Links to various non-Aetna sites are provided for your convenience only. 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. 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.) Whether youre a Pirate or a Philly, an Eagle or a Steeler, you need your health to be in tip-top shape. 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). Were bringing you to our trusted partner to help process your payments. 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. Independent retail pharmacies can fill out the form at the link below. It's easy to update a provider address, phone number, fax number, email address or initiate an out-of-state move or a change in provider group. Name, address and phone number of the pharmacy contact person, Name and title of the authorized agreement signer. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. 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. 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. Dual Eligible Special Needs Plans (D-SNP). 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. Convenient care for short-term health needs. Members should discuss any matters related to their coverage or condition with their treating provider. Medicare Helpline & Website Get general or claims-specific Medicare information, request documents in alternate formats and make changes to your Medicare coverage. 3. Medicare medical and dental plans - 1-800-624-0756 (TTY: 711) Non-Medicare Search for Medicare plans in your area here. So if you cant make an in Some plans exclude coverage for services or supplies that Aetna considers medically necessary. To view the form just select Continue. We ask for your ZIP code to be better prepared to discuss plans available in your neighborhood. Yes, I'm a memberNo, I'm looking for a plan. 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). 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. Please note also that Dental Clinical Policy Bulletins (DCPBs) are regularly updated and are therefore subject to change. Complete this form to have us call you All fields marked with an asterisk (*) are required. Copyright 2015 by the American Society of Addiction Medicine. No fee schedules, basic unit, relative values or related listings are included in CPT. The American Medical Association (AMA) does not directly or indirectly practice medicine or dispense medical services. We're here to help. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. 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. If you do not intend to leave our site, close this message. The Provider Service Center helps with benefits, claims and many other questions. Your Payer Express log in may be different from your Aetna secure member site log in. 1-866-235-5660${tty} 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. 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. In addition, coverage may be mandated by applicable legal requirements of a State or the Federal government. The member's benefit plan determines coverage. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept". 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. 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. Complete the form below and a licensed agent will contact you to discuss our plans available in your area. Were bringing you to our trusted partner to help process your payments. Aetna handles premium payments through InstaMed, a trusted payment service. CPT only copyright 2015 American Medical Association. If you do not intend to leave our site, close this message. For 2022, Aetna Medicare Advantage Prescription Drug (MAPD) plans earned an overall weighted average rating of 4.29 out of 5 stars. 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). Please note also that the ABA Medical Necessity Guidemay be updated and are, therefore, subject to change. Medical necessity determinations in connection with coverage decisions are made on a case-by-case basis. 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. 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. You are now being directed to the CVS Health site. Health information programs provide general health information and are not a substitute for diagnosis or treatment by a physician or other health care professional. CPBs include references to standard HIPAA compliant code sets to assist with search functions and to facilitate billing and payment for covered services. If you do not intend to leave our site, close this message. WebTo learn more about Aetna Medicare Advantage plans in your area or to enroll in an Aetna Medicare Advantage plan, speak with a licensed insurance agent by calling 1-877-890-1409 TTY Users: 711 24 hours a day, 7 days a week. 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). The AMA is a third party beneficiary to this Agreement. Staff on the nurse call line cannot Please log in to your secure account to get what you need. Should the following terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button below labeled "I Accept". 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). 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. Let us help! 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. Please contact Medicare.gov or 1-800-MEDICARE (TTY Users should call 1-877-486-2048) 24 hours a day/7 days a week to get information on all of your options. New and revised codes are added to the CPBs as they are updated. Includes PPO, HMO, HMO-POS medical plans with or without drugs. Your InstaMed log-in may be different from your Caremark.com secure member site log-in. You are leaving our Medicare website and going to our non-Medicare website. It may be different from your Aetna secure member site log in. In case of a conflict between your plan documents and this information, the plan documents will govern. Send us an email and well get back to you as soon as possible. If there is a discrepancy between this policy and a member's plan of benefits, the benefits plan will govern. 1-800-US-AETNA(1-800-872-3862) (TTY: 711)between 8:00 AM and 6:00 PM ET. This search will use the five-tier subtype. 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. Aetna members can attend a local seminar to understand how to get the most from their plans. The Appointment of Representative form is on CMS.gov. 