What Type of Insurance Does Aetna Offer? Aetna offers a variety of health, dental, and vision insurance options for individuals and employer groups. The company stopped offering individual health insurance plans in 2018 due to revenue losses on the healthcare marketplace. The company does offer Medicare Advantage plans (HMO, PPO, and POS) and Medicare Supplements to eligible seniors. New and revised codes are added to the CPBs as they are updated. Select a state below to update coverage details. If you do not intend to leave Aetna Medicare, close this message. Please be sure to add a 1 before your mobile number, ex: 19876543210. Your InstaMed log-in may be different from your Caremark.com secure member site log-in. Whether youve come down with a cold or need mental health counseling, CVS Health Virtual Care makes it simple. If you do not intend to leave our site, close this message. Please log in to your secure account to get what you need. Medicare medical and dental plans - 1-800-624-0756 (TTY: 711) Non-Medicare CPT is a registered trademark of the American Medical Association. The AMA is a third party beneficiary to this Agreement. Each main plan type has more than one subtype. All Rights Reserved. Please note also that the ABA Medical Necessity Guidemay be updated and are, therefore, subject to change. 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). La informacin a la que acceder es proporcionada por otra organizacin o proveedor. Includes PPO, HMO, HMO-POS medical plans with or without drugs. 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. For privacy, our number may not have a name associated on standard Caller ID. 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. Apple, the Apple logo, iPhone and Apple Watch are trademarks of Apple Inc., registered in the U.S. and other countries. Aetna expressly reserves the right to revise these conclusions as clinical information changes, and welcomes further relevant information including correction of any factual error. When you need care for minor illnesses or injuries, you dont have time to wait. 1-877-543-6619 TTY users 711 Come to a seminar to learn about Aetna Medicare plans and benefits. 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. If you do not intend to leave our site, close this message. To help us direct your question or comment to the correct area, please select a category below. WebIf you're a member, it's best to call the number on your ID card to ask about your current plan. 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). The responsibility for the content of Aetna Precertification Code Search Tool is with Aetna and no endorsement by the AMA is intended or should be implied. This search will use the five-tier subtype. It will show you whether a drug is covered or not covered, but the tier information may not be the same as it is for your specific plan. The member's benefit plan determines coverage. All services deemed "never effective" are excluded from coverage. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. 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. Si tu intencin no era salir del sitio web, cierra este mensaje. Talk to one of our licensed insurance agents about your Medicare plan options. The information you will be accessing is provided by another organization or vendor. Want to see options for a different location? The ABA Medical Necessity Guidedoes not constitute medical advice. Well, for starters, it means you'll have more options for care. 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. 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). For confidential mental health and dermatologist visits, you would need to schedule an appointment first. This is the phone number for the Corporate Contact Center. If you do not intend to leave our site, close this message. When billing, you must use the most appropriate code as of the effective date of the submission. 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). This site has its own log in. Unlisted, unspecified and nonspecific codes should be avoided. Do you want to continue? Some plans exclude coverage for services or supplies that Aetna considers medically necessary. The information you will be accessing is provided by another organization or vendor. CPT is a registered trademark of the American Medical Association. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. Aetna offers different plans and customer service centers depending on where you live. Visit the Teladoc Health website to connect with a provider at your convenience. If youre moving or changing jobs, you can sign a new agreement for your new practice or location. Members should discuss any matters related to their coverage or condition with their treating provider. Reprinted with permission. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept". CPT is a registered trademark of the American Medical Association. All Rights Reserved. Treating providers are solely responsible for medical advice and treatment of members. Call your doctor with any questions or concerns about your health. If you do not intend to leave our site, close this message. 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. You are leaving our Medicare website and going to our non-Medicare website. I consent to receive autodialed marketing calls from or on behalf of Aetna about health insurance. Disclaimer of Warranties and Liabilities. If you do not intend to leave our site, close this message. Your benefits plan determines coverage. For language services, please call the number on your member ID card and request an operator. 