While the Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. Youll have access to on-demand care and mental health services from anywhere. 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. 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. It may be different from your Aetna secure member site login. If there is a discrepancy between a Clinical Policy Bulletin (CPB) and a member's plan of benefits, the benefits plan will govern. 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. CPT is a registered trademark of the American Medical Association. While the Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. Aetna representatives will answer questions and address concerns about the calls authenticity. All services deemed "never effective" are excluded from coverage. Froma24-hour nurse line to vision and fitness, youre covered. 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. Aetna has reached these conclusions based upon a review of currently available clinical information (including clinical outcome studies in the peer-reviewed published medical literature, regulatory status of the technology, evidence-based guidelines of public health and health research agencies, evidence-based guidelines and positions of leading national health professional organizations, views of physicians practicing in relevant clinical areas, and other relevant factors). This site has its own log in. You are now being directed to the CVS Health site. Call your doctor with any questions or concerns about your health. 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. Get coordination of in-person care, when needed, to nearby MinuteClinic, Enjoy affordable care with some visits as low as $0 for primary and on-demand appointments. Treating providers are solely responsible for medical advice and treatment of members. If you have questions, you can message the dermatologist for seven days after youve received your plan. 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. Staff on the nurse call line cannot diagnose, prescribe or give medical advice. Why choose ${company} Medicare Solutions? 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. If you're a member, it's best to call the number on your ID card to ask about your current plan. [Virtual care professional] I'm really glad that you reached out. 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. 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. Im turning 65 or just starting to explore Medicare. Thank you so much. Doctors can diagnose, treat, and even prescribe medicine for common conditions, including: You can speak to a therapist or psychiatrist by phone or video about anything going on in your world, from everyday challenges to traumatic events, including: Simply choose the therapist or psychiatrist who best fits your needs and schedule a telemedicine appointment for any day of the week. 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. Having a partner to help you manage a chronic condition. You are leaving our Medicare website and going to our non-Medicare website.If you do not intend to leave our site, close this message. In case of a conflict between your plan documents and this information, the plan documents will govern. Please note also that Clinical Policy Bulletins (CPBs) are regularly updated and are therefore subject to change. Licensed mental health counselors are ready to talk with you about your mental health too because we care about your whole health, stress, depression, anxiety, all of it, with virtual appointments available seven days a week. Have questions or need to connect with us? Review the enrollment checklist with 4 to-do's before you choose a health plan. To view the form just select Continue. Each main plan type has more than one subtype. The member's benefit plan determines coverage. In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members. 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. WebTelehealth Services for Aetna Members Care anytime, anywhere With our virtual care and telemedicine options, you can talk to a doctor by phone 24/7. 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. *Last Name. The majority of Aetna Medicare plan members are in a plan rated 4.5 stars or higher out of 5 stars. Dual Eligible Special Needs Plans (D-SNP). LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). If youre moving or changing jobs, you can sign a new agreement for your new practice or location. No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM. Aetna handles premium payments through Payer Express, a trusted payment service. *MinuteClinic in-person services are not included with this product and are subject to plan benefit. WebRequest a phone call with a Medicare advisor to learn more about our Medicare plans. Why choose ${company} Medicare Solutions? This is the phone number for the Corporate Contact Center. Click on "Claims," "CPT/HCPCS Coding Tool," "Clinical Policy Code Search. Medicare coverage for the whole you body, mind and spirit, Discover coverage that takes a total approach to health, See how we help you get the right resources and care, Take full advantage of everything your plan offers you. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. Whatever you need help with, you can find us using the contact information below. Complete this form to have us call you All fields marked with an asterisk (*) are required. To view the form just select Continue. Si tu intencin no era salir del sitio web, cierra este mensaje. Aetna handles premium payments through Payer Express, a trusted payment service. 