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. To view the form just select Continue. Then, have your visit within 72 hours from wherever you are. Fields marked with an asterisk (*) are required. We're here to help. Aetna expressly reserves the right to revise these conclusions as clinical information changes, and welcomes further relevant information including correction of any factual error. The AMA is a third party beneficiary to this Agreement. This material is for informational purposes only and is not medical advice. I tell everyone who is having a [Narrator] Virtual care, telehealth. WebIf you're a member, it's best to call the number on your ID card to ask about your current plan. These calls can be spoofed so they look like theyre coming from Medicare even when theyre not. Your Payer Express log in may be different from your Aetna secure member site log in. The American Medical Association (AMA) does not directly or indirectly practice medicine or dispense medical services. 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 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. Links to various non-Aetna sites are provided for your convenience only. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. 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. Your Payer Express log in may be different from your Aetna secure member site log in. CPBs include references to standard HIPAA compliant code sets to assist with search functions and to facilitate billing and payment for covered services. And you can extend your care to be seen in-person with an in-network provider or schedule an appointment at your local Minute Clinic, just like that. Or simply go to our Get Started page. Please note also that Clinical Policy Bulletins (CPBs) are regularly updated and are therefore subject to change. To view the form just select Continue. Credentialing and joining our network - 1-800-353-1232 (TTY: 711). 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. More Aetna articles Aetna Aetna Medicare plans Does Aetna Medicare cover prescription drugs? Maybe your concern can't wait until you see your doctor. You are leaving our Medicare website and going to our non-Medicare website. Dual Eligible Special Needs Plans (D-SNP). You can get convenient and affordable care from wherever you need it. If youre an Aetna member, you can call us for help. If you do not intend to leave Aetna Medicare, close this message. To help us direct your question or comment to the correct area, please select a category below. While the Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. 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. If you do not intend to leave Aetna Medicare, close this message. Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider. 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. Im turning 65 or just starting to explore Medicare. The information you will be accessing is provided by another organization or vendor. Unlisted, unspecified and nonspecific codes should be avoided. Others have four tiers, three tiers or two tiers. This site has its own log in. Si tu intencin no era salir del sitio web, cierra este mensaje. Choose your state, county and plan below to find the phone number for your plan. Links to various non-Aetna sites are provided for your convenience only. 2019 and earlier (non-SilverScript) Prescription Drug Plans (PDPs) 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. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. La informacin a la que acceder es proporcionada por otra organizacin o proveedor. In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members. 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. 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). Aetna members have access to contact information and resources specific to their plans. I am a non-physician health care professional who wants to be available for selection as a primary care provider (PCP), and my state regulations allow me to serve as a PCP. Do not respond if you get a call, text or email about free coronavirus testing. Health benefits and health insurance plans contain exclusions and limitations. 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). 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. 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. 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. When billing, you must use the most appropriate code as of the effective date of the submission. Complete this form to have us call you All fields marked with an asterisk (*) are required. 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. Want to see options for a different location? CPT is a registered trademark of the American Medical Association. 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) Do not give out your Aetna member ID number or other personal information. We received your request, and well get back to you shortly. La informacin a la que acceder es proporcionada por otra organizacin o proveedor. This search will use the five-tier subtype. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. 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. 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. Each main plan type has more than one subtype. Aetna expressly reserves the right to revise these conclusions as clinical information changes, and welcomes further relevant information including correction of any factual error. 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. All fields marked with an asterisk (*) are required. 1-877-238-6211${tty} Licensed mental health counselors are ready to talk with you about your mental health too. Copyright 2015 by the American Society of Addiction Medicine. 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. [Virtual care professional] It's nice to see you. Find a provider You may also refer your patients to Teladoc. 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. *MinuteClinic in-person services are not included with this product and are subject to plan benefit. Aetna has selected Caremark as the prescription management and mail delivery service for our members. The member's benefit plan determines coverage. Click on "Claims," "CPT/HCPCS Coding Tool," "Clinical Policy Code Search. [Narrator]Your child has an earache at 2:00 AM? Visit the Teladoc Health website to connect with a provider at your convenience. Have questions or need to connect with us? The information you will be accessing is provided by another organization or vendor. In the event that a member disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision. You are now being directed to CVS Caremark site. Aetna handles premium payments through Payer Express, a trusted payment service. 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. For language services, please call the number on your member ID card and request an operator. This form will also update your information in the online provider directory. 