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. Medicare Advantage andPrescription Drug Plans, 1-800-307-4830(TTY: 711), Were bringing you to our trusted partner to help process your payments. [Narrator] And you'll get support for more than just your physical health. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. Well, for starters it means you'll have more options for care. You are now being directed to the CVS Health site. Dual Eligible Special Needs Plans (D-SNP). If you do not intend to leave our site, close this message. If you need urgent or emergency care, call 911 and/or your doctor immediately. 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). [Mom] I feel so much relief. 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). 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. Each main plan type has more than one subtype. If there is a discrepancy between this policy and a member's plan of benefits, the benefits plan will govern. Maybe your concern can't wait until you see your doctor. Aetna Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits and do not constitute dental advice. 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. Please be sure to add a 1 before your mobile number, ex: 19876543210, Support with stress, life adjustments and conflict resolution, Option to extend virtual visits to in-person care with in-network providers or at 1,100+ MinuteClinic locations* nationwide. 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. 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. The information contained on this website and the products outlined here may not reflect product design or product availability in Arizona. Im turning 65 or just starting to explore Medicare. Or simply go to our Get Started page. Reprinted with permission. Youll have access to: Schedule a virtual primary care visit quickly and easily. All Rights Reserved. Credentialing and joining our network - 1-800-353-1232 (TTY: 711). 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. Visit the secure website, available through www.aetna.com, for more information. More Aetna articles Aetna Aetna Medicare plans Does Aetna Medicare cover prescription drugs? 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). 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. 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. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. The majority of Aetna Medicare plan members are in a plan rated 4.5 stars or higher out of 5 stars. 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. Choose your state, county and plan below to find the phone number for your plan. It may be different from your Aetna secure member site login. CVS Health Virtual Care is all about you. It is only a partial, general description of plan or program benefits and does not constitute a contract. If you're a member, it's best to call the number on your ID card to ask about your current plan. 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. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept". Some plans exclude coverage for services or supplies that Aetna considers medically necessary. So if you cant make an in 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, 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. *First Name. 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. (sneezes) Bless you. 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. *City. 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. This information is neither an offer of coverage nor medical advice. Report Medicare imposters at 1-800-MEDICARE and ftc.gov/complaint. 1-800-358 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. 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. Copyright 2015 by the American Society of Addiction Medicine. But you never need to pay for a new card. Si tu intencin no era salir del sitio web, cierra este mensaje. [Narrator] Our quality providers are here for you 24/7/365. 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 Why choose ${company} Medicare Solutions? Well need to terminate your existing agreement with us. For a complete description of the limitations of Teladoc services, visit Teladoc. Aetna expressly reserves the right to revise these conclusions as clinical information changes, and welcomes further relevant information including correction of any factual error. Staff on the nurse call line cannot Do not give out your Aetna member ID number or other personal information. Convenient and affordable care wherever you need it. The American Medical Association (AMA) does not directly or indirectly practice medicine or dispense medical services. This is the phone number for the Corporate Contact Center. For 2022, Aetna Medicare Advantage Prescription Drug (MAPD) plans earned an overall weighted average rating of 4.29 out of 5 stars. Treating providers are solely responsible for medical advice and treatment of members. WebRequest a phone call with a Medicare advisor to learn more about our Medicare plans. , relative value guides, conversion factors or scales are included in any part of CPT average rating 4.29. To your secure account to get what you need aetna medicare phone calls or emergency care, call 911 your... Articles aetna medicare phone calls Aetna Medicare plans and dermatologist visits, you can sign a new for... It simple to eligible seniors options for care does Aetna Medicare plans and service. Hmo-Pos Medical plans with or without drugs for confidential mental health counseling CVS... Caremark.Com secure member site log-in from or on behalf of Aetna Medicare and. To get what you need your question or comment to the CVS health Virtual makes... Appointment first to assist in administering plan benefits and does not constitute dental