The American Medical Association (AMA) does not directly or indirectly practice medicine or dispense medical services. Treating providers are solely responsible for dental advice and treatment of members. WebContact us by phone The Provider Service Center helps with benefits, claims and many other questions. Reprinted with permission. You can use virtual care in addition to your traditional network of providers from wellness visits to quick care. The AMA is a third party beneficiary to this Agreement. You are now being directed to CVS Caremark site. CPT is a registered trademark of the American Medical Association. 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. 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). It is only a partial, general description of plan or program benefits and does not constitute a contract. The member's benefit plan determines coverage. 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. Aetna handles premium payments through Payer Express, a trusted payment service. 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. 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 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. Any use of CPT outside of Aetna Clinical Policy Bulletins (CPBs) should refer to the most current Current Procedural Terminology which contains the complete and most current listing of CPT codes and descriptive terms. Health benefits and health insurance plans contain exclusions and limitations. Do you want to continue? For language services, please call the number on your member ID card and request an operator. 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. 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). Go to the American Medical Association Web site. I'm glad you contacted us. Want to see options for a different location? Some plans exclude coverage for services or supplies that Aetna considers medically necessary. This form will also update your information in the online provider directory. 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. Im turning 65 or just starting to explore Medicare, Deciding whether to visit a doctor or urgent care center, Learning about treatment options and medical procedures. If you need urgent or emergency care, call 911 and/or your doctor immediately. 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. So if you cant make an in-person visit or want to avoid the ER, you have convenient support to take care of you. Why choose ${company} Medicare Solutions? To gain consent from members to release their pharmacy records to Aetna. Come to a seminar to learn about Aetna Medicare plans and benefits. They do not have access to member accounts but they can provide Aetna Member Services contact information. Disclaimer of Warranties and Liabilities. 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. Do not give out your Aetna member ID number or other personal information. When billing, you must use the most appropriate code as of the effective date of the submission. This information is neither an offer of coverage nor medical advice. 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. 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 responsibility for the content of this product is with Aetna, Inc. and no endorsement by the AMA is intended or implied. 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. 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). 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. This site has its own log in. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. Links to various non-Aetna sites are provided for your convenience only. Disclaimer of Warranties and Liabilities. 1-800-US-AETNA(1-800-872-3862) (TTY: 711)between 8:00 AM and 6:00 PM ET. CPBs include references to standard HIPAA compliant code sets to assist with search functions and to facilitate billing and payment for covered services. Do you want to continue? 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. Links to various non-Aetna sites are provided for your convenience only. I consent to receive autodialed marketing calls from or on behalf of Aetna about health insurance. A Medicare recipient will get a phone call from someone claiming to work for the Center of Medicare and Medicaid Services, the Social Security Administration or an insurance provider. Medical necessity determinations in connection with coverage decisions are made on a case-by-case basis. The AMA is a third party beneficiary to this Agreement. Access to CVS Health Virtual Care is included in your health plan through Aetna, a CVS Health Company. WebAny information we provide is limited to those plans we do offer in your area. 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. 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. Web1-800-US-AETNA (1-800-872-3862) (TTY: 711) between 8:00 AM and 6:00 PM ET.. CVS Health Virtual Care is all about you. Unlisted, unspecified and nonspecific codes should be avoided. Aetna Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits and do not constitute dental advice. Health information programs provide general health information and are not a substitute for diagnosis or treatment by a physician or other health care professional. 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. Report the call. The information contained on this website and the products outlined here may not reflect product design or product availability in Arizona. It may be different from your Aetna secure member site log in. Convenient and affordable care wherever you need it. Aetna members have access to contact information and resources specific to their plans. Aetna and MinuteClinic, LLC (which either operates or provides certain management support services to MinuteClinic-branded walk-in clinics) are part of the CVS Health family of companies. Medicare medical and dental plans - 1-800-624-0756 (TTY: 711) Non-Medicare The responsibility for the content of this product is with Aetna, Inc. and no endorsement by the AMA is intended or implied. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. CPT is a registered trademark of the American Medical Association. Treating providers are solely responsible for medical advice and treatment of members. ", The five character codes included in the Aetna Precertification Code Search Tool are obtained from Current Procedural Terminology (CPT. 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). CPT is a registered trademark of the American Medical Association. Aetna SilverScript Prescription Drug Plans (PDPs) Complete this form to request our representatives visit you at home to discuss the Aetna Medicare Advantage plans available in your area. WebRequest a phone call with a Medicare advisor to learn more about our Medicare plans. Others have four tiers, three tiers or two tiers. [Virtual care professional] It's nice to see you. And making your next steps easier with a dedicated Care Team. 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. Click on "Claims," "CPT/HCPCS Coding Tool," "Clinical Policy Code Search. Treating providers are solely responsible for medical advice and treatment of members. 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. This site has its own 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. [Narrator] Our quality providers are here for you 24/7/365. [Narrator] Because healthier happens together. The responsibility for the content of this product is with Aetna, Inc. and no endorsement by the AMA is intended or implied. This search will use the five-tier subtype. With telemedicine services through Teladoc Health, youll have access to: A national network of board-certified PCPs, family practitioners and pediatricians is here to support you. WebHMO and Medicare Advantage - 1-800-624-0756 (TTY: 711) Indemnity and PPO-based plans - 1-888-MD AETNA (1-888-632-3862) (TTY: 711) Voluntary plans - 1-888-772-9682 (TTY: Note: If you are a hospital based provider seeking to join an already contracted group, you do not need to complete the application independently. 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. Medical necessity determinations in connection with coverage decisions are made on a case-by-case basis. Find a provider You may also refer your patients to Teladoc. Search for Medicare plans in your area here. If you do not intend to leave our site, close this message. 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. All Rights Reserved. Your benefits plan determines coverage. Am and 6:00 PM ET product availability in Arizona or program benefits and health insurance plans contain and! Have access to contact information or want to avoid the ER, have. 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