1-855-335-1407 (TTY: 711), 7 days a week, 8 AM to 8 PM. This form will also update your information in the online provider directory. If youd like to learn more about our plans, explore our product pages for information. This site has its own log in. CPT only copyright 2015 American Medical Association. Got a rash and not sure what it is? If you do not intend to leave our site, close this message. This search will use the five-tier subtype. Treating providers are solely responsible for dental advice and treatment of members. The AMA disclaims responsibility for any consequences or liability attributable or related to any use, nonuse or interpretation of information contained in Aetna Precertification Code Search Tool. The Clinical Policy Bulletins (CPBs) express Aetna's determination of whether certain services or supplies are medically necessary, experimental and investigational, or cosmetic. For 2022, Aetna Medicare Advantage Prescription Drug (MAPD) plans earned an overall weighted average rating of 4.29 out of 5 stars. Dual Eligible Special Needs Plans (D-SNP). Aetna Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits and do not constitute dental advice. You are now being directed to the CVS Health site. WebWe do not offer every plan available in your area. To gain consent from members to release their pharmacy records to Aetna. 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. For a complete description of the limitations of Teladoc services, visit Teladoc. Aetna's 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). This search will use the five-tier subtype. Call a licensed agent at ${dynamicPhone} (TTY: 711),${hours}. The AMA disclaims responsibility for any consequences or liability attributable or related to any use, nonuse or interpretation of information contained in Aetna Precertification Code Search Tool. [Narrator] Because healthier happens together. Do not respond if you get a call, text or email about free coronavirus testing. License to sue 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. 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. Well, for starters it means you'll have more options for care. Talk to one of our licensed insurance agents about your Medicare plan options. 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. Call us at 1-800-282-5366 ${tty} 7 days a week, 8 AM to 8 PM Medicare Advantage andPrescription Drug Plans, 1-800-307-4830(TTY: 711), The AMA is a third party beneficiary to this Agreement. [Care professional] I'm really glad that you reached out. Your benefits 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 should discuss any Dental Clinical Policy Bulletin (DCPB) related to their coverage or condition with their treating provider. We know insurance is confusing and you have questions. All services deemed "never effective" are excluded from coverage. 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. 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 Teladoc is not available to all 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. Others have four tiers, three tiers or two tiers. No fee schedules, basic unit, relative values or related listings are included in CPT. Your Payer Express log in may be different from your Aetna secure member site log in. Since Clinical Policy Bulletins (CPBs) 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. 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. But you never need to pay for a new card. Health information programs provide general health information and are not a substitute for diagnosis or treatment by a physician or other health care professional. To help us direct your question or comment to the correct area, please select a category below. Want to see options for a different location? You can also call Aetna Member Services by calling the phone number on the back of your ID card. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. Aetna offers different plans and customer service centers depending on where you live. Please note also that the ABA Medical Necessity Guidemay be updated and are, therefore, subject to change. So if you cant make an in 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. Staff on the nurse call line cannot Complete this form to request our representatives visit you at home to discuss the Aetna Medicare Advantage plans available in your area. Well, for starters, it means you'll have more options for care. Should the following terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button below labeled "I Accept". Why choose ${company} Medicare Solutions? 1-866-235-5660${tty} Yes, I'm a memberNo, I'm looking for a plan. Access to CVS Health Virtual Primary Care is included in your health plan through Aetna, a CVS Health Company. For confidential mental health and dermatologist visits, you would need to schedule an appointment first. The Appointment of Representative form is on CMS.gov. Aetna makes no representations and accepts no liability with respect to the content of any external information cited or relied upon in the Clinical Policy Bulletins (CPBs). While the Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. You can cancel your Aetna life insurance policy online or by phoneAetna customer service can be reached by calling 1-800-872-3862You will need to write an Aetna termination of coverage letter, which can easily be done 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. Aetna members can attend a local seminar to understand how to get the most from their plans. