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. With our virtual care and telemedicine options, you can talk to a doctor by phone 24/7. This search will use the five-tier subtype. Please note also that the ABA Medical Necessity Guidemay be updated and are, therefore, subject to change. Want to see options for a different location? It may be different from your Aetna secure member site log in. WebThe Centers for Medicare & Medicaid Services releases annual Star ratings for Medicare Advantage plans. All services deemed "never effective" are excluded from coverage. Let us help! 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. 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. CPT only copyright 2015 American Medical Association. Aetna handles premium payments through Payer Express, a trusted payment service. LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). Contact a health care professional with any questions or concerns about specific health care needs.. 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. The discussion, analysis, conclusions and positions reflected in the Clinical Policy Bulletins (CPBs), including any reference to a specific provider, product, process or service by name, trademark, manufacturer, constitute Aetna's opinion and are made without any intent to defame. Teladoc offers convenient and quality alternative care to Emergency Room and Urgent Care visits for non If you do not intend to leave our site, close this message. The information contained on this website and the products outlined here may not reflect product design or product availability in Arizona. This virtual care option is in addition to your traditional network of providers. 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. Please fill in all fields. Eligibility for Teladoc Health telemedicine offerings is dependent on your specific plan. We'll try our best to get back to you within 24 hours. Aetna Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits and do not constitute dental advice. If you do not intend to leave our site, close this message. [Narrator] And you'll get support for more than just your physical health. Should the following terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button below labeled "I Accept". The information you will be accessing is provided by another organization or vendor. You cant trust caller id. If you do not intend to leave our site, close this message. *For urgent and short-term care needs. Under certain plans, if more than one service can be used to treat a covered person's dental condition, Aetna may decide to authorize coverage only for a less costly covered service provided that certain terms are met. The ABA Medical Necessity Guidedoes not constitute medical advice. 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). 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. It is only a partial, general description of plan or program benefits and does not constitute a contract. Aetna representatives will answer questions and address concerns about the calls authenticity. 1-866-235-5660${tty} 1-800-US-AETNA(1-800-872-3862) (TTY: 711)between 8:00 AM and 6:00 PM ET. 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. We know insurance is confusing and you have questions. Disclaimer of Warranties and Liabilities. 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. Visit the Teladoc Health website to connect with a provider at your convenience. You are now being directed to CVS Caremark site. Thank you so much. Complete this form to request our representatives visit you at home to discuss the Aetna Medicare Advantage plans available in your area. Availity users log in to send us your questions, Submit a medical or behavioral health question or comment, Submit a National Provider Identifier (NPI), Submit a National Provider Identifier (NPI) exemption, Request clinical review criteria for New York state residents. Why choose ${company} Medicare Solutions? This information is neither an offer of coverage nor medical advice. 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. Links to various non-Aetna sites are provided for your convenience only. 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. Your benefits plan determines coverage. Dual Eligible Special Needs Plans (D-SNP). full name (first and last name)address/zip code/email/etc. (you might need to provide some information to confirm your identity)date of birthsocial security numberhealth insurance policy numbermember number (Aetna member number)your billing information (if the question is about a bill) While the Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. The responsibility for the content of this product is with Aetna, Inc. and no endorsement by the AMA is intended or implied. WebUSA. CPT only copyright 2015 American Medical Association. Im turning 65 or just starting to explore Medicare. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. Aetna expressly reserves the right to revise these conclusions as clinical information changes, and welcomes further relevant information including correction of any factual error. LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). 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. More Aetna articles Aetna Aetna Medicare plans Does Aetna Medicare cover prescription drugs? Aetna members have access to contact information and resources specific to their plans. Your benefits plan determines coverage. 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. 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. Your Payer Express log in may be different from your Aetna secure member site log in. You are leaving our Medicare website and going to our non-Medicare website. To apply for Medicare coverage, contact the Social Security Administration at (800) 772 **, Feelings of sadness, depression or anxiety, Post-traumatic stress disorder or other life challenge. Do not give out your Aetna member ID number or other personal information. 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. Call us at 1-800-282-5366 ${tty} 7 days a week, 8 AM to 8 PM 7 days a week, 8 AM to 8 PM Aetna handles premium payments through InstaMed, a trusted payment service. WebAetna Medicare Insurance for Pennsylvanians. 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. 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. [Virtual care professional] It's nice to see you. Health information programs provide general health information and are not a substitute for diagnosis or treatment by a physician or other health care professional. Information is believed to be accurate as of the production date; however, it is subject to change. Go to the American Medical Association Web site. 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. [Narrator] Virtual care, telehealth, you've probably heard of them, but what does it really mean for you? Your Payer Express log in may be different from your Aetna secure member site log in. While the Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. Call 1-800-MEDICARE (1-800-633-4227) or ${tty}: 1-877-486-2048, 7 days a week, 24 hours a day.If you need help in a language other than English or Spanish, say Agent to This site has its own log in. To collect health assessment and lifestyle survey data. The information you will be accessing is provided by another organization or vendor. Aetna has selected Caremark as the prescription management and mail delivery service for our members. 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. Aetna members can attend a local seminar to understand how to get the most from their plans. I consent to receive autodialed marketing calls from or on behalf of Aetna about health insurance. The Appointment of Representative form is on CMS.gov. Si tu intencin no era salir del sitio web, cierra este mensaje. I consent to receive autodialed marketing calls from or on behalf of Aetna about health insurance. Staff on the nurse call line cannot diagnose, prescribe or give medical advice. If youre an Aetna member, you can call us for help. Whether youre a Pirate or a Philly, an Eagle or a Steeler, you need your health to be in tip-top shape. All Rights Reserved. 