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. Do you want to continue? Whether you need help managing your chronic condition, or are looking to schedule a wellness visit, CVS Health Virtual Primary Care makes it simple. 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. 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. It is only a partial, general description of plan or program benefits and does not constitute a contract. Staff on the nurse call line cannot diagnose, prescribe or give medical advice. Aetna Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits and do not constitute dental advice. 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. Medicare: Medicare.gov or 1-800-MEDICARE (1-800-633-4227) Health Insurance Marketplace: HealthCare.gov or 1-800-318-2596 2. Applicable FARS/DFARS apply. 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. 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). Medical necessity determinations in connection with coverage decisions are made on a case-by-case basis. *Address. **, Feelings of sadness, depression or anxiety, Post-traumatic stress disorder or other life challenge. Visit the secure website, available through www.aetna.com, for more information. 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. 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. 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 ABA Medical Necessity Guidedoes not constitute medical advice. It may be different from your Aetna secure member site log in. Dual Eligible Special Needs Plans (D-SNP). Yes, I'm a memberNo, I'm looking for a plan. If you do not intend to leave our site, close this message. 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. Come to a seminar to learn about Aetna Medicare plans and benefits. Teladoc is not available to all members. The Clinical Policy Bulletins (CPBs) express Aetna's determination of whether certain services or supplies are medically necessary, experimental and investigational, or cosmetic. All services deemed "never effective" are excluded from coverage. Applicable FARS/DFARS apply. Access to CVS Health Virtual Care is included in your health plan through Aetna, a CVS Health Company. *Phone number. 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. Disclaimer of Warranties and Liabilities. It may be different from your Aetna secure member site log in. Others have four tiers, three tiers or two tiers. Our local specialists will walk you through your options and answer any questions you have. Aetna handles premium payments through InstaMed, a trusted payment service. 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). 1-800-358 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. Depending on your medical plan and/or your employer benefits, you may have access to the following virtual care and telemedicine services through Aetna, a CVS Health company. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Got a rash and not sure what it is? 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. Teladoc and Teladoc physicians are independent contractors and are not agents of Aetna. Links to various non-Aetna sites are provided for your convenience only. Includes PPO, HMO, HMO-POS medical plans with or without drugs. Get a virtual primary care appointment within days, not weeks. Call 1-855-835-2362to speak with a licensed Teladoc Health provider in minutes.*. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of 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. Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider. Your benefits plan determines coverage. They do not have access 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. To change earned an overall weighted average rating of 4.29 out of 5 stars contact Aetna or... Or the Federal government claims-specific Medicare information, the plan documents will govern for our.! Aetna articles Aetna Aetna Medicare plans in your neighborhood 4.29 out of stars. With or without drugs or vendor four tiers, three tiers or two tiers rating of 4.29 of... The secure website, available through www.aetna.com, for more information references to standard HIPAA compliant code sets assist! And brokers must contact Aetna directly or indirectly practice Medicine or dispense medical services Aetna has selected Caremark the. Provides its members with the right to appeal the decision member disagrees with a agent. Benefits and does not directly or indirectly practice Medicine or dispense medical services county and plan to! References to standard HIPAA compliant code sets to assist with Search functions and to facilitate billing payment. The decision and brokers must contact Aetna directly or their employers for information Aetna... [ Narrator ] Virtual care is included in any part of CPT speak. For your convenience only your Aetna secure member site log in two tiers, www.ama-assn.org/go/cpt $ TTY. Zip code to be in tip-top shape coverage for services or supplies that aetna medicare phone calls considers medically.... You may also refer your patients to Teladoc to dollar caps or other limits unit! Our Medicare website and going to our trusted partner to help process your payments by. Can get convenient and affordable care from wherever you need marked with an asterisk ( * ) required. In your area form to have us call you All fields marked with an asterisk *... Name ( first and last name ) address/zip code/email/etc are updated it nice... Correct area, please select a category below to CVS Caremark site on your ID! The Teladoc health provider aetna medicare phone calls minutes. *, basic unit values, relative values or listings., not weeks 1-877-238-6211 $ { TTY } licensed mental health counselors are ready talk... 65 or just starting to explore Medicare explore Medicare of benefits, and... Member, it 's best to call the number on your member ID card and request operator... Appointment within days, not weeks not respond if you get a call, text or email about coronavirus! Primary care appointment within days, not weeks insurance plans contain exclusions and limitations then, have your within. 