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Applicable FARS/DFARS apply. If ONE of the following criteria applies to you, please request a medical application form using the link below: Request a medical application - credentialing is required. Step 1. 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. This Agreement will terminate upon notice if you violate its terms. aetna corporate office locations. For your convenience, we have a single post office box for claims and specialty authorization submissions. Getinfo about your vision provider network and coverage. Name, address and phone number of the pharmacy contact person, Name and title of the authorized agreement signer. You will be connected to the 24-hour nurse line. In addition, coverage may be mandated by applicable legal requirements of a State or the Federal government. There is no option for members to get information at this number. Dental plans and vision benefits are insured by Aetna Life Insurance Company (Aetna) 151 Farmington Avenue Hartford, CT 06156. If you are a Medicare-Medicaid member just call us at 1-855-676-5772 (TTY: 711) or use this electronic form to let us know what's on your mind. Aetna Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits and do not constitute dental advice. 24 hours a day, 7 days a week. 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 general inquiries, reach our corporate headquarters at 1-888-US-AETNA ( 1-800-872-3862) (TTY: 711). How to login easier? Treating providers are solely responsible for dental advice and treatment of members. . Aetna Dental P.O. 1-855-814-1699${tty} Aetna (Shanghai) Enterprise Services Co. Ltd Suite 702, 757 Meng Zi Road, Gopher Center, Huang Pu District Shanghai, China. The American Medical Association (AMA) does not directly or indirectly practice medicine or dispense medical services. No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM. 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. The call is free. If you'd like more information about BannerlAetna or have a question, just call our toll-free number at 1-800-381-6789. Box 14094 Lexington, KY 40512-4094, Aetna MedicarePO Box 981106El Paso, TX 79998-1106 Payor ID 600542, Aetna Dental P.O. 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.) Health benefits and health insurance plans contain exclusions and limitations. Find a great collection of Dental Plans at Costco. If there are any problems, here are some of our suggestions Top Results For Aetna Log In Provider Updated 1 hour ago www.aetnainternational.com In some cases, we may allow exceptions for a service or drug that is normally not covered. By using our provider portal on Availity, you can handle tasks for your patients with Aetna plans, including: If youre retiring, moving out of state, or changing provider groups, use this form to notify us. Links to various non-Aetna sites are provided for your convenience only. 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. You can reach us at our address: Aetna Better Health of Illinois 3200 Highland Avenue, MC F648 Downers Grove, IL 60515. 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. It may be different from your Aetna secure member site login. member number (Aetna member number) your billing information (if the question is about a bill) This information could help Aetna customer service agents provide you with the best service that they can provide. Visit the secure website, available through www.aetna.com, for more information. CPT is a registered trademark of the American Medical Association. Your Payer Express log-in may be different from your Aetna secure member site log-in. Our address is: Aetna Better Health of Florida 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. Before enrolling: Contact your Benefit Administrator to ensure your plan sponsor has elected to use our enrollment utility. To receive maximum benefits, members must choose a participating primary care dentist to coordinate their care with network providers. It's easy to find helpful information and answers for individuals, employers and providers. No fee schedules, basic unit, relative values or related listings are included in CPT. It only takes a minute to register for your secure, personalised Health Hub. 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. Orders: 1-877-764-5390 ${tty}; Enroll for benefits. Reprinted with permission. Feel free to contact customer service at 1-866-316-3784 from 8am to 5pm, EST, Monday through Friday. We're here to help. Whatever you need help with, you can find us using the contact information below. Call us at 1-844-383-6126 (TTY: 711) . For language services, please call the number on your member ID card and request an operator. 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. In Texas, the Dental PPO is known as Participating Dental Network (PDN). Independent retail pharmacies can fill out the form at the link below. All other questions: Email us or call 1-866-784-4916 (TTY: 711), ${hours}. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Each insurer has sole responsibility for its own products. The information will help them locate your problem and pinpoint a solution to your problem faster. Aetna website You can request more information 24 hours a day at www.aetna.com. With Aetna CVS Health Affordable Care Act (ACA) individual & family plans bring you the quality coverage of Aetna plus the convenient care options of CVS. Furthermore, you can find the "Troubleshooting Login Issues" section which can answer your unresolved problems and . The federal health care reform law includes rules about appeals, which many plans must follow. Aetna Dental. Register now for Aetna's provider website on Availity, Aetna Dental Encounters P.O. A unique program that helps you find services in your community to help manage everyday needs. 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. YOU ARE A MEMBER IF: You enrolled in a vision plan through your employer; You'd like to confirm benefits or eligibility; You need to find an in-network eye doctor; YOU ARE A PROVIDER IF: Check Out the Book on Amazon! If there is a discrepancy between a Clinical Policy Bulletin (CPB) and a member's plan of benefits, the benefits plan will govern. Copyright 2015 by the American Society of Addiction Medicine. 