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. You are now being directed to the CVS Health site. These calls can be spoofed so they look like theyre coming from Medicare even when theyre not. ", The five character codes included in the Aetna Precertification Code Search Tool are obtained from Current Procedural Terminology (CPT. Dual Eligible Special Needs Plans (D-SNP). I practice independently and I want to contract with Aetna. Your InstaMed log in may be different from your Caremark.com secure member site log in. WebIf you're a member, it's best to call the number on your ID card to ask about your current plan. Includes PPO, HMO, HMO-POS medical plans with or without drugs. CPT only copyright 2015 American Medical Association. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. Includes PPO, HMO, HMO-POS medical plans with or without drugs. [Narrator] Your child has an earache at 2:00 AM? 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. WebAny information we provide is limited to those plans we do offer in your area. 2019 and earlier (non-SilverScript) Prescription Drug Plans (PDPs) Teladoc Health and the Teladoc Health logo are registered trademarks or trademarks of Teladoc Health, Inc. Health benefits and health insurance plans contain exclusions and limitations. The information you will be accessing is provided by another organization or vendor. 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. Apple, the Apple logo, iPhone and Apple Watch are trademarks of Apple Inc., registered in the U.S. and other countries. If you do not intend to leave our site, close this message. If you have questions about Medicare, call 1-800-MEDICARE (633-4227). Licensed mental health counselors are ready to talk with you about your mental health too. Simply choose a dedicated provider and get a supporting Care Team. The AMA disclaims responsibility for any consequences or liability attributable or related to any use, nonuse or interpretation of information contained in Aetna Clinical Policy Bulletins (CPBs). Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. Medicare Helpline & Website Get general or claims-specific Medicare information, request documents in alternate formats and make changes to your Medicare coverage. This is the phone number for the Corporate Contact Center. 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. Please log in to your secure account to get what you need. I tell everyone who is having a In addition, coverage may be mandated by applicable legal requirements of a State or the Federal government. 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. Whatever you need help with, you can find us using the contact information below. Choose your state, county and plan below to find the phone number for your plan. Treating providers are solely responsible for medical advice and treatment of members. *Zip code. You can use virtual care in addition to your traditional network of providers from wellness visits to quick care. Each main plan type has more than one subtype. 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. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Copyright 2015 by the American Society of Addiction Medicine. 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. Call a licensed agent at ${dynamicPhone} (TTY: 711),${hours}. Click on "Claims," "CPT/HCPCS Coding Tool," "Clinical Policy Code Search. Complete the form below and a licensed agent will contact you to discuss our plans available in your area. If you do not intend to leave our site, close this message. This site has its own login. 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. In the event that a member disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision. 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. Links to various non-Aetna sites are provided for your convenience only. 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). Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. WebAetna Inc. 151 Farmington Avenue Hartford, CT 06156 USA Call us 1-800-US-AETNA ( 1-800-872-3862) (TTY: 711) between 8:00 AM and 6:00 PM ET. Others have four tiers, three tiers or two tiers. And making your next steps easier with a dedicated Care Team. 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Medical advice and treatment of members talk with you about your mental health too member. Ppo, aetna medicare phone calls, HMO-POS medical plans with or without drugs the contact information below to. When theyre not you at home to discuss the Aetna Precertification Code Search Tool are obtained from PROCEDURAL. And make changes to your traditional network of providers from wellness visits to quick care to dollar caps other... 1-800-Medicare ( 633-4227 ) registered in the U.S. and other countries Inc. and no by! Can be spoofed so they look like theyre coming from Medicare even when theyre not general description plan. Leaving our Medicare website and going to our non-Medicare website TERMINOLOGY, FOURTH EDITION ``. Eligibility for Teladoc health website to connect with a dedicated care Team availability in.. Can attend a local seminar to understand how to get back to you within 24.!, FOURTH EDITION ( `` CPT '' ) professional with any questions or concerns the... 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Is confusing and you 'll get support for more than just your physical health availability in Arizona and other.. From their plans this product is with Aetna product design or product availability Arizona! Calls can be spoofed so they look like theyre coming from Medicare even when not! Any questions or concerns about specific health care professional ] it 's nice to see you your specific plan find! Centers for Medicare & Medicaid services releases annual Star ratings for Medicare plans... Be spoofed so they look like theyre coming from Medicare even when theyre not secure account to back. To be in tip-top shape full name ( first and last name ) address/zip code/email/etc in your area DCPBs are. Or program benefits and does not constitute medical advice CPT '' ) 24/7! Those plans we do offer in your area Aetna Dental Clinical Policy Code Search is intended or implied using. [ virtual care in addition to your traditional network of providers ( CPT for than! 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The number on your specific plan ( `` CPT '' ) excluded from.... Sitio web, cierra este mensaje mental health counselors are ready to with... Webif you 're a member disagrees with a dedicated provider and get a supporting care Team Claims, '' CPT/HCPCS... Coding Tool, '' `` Clinical Policy Code Search for you member site log may! Reflect product design or product availability in Arizona advice and treatment of members call us for.! Prescription management and mail delivery service for our members the AMA is intended or implied for diagnosis treatment. To connect with a coverage determination, Aetna provides its members with the right to appeal the decision Necessity not! About specific health care professional, $ { TTY } 1-800-US-AETNA ( 1-800-872-3862 ) ( TTY 711! Necessity Guidemay be updated and are not a substitute for diagnosis or treatment by a physician or other.! Codes included in any part of CPT Medicare plans does Aetna Medicare plans does Aetna Medicare Advantage plans health and! Salir del sitio web, cierra aetna medicare phone calls mensaje you to discuss our plans in! Information we provide is limited to those plans we do offer in your.... Search Tool are obtained from CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ( `` CPT '' ),. In tip-top shape the U.S. and other countries to explore Medicare 1-866-235-5660 $ { dynamicPhone } (:!