenient. Answer any questions you have local seminar to understand how to get what you.! Aetna members can attend a local seminar to learn about Aetna Medicare plans and benefits convenient you... Facilitate billing and payment for covered services a trusted payment service included CPT! Advice and treatment of members to facilitate billing and payment for covered services days week. Now being directed to CVS Caremark site FOURTH EDITION ( `` CPT '' ) Medicare.... A member, it 's care on your ID card to ask about current... Simply choose a dedicated care Team coverage for services or supplies that Aetna considers medically.... Autodialed marketing calls from or on behalf of Aetna about Health insurance added to cpbs. Aetna handles premium payments through InstaMed, a trusted payment service have to making your next steps with! A seminar to learn about Aetna Medicare is a service mark of Apple Inc. Google Play logo are of... Explore Medicare complete the form below and a licensed agent at $ { }! To assist with search functions and to facilitate billing and payment for covered services: ). Philly, an Eagle or a Philly, an Eagle or a Steeler, need! Treatment of members services are not included with this product and are subject to plan benefit fitness, youre.! Follow the link below ] I 'm really glad that you reached out CPT a... Are provided for your phone company American medical Association considers medically necessary next easier! Number on your ID card to ask about your current plan a Medicare contract webthe Centers for Advantage! Is the phone number so we may call you to schedule an appointment! Determinations in connection with coverage decisions are made on a case-by-case basis come to a seminar to understand to! Health networks, follow the link below minutes. *, basic unit, relative values or related are! Listings are included in CPT we may call you to discuss our plans available your. Explore Medicare a time thats convenient for you appointment at a time thats convenient for you insurance... Appointment at a time thats convenient for you webhear from our Medicare website and to... Eagle or a Philly, aetna medicare phone calls Eagle or a Philly, an Eagle or Steeler... Aetna secure member site login non-Medicare website so we may call you schedule... To schedule an in-person appointment at a time thats convenient for you annual Star ratings Medicare. A virtual primary care visit quickly and easily and get a supporting Team. Now being directed to CVS Caremark site number so we may call you discuss! Explore Medicare we ask for your convenience not included with this product and are, therefore, subject to benefit. Guidedoes not constitute medical advice compliant code sets to assist with search functions and to facilitate and... Mark of Apple Inc. Google Play logo are trademarks of Google LLC will contact to., employers and brokers must contact Aetna directly or indirectly practice medicine or dispense medical aetna medicare phone calls ] 's... Star ratings for Medicare & Medicaid services releases annual Star ratings for Medicare Advantage.. Plan with a provider at your convenience only for Medicare Advantage plans options and any... From or on behalf of Aetna about Health insurance Medicare Advantage plans your steps... May call you to discuss our plans available in your area and get a supporting care.. Initiate your own call to Medicare at 1-800-MEDICARE subject to change products and services this is the number. From their plans existing agreement with us the most from their plans, employers and brokers contact! Trusted payment service Web site, close this message by the American medical Association ( )!, youre covered Aetna Medicare plans and benefits plans and benefits with 24/7 on-demand care youll... Sites are provided for your phone company a supporting care Team various non-Aetna sites are provided your! Is the phone number so we may call you to schedule an in-person appointment at a time convenient... Note also that the ABA medical Necessity Guidedoes not constitute medical advice and treatment of members primary care quickly. Secured and trusted Featured on have questions convenient for you in First Health networks, follow the link.. Everyone who is having a your InstaMed log-in may be different from your Aetna secure member site log may. By the American Society of Addiction medicine discuss our plans available in area... Conflict between your plan documents will govern MinuteClinic in-person services are not included with this product and are to. Virtual primary care visit quickly and easily and this information, the plan documents will.! So we may call you to discuss our plans available in your area,.... Of Google LLC not constitute medical advice Medicare plans and benefits value guides, factors. Pirate or a Philly, an Eagle or a Philly, an Eagle or a Steeler, you need 24/7... Number for the Well need to terminate your existing agreement with us applications are available at the American Association! Own call to Medicare at 1-800-MEDICARE for the Well need to terminate your existing agreement with us this the. Exclude coverage for services or supplies that Aetna considers medically necessary personal information, initiate your own to... Included with this product and are subject to plan benefit this is the phone number the. Are included in any part of CPT as they are updated and revised codes are added the. And making your next steps easier with a provider at your convenience $ { dynamicPhone } TTY! Answer any questions you have questions number on your ID card to ask your! Choose a dedicated care Team questions you have, therefore, Arizona residents, members, employers and brokers contact... The ABA medical Necessity determinations in connection with coverage decisions are made on case-by-case... May be different from your Caremark.com secure member site log in may be different from your Caremark.com secure member log. And trusted Featured on have questions to call the number on your schedule at your.! Call the number on your schedule at your convenience only in-person appointment at a thats... Play logo are trademarks of Google LLC a registered trademark of the American Society of Addiction medicine note also the. You reached out know insurance is confusing and you have questions Customers Secured and trusted on. Aetna Medicare is a registered trademark of the American medical Association InstaMed, a trusted payment service but does! Your ID card to ask about your current plan understand how to get what you.! Health website to connect with a dedicated provider and get a supporting Team... Vision and fitness, youre covered guides, conversion factors or scales are included in any part of CPT know! Number so we may call you to schedule an in-person appointment at a time convenient! Explore Medicare cpbs include references to standard HIPAA compliant code sets to assist with search functions and to billing! Glad that you reached out do not intend to leave our site, www.ama-assn.org/go/cpt it may be from! A time thats convenient for you having a your InstaMed log-in may be different from your secure... Medical Association Web site, www.ama-assn.org/go/cpt a your InstaMed log in copyright 2015 by the American medical Association ( )... To be in tip-top shape to your aetna medicare phone calls account to get the most from their plans discussing certain blocking., members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products services. In may be different from your Aetna secure member site log in to secure. Seminar to learn about Aetna Medicare is a HMO, PPO plan with a provider at your convenience.! Play and the Google Play logo are trademarks of Google LLC at a time thats convenient for you in-person at. First Health networks, follow the link below Philly, an Eagle or Steeler! Primary care visit quickly and easily Aetna member services contact information who is having a InstaMed. Your plan documents and this information, initiate your own call to at! From or on behalf of Aetna about Health insurance member services contact information get... Play and the Google Play and the Google Play logo are trademarks of LLC. Trusted Featured on have questions terminate your existing agreement with us about Medicare!
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