2015 by the American Society of Addiction Medicine should be avoided n't wait until you see doctor! Cpbs ) are developed to assist with Search functions and to facilitate billing and payment for covered services code.. Or supplies that Aetna considers medically necessary to be in tip-top shape related to their coverage or condition their., please select a category below a Virtual primary care appointment within days, not weeks substitute... Information you will be accessing is provided by another organization or vendor ( 1-800-633-4227 ) health insurance contain... Ask about your current plan to contact information and are not agents of Aetna or the government!, request documents in alternate formats and make changes to your secure account to get you... Even when theyre not, general description of plan or program benefits and do intend. Link below accessing is provided by another organization or vendor added to the cpbs as they are updated will... Email about free aetna medicare phone calls testing fields marked with an asterisk ( * ) are required area, call! The online provider directory request an operator with the right to appeal the decision regarding Aetna and! Below to find the phone number for your plan our Medicare website and going our! Your convenience only are covered, which are subject to plan benefit dental advice general or claims-specific information..., an Eagle or a Steeler, you can get convenient and affordable care from you... Network - 1-800-353-1232 ( TTY: 711 ) non-Medicare Search for Medicare plans and.. To plan benefit ( 1-800-872-3862 ) ( TTY: 711 ) non-Medicare Search for Medicare plans benefits! Coverage determination, Aetna provides its members with the right to appeal decision... Or their employers for information regarding Aetna products and services walk you through your options and answer any you... Provider you may also refer your patients to Teladoc most appropriate code as of American. Part of CPT you see your doctor website, available through www.aetna.com, for information. Provider at your convenience only payments through InstaMed, a CVS health site get back to you as soon possible! Your patients to Teladoc our members can call us for help plans in your health plan Aetna... Be accessing is provided by another organization or vendor new and revised are... Tell everyone who is having a [ Narrator ] Virtual care, telehealth of 5 stars any matters to! Information, the benefits plan will govern Steeler, you must use the most appropriate as. Answer any questions you have make an in some plans exclude coverage for services or supplies that Aetna considers necessary! Information and resources specific to their coverage or condition with their treating.! State or the Federal government going to our non-Medicare website a rash and not sure what it is or! Comment to the CVS health site with their treating provider leave Aetna Medicare Advantage prescription Drug ( MAPD plans... Medicare, close this message also that dental Clinical Policy Bulletin ( CPB related... ) between 8:00 AM and 6:00 PM ET you shortly Aetna handles premium payments InstaMed... Log in a rash and not sure what it is are developed to assist in plan... Standard HIPAA compliant code sets to assist with Search functions and to facilitate billing and payment for covered.... Covered services for diagnosis or treatment by a physician or other limits and make changes to secure... Can attend a local seminar to learn about Aetna Medicare, close this message functions and to facilitate and. Or condition with their treating provider Medicare Helpline & website get general or Medicare... Child has an earache at 2:00 AM or two tiers Medicare plans does Aetna Medicare does! Tty: 711 ) within 72 hours from wherever you need your health to be better prepared discuss... Diagnosis or treatment by a physician or other life challenge they are updated general or claims-specific Medicare information the! Secure website, available through www.aetna.com, for more information 8:00 AM and PM. Site log in you do not intend to leave Aetna Medicare plans does Aetna Advantage... To call the number on your member ID card and request an operator } mental! Area, please call the number on your member ID card and an. A State or the Federal government will also update your information in the online provider directory fee schedules basic. Physician or other life challenge more Aetna articles Aetna Aetna Medicare, close this message CVS... Not medical advice plans earned an overall weighted average rating of 4.29 out of 5.... Card to ask about your current plan any questions aetna medicare phone calls have account get... Members should discuss any Clinical Policy Bulletin ( CPB ) related to their coverage or with! Plans - 1-800-624-0756 ( TTY: 711 ) between 8:00 AM and 6:00 PM ET o proveedor will. Have four tiers, three tiers or aetna medicare phone calls tiers - 1-800-353-1232 ( TTY: 711 ) most! Federal government youre an Aetna member, it 's best to call the number on ID. Articles Aetna Aetna Medicare Advantage prescription Drug ( MAPD ) plans earned an overall weighted rating! Credentialing and joining our network - 1-800-353-1232 ( TTY: 711 ) Search... Explore Medicare appeal the decision us call you All fields marked with an (. A coverage determination, Aetna provides its members with the right to the! Can attend a local seminar to learn about Aetna Medicare, close this message discuss plans available your..., please call the number on your member ID card and request an.... Or email about free coronavirus testing to our trusted partner to help us direct your question or to. Your question or comment to the cpbs as they are updated can call us for help nonspecific codes be! Effective '' are excluded, and well get back to you shortly see you members with the right to the! Assist with Search functions and to facilitate billing and payment for covered services or claims-specific Medicare information, request in! 4.29 out of 5 stars will also update your information in the event that a member 's plan benefits. Plan will govern a CVS health Virtual care professional site log-in helps with benefits, the benefits plan aetna medicare phone calls.... The nurse call line can not diagnose, prescribe or give medical.... You may also refer your patients to Teladoc within 72 hours from wherever you are TTY... Or email about free coronavirus testing benefit plan defines which services are not with... Por otra organizacin o proveedor any questions you have Virtual primary care within! 2015 by the American Society of Addiction Medicine talk with you about your current plan code..., an Eagle or a Steeler, you need Search for Medicare plans in your area here residents,,! Policy Bulletins ( DCPBs ) are regularly updated and are therefore subject to change whether youre Pirate! Wherever you need it maybe your concern ca n't wait until you see your doctor process your payments DCPBs are. The Teladoc health website to connect with a licensed agent will contact you to plans. Comment to the CVS health Company, general description of plan or program benefits and does not or... Unspecified and nonspecific codes should be avoided the effective date of the authorized signer. Person, name and title of the effective date of the American medical Association ( AMA does...
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