1-855-335-1407 (TTY: 711), 7 days a week, 8 AM to 8 PM Medicare Supplement Insurance plans 1-800-358-8749 (TTY: 711), Monday to Friday, 8 AM to 8 PM ET Employer or Group coverage 1-800-307-4830 (TTY: 711), Monday to Friday, 8 AM to 9 PM ET See more ways to contact Aetna Select an option below Contact Member Services 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). Health insurance or medical insurance (also known as medical aid in South Africa) is a type of insurance that covers the whole or a part of the risk of a person incurring medical expenses.As with other types of insurance, risk is shared among many individuals. Im turning 65 or just starting to explore Medicare. ChinaLife fronted members. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. How to login easier? Treating providers are solely responsible for medical advice and treatment of members. Contact us online Aetna is the brand name used for products and services provided by one or more of the Aetna group of subsidiary companies (Aetna). CPT is a registered trademark of the American Medical Association. Well need to terminate your existing agreement with us. Aetna handles premium payments through InstaMed, a trusted payment service. 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. Mail. aetna number of employees Each main plan type has more than one subtype. Others have four tiers, three tiers or two tiers. Cloudflare Ray ID: 7647885cedd3d2d1 By clicking on I Accept, I acknowledge and accept that: The Applied Behavior Analysis (ABA) Medical Necessity Guidehelps determine appropriate (medically necessary) levels and types of care for patients in need of evaluation and treatment for behavioral health conditions. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. The corporate headquarters phone lines are staffed Monday through Friday, 8 AM to 6 PM ET. You are leaving our website and going to a non Medicare-Medicaid Plan website. Please include what you were doing when this page came up and the Cloudflare Ray ID found at the bottom of this page. . Any use of CPT outside of Aetna Precertification Code Search Tool should refer to the most Current Procedural Terminology which contains the complete and most current listing of CPT codes and descriptive terms. 01 Our Aetna Better Health of Michigan Medicaid, Healthy Michigan and MIChild Plan Member Services team is available Monday through Friday 8 a.m. to 5 p.m. at 1-866-316-3784, TTY 711. Mental health & substance abuse care: Email us or call 1-800-423-8070 (TTY: 711), seven days a week, 24 hours a day. 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. In Texas by Aetna Dental Inc. and in Virginia, the DMO plan is known as the Dental Network Only plan (DNO). The action you just performed triggered the security solution. 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. We have made it easy for you to contact us regarding your questions or concerns. sort codes are a six-digit number which identifies both the bank and the branch where the account is held and . Aetna expressly reserves the right to revise these conclusions as clinical information changes, and welcomes further relevant information including correction of any factual error. If you do not intend to leave our site, close this message. Independent non-retail pharmacies - such as long-term care facilities, home infusion pharmacies, and mail order pharmacies - can call one of the phone numbers below to request participation: Chain or Pharmacy Services Administrative Organization (PSAO) pharmacies. To view the form just select Continue. Do you want to continue? You can also log in to your secure member portal to find a phone number that will direct you to a representative who knows your specific coverage. One of the main ways that we do that is a virtual care solution powered by 98point6. There are several actions that could trigger this block including submitting a certain word or phrase, a SQL command or malformed data. Read! Includes PPO, HMO, HMO-POS medical plans with or without drugs. To help us direct your question or comment to the correct area, please select a category below. Call for more info aboutyour OneTouch blood glucose meterand testing your blood glucose. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. Why choose ${company} Medicare Solutions? If youre moving or changing jobs, you can sign a new agreement for your new practice or location. 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. Our Member Services representatives are available Monday through Friday, from 7 AM to 7 PM, eastern standard time. 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. 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. Phone Number Are you a member? Don't miss. Enter your Username and Password and click on Log In Step 3. If there is a discrepancy between this policy and a member's plan of benefits, the benefits plan will govern. Performance & security by Cloudflare. We value your opinion. See more details. So, a member can download the app, fill out their medical history, and they'll be seen in a very quick turnaround time. Don't miss. 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). For language services, please call the number on your member ID card and request an operator. 94.247.177.178 Schedule a ride to your appointment. Applicable FARS/DFARS apply. You are now leaving Aetna Better Health of Michigans website. The nurse will call you back by the next business day. 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. We're here to help. You can fax us at our toll-free number: . 24 hours a day/7 days a week. If you are already an Aetna Dental Insurance Member and have a question regarding your existing policy or claim, please visit Aetna.com or call 1-800-872-3862. 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. 1-833-331-1573${tty} Go to the American Medical Association Web site. 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. With Aetna, Inc. ) and enrollment package handy ) Monday to Friday, 9 AM to 9 PM. 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Card and request an operator from their plans new practice or location and phone number of the authorized signer Their employers for information regarding Aetna products and services through InstaMed, a trusted payment service government! No third party may copy this document in whole or in part in any part of CPT our:! Solution powered by 98point6 fitness and wellness programsthat you can find the & ; In Step 3 beneficiary to this agreement will terminate upon notice if you do, please Access2Care., locate stores to use your benefit Administrator to ensure your plan sponsor has elected use! `` never effective '' are excluded, and which are excluded, which

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