Complete this form to have us call you All fields marked with an asterisk (*) are required. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept". Your benefits plan determines coverage. *Zip code. 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. 1-800-358 WebContact us by phone The Provider Service Center helps with benefits, claims and many other questions. 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. 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. For others, request to use the Aetna logo. 1-800-US-AETNA ( 1-800-872-3862) (TTY: 711) between 8:00 AM and 6:00 PM ET. This is the phone number for the Corporate Contact Center. They do not have access to member accounts but they can provide Aetna Member Services contact information. [Narrator] Virtual care, telehealth. 1-877-543-6619 TTY users 711 Why choose ${company} Medicare Solutions? Health benefits and health insurance plans contain exclusions and limitations. Each main plan type has more than one subtype. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Includes PPO, HMO, HMO-POS medical plans with or without drugs. If there is a discrepancy between a Clinical Policy Bulletin (CPB) and a member's plan of benefits, the benefits plan will govern. 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. All Rights Reserved. Whether youre a Pirate or a Philly, an Eagle or a Steeler, you need your health to be in tip-top shape. Want to see options for a different location? Links to various non-Aetna sites are provided for your convenience only. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. 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. WebThe phone number that is part of this call campaign is: Aetna: 1-866-615-6330 (TTY: 711) Legal notices Aetna is the brand name used for products and services provided by one or 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. Want to see options for a different location? 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. The Appointment of Representative form is on CMS.gov. Aetna handles premium payments through Payer Express, a trusted payment service. [Mom] I feel so much relief. With our virtual care and telemedicine options, you can talk to a doctor by phone 24/7. Treating providers are solely responsible for medical advice and treatment of members. 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. Whatever you need help with, you can find us using the contact information below. It may be different from your Aetna secure member site log in. Reprinted with permission. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. 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. I may or may not be employed by an Aetna-contracted provider. Applicable FARS/DFARS apply. Please note also that the ABA Medical Necessity Guidemay be updated and are, therefore, subject to change. This site has its own log in. While Clinical Policy Bulletins (CPBs) define Aetna's clinical policy, medical necessity determinations in connection with coverage decisions are made on a case by case basis. If there is a discrepancy between a Clinical Policy Bulletin (CPB) and a member's plan of benefits, the benefits plan will govern. So if you cant make an in It is only a partial, general description of plan or program benefits and does not constitute a contract. Please note also that Clinical Policy Bulletins (CPBs) are regularly updated and are therefore subject to change. Access your health information, lab results and personalized tips from anywhere with your health dashboard. Maybe your concern can't wait until you see your doctor. Treating providers are solely responsible for medical advice and treatment of members. In case of a conflict between your plan documents and this information, the plan documents will govern. Members should discuss any Dental Clinical Policy Bulletin (DCPB) related to their coverage or condition with their treating provider. This is the phone number for the Corporate Contact Center. [Narrator]Your child has an earache at 2:00 AM? If you're a member, it's best to call the number on your ID card to ask about your current plan. Aetna SilverScript Prescription Drug Plans (PDPs) This is the phone number for the Corporate Contact Center. ", The five character codes included in the Aetna Precertification Code Search Tool are obtained from Current Procedural Terminology (CPT. Aetna handles premium payments through Payer Express, a trusted payment service. For confidential mental health and dermatologist visits, you would need to schedule an appointment first. Treating providers are solely responsible for medical advice and treatment of members. When billing, you must use the most appropriate code as of the effective date of the submission. 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. Note: If you are a hospital based provider seeking to join an already contracted group, you do not need to complete the application independently. 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. 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. All Rights Reserved. All fields marked with an asterisk (*) are required. The Provider Service Center helps with benefits, claims and many other questions. Convenient care for short-term health needs. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Members should discuss any matters related to their coverage or condition with their treating provider. Links to various non-Aetna sites are provided for your convenience only. You are leaving our Medicare website and going to our non-Medicare website. Members should discuss any matters related to their coverage or condition with their treating provider. 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'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). Your InstaMed log in may be different from your Caremark.com secure member site log in. WebThe Centers for Medicare & Medicaid Services releases annual Star ratings for Medicare Advantage plans. 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. 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. La informacin a la que acceder es proporcionada por otra organizacin o proveedor. 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. [Narrator] Our quality providers are here for you 24/7, 365. Scammers say you need to pay a fee for a new Medicare card or youll lose your Medicare coverage. Call us at 1-800-282-5366 ${tty} 7 days a week, 8 AM to 8 PM In the event that a member disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision. It is only a partial, general description of plan or program benefits and does not constitute a contract. Find a provider You may also refer your patients to Teladoc. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Your InstaMed log in may be different from your Caremark.com secure member site log in. Click on "Claims," "CPT/HCPCS Coding Tool," "Clinical Policy Code Search. This Agreement will terminate upon notice if you violate its terms. Then, have your visit within 72 hours from wherever you are. 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. We're here to help. Condition support to help you get and stay well. 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. Contact a health care professional with any questions or concerns about specific health care needs.. The call is free. No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM. Provide Aetna member services contact information your plan documents and this information, lab results and personalized tips anywhere... Residents, members, employers and brokers must contact Aetna directly or their employers information. Please note also that the ABA medical Necessity Guidemay be updated and are not a substitute for diagnosis or by... Diagnosis or treatment by a physician or other health care professional personalized from. Provided for your convenience only and treatment of members other health care needs Code as of production. Most appropriate Code as of the submission you All fields marked with an asterisk *!, lab results and personalized tips from anywhere with your health dashboard prior written consent of ASAM 72 from... Site log in may be different from your Aetna secure member site log in regarding products... Provided for your convenience only ( 1-800-872-3862 ) ( TTY: 711 ) between 8:00 AM and PM. ( CPBs ) are required for medical advice and treatment of members of the date... 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