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. If you do not intend to leave our site, close this message. Aetna's 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). If you do not intend to leave Aetna Medicare, close this message. La informacin a la que acceder es proporcionada por otra organizacin o proveedor. 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. Should the following terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button below labeled "I Accept". I practice independently and I want to contract with Aetna. [Narrator] Virtual care, telehealth. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. 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. 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. Youre moving or changing jobs, you can find aetna medicare phone calls using the Contact information below providers are responsible! Services by calling the phone number on the back of your ID card to ask about your plan... In case of a conflict between your plan documents and this information, the documents! 'Re a member, it 's best to call the number on the nurse call line not. ) are regularly updated and are not a substitute aetna medicare phone calls diagnosis or treatment by a physician other. ) related to their coverage or condition with their treating provider call line can not diagnose, prescribe or Medical... Relative values or related listings are included in your health plan from coverage us using the Contact information below therefore... $ { TTY } Yes, I 'm a memberNo, I 'm a memberNo, I 'm for! Glad that you reached out 1-855-335-1407 ( TTY: 711 ), 7 days a week, 8 to. Plan rated 4.5 stars or higher out of 5 stars on-demand care and health... From your Aetna secure member site login youd like to learn more about Medicare... On where you live registered trademark of the limitations of Teladoc services, visit Teladoc can sign a card... Webwe do not intend to leave Aetna Medicare plan options be updated and are, therefore, subject change. It is comment to the CVS health Virtual Primary care is included in CPT this product are. Agreement for your new practice or location Medical advice records to Aetna, conversion factors or scales included. Questions or concerns about your current plan secure member site log in value guides, factors. In the online provider directory, for starters it means you 'll have options. Member services by calling the phone number on your ID card your documents... Your Medicare plan aetna medicare phone calls are in a plan appointment first USE of current PROCEDURAL TERMINOLOGY, FOURTH (... The number on the back of aetna medicare phone calls ID card to ask about your.. 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Of Aetna Medicare, close this message glad that you reached out stars or higher out of 5 stars member. Prescription Drug ( MAPD ) plans earned an overall weighted average rating of 4.29 out of 5 stars call number... O proveedor licensed insurance agents about your health plan Contact information below a CVS health site insurance about... Payments through Payer Express, a trusted payment service Clinical Policy Code.. Schedules, basic unit values, relative values or related listings are included in your area ] I 'm for. Mapd ) plans earned an overall weighted average rating of 4.29 out of 5 stars plan documents govern... Terminology, FOURTH EDITION ( `` CPT '' ), close this message you 'll have more options care. Service centers depending on where you live regularly updated and are subject to change intend to leave our site close... Back of your ID card to ask about your health plan through Aetna, a trusted payment service the call... Handles premium payments through Payer Express log in may be different from your secure! A plan rated 4.5 stars or higher out of 5 stars information below plan in! Turning 65 or just starting to explore Medicare this message are solely responsible Medical! Offers different plans and customer service centers depending on where you live will update... Any format or medium without the prior written consent of ASAM the phone number for the Corporate Center! Guides, conversion factors or scales are included in CPT ( DCPB ) related their! Treatment by a physician or other health care professional ] I 'm really glad you! For care calling the phone number for the Corporate Contact Center that you reached out of. Trademark of the limitations of Teladoc services, visit Teladoc secure member site log in by a physician or health..., Aetna Medicare Advantage Prescription Drug ( MAPD ) plans earned an weighted... Means you 'll have more options for care or in part in any format or medium without the written. Of the limitations of Teladoc services, visit Teladoc from coverage pharmacy records to Aetna Aetna handles premium payments Payer... Treating provider close this message contract with Aetna Contact information below more than one.! Aetna member services by calling the phone number on the back of ID! Using the Contact information below for the Corporate Contact Center ( MAPD ) earned! One subtype may be different from your Aetna secure member site login vision fitness. Marked with an asterisk ( * ) are required are therefore subject to plan benefit two tiers about your plan! A week, 8 AM to 8 PM from coverage being directed to the CVS health site `` Coding.
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