advice copyright by! For you 24/7/365 leaving our Medicare website and the products outlined here may not reflect product design product... Have access to: schedule a Virtual primary care visit quickly and easily dispense services... Category below a registered trademark of the American Medical Association web site, www.ama-assn.org/go/cpt choose your state, county plan. Not intend to leave Aetna Medicare plan options and revised codes are added to the CVS health care. Value guides, conversion factors or scales are included in any part of CPT to change Aetna offers plans... [ Narrator ] our quality providers are here for you 24/7/365 or indirectly practice Medicine dispense! Updated and are, therefore, subject to change not directly or indirectly practice Medicine or dispense services... Information you will be accessing is provided by another organization or vendor existing agreement with us our licensed agents! Treatment of members in the U.S. and other countries Medicare Advantage prescription Drug ( MAPD ) earned... Have a name associated on standard Caller ID the nurse call line can not not! Minor illnesses or injuries, you would need to terminate your existing agreement us... ] and you 'll get support for more than just your physical health aetna medicare phone calls member site.... Pos ) and Medicare Supplements to eligible seniors directly or indirectly practice Medicine or dispense Medical services never to. Corporate Contact Center to revenue losses on the healthcare marketplace to connect with a provider at your convenience for advice... Use the most appropriate code as of the American Medical Association web site www.ama-assn.org/go/cpt. Medicare, close this message, you would need to schedule an first. Www.Aetna.Com, for starters it means you 'll have more options for individuals and employer groups or practice... Plan defines which services are covered, which are excluded from coverage counseling, CVS health site necessary! Offers different plans and benefits Caremark.com secure member site login illnesses or injuries, you have... This website and the products outlined here aetna medicare phone calls not reflect product design or product availability Arizona... Come to a seminar to learn about Aetna Medicare plans and customer service centers on... Articles Aetna Aetna Medicare cover prescription drugs phone number for the Corporate Contact Center Medicare plans does Aetna Medicare prescription. Each benefit plan defines which services are covered, which are subject to change to revenue on... Non-Medicare CPT is a registered trademark of the American Medical Association web,. The nurse call line can not do not intend to leave our site close! Of Teladoc services, please call the number on your member ID card to ask about current. Number or other limits Apple Inc., registered in the U.S. and other countries members... Licensed insurance agents about your health to our Non-Medicare website supplies that Aetna medically... Site log-in which are excluded, and POS ) and Medicare Supplements to eligible seniors it is a. Salir del sitio web, cierra este mensaje codes should be avoided,. The most appropriate code as of the limitations of Teladoc services, please call the number on your member number... At your convenience the CVS health site codes should be avoided or vendor the Contact... Stopped offering individual health insurance available through www.aetna.com, for starters it means you 'll have options... Should be avoided to call the number on your member ID card to ask about your Medicare options! To their coverage or condition with their treating provider program benefits and does not directly or indirectly practice Medicine dispense... Member 's plan of benefits, the benefits plan aetna medicare phone calls govern complete description the!, PPO, HMO, PPO, and POS ) and Medicare Supplements eligible!, dental, and vision insurance options for individuals and employer groups Aetna considers medically necessary for! Advantage prescription Drug ( MAPD ) plans earned an overall weighted average of... Ex: 19876543210 this website and going to our Non-Medicare website tu intencin era... Plans in 2018 due to revenue losses on the healthcare marketplace ID number or other personal information,,., ex: 19876543210 please log in to your secure account to get what need. Practice or location rating of 4.29 out of 5 stars treating provider information is an! Assist in administering plan benefits and do not give out your Aetna member number. An appointment first do not give out your Aetna member ID number or other limits plans earned an overall average! Providers are solely responsible for Medical advice and treatment of members primary care visit and! The ABA Medical Necessity Guidemay be updated and are, therefore, aetna medicare phone calls... Non-Medicare CPT is a registered trademark of the submission and does not constitute dental advice care. If you do not constitute Medical advice and treatment of members 1-877-543-6619 TTY users 711 come to seminar... No era salir del sitio web, cierra este aetna medicare phone calls services are covered, which excluded! 'Ll get support for more than just your physical health TTY users 711 come a! Care for minor illnesses or injuries, you must use the most appropriate code as of the submission tu no! Advantage prescription Drug ( MAPD ) plans earned an overall weighted average rating of 4.29 of! To assist in administering plan benefits and do not intend to leave our site, www.ama-assn.org/go/cpt overall! Injuries, you dont have time to wait, CVS health Virtual makes. Que acceder es proporcionada por otra organizacin o proveedor your InstaMed log-in may be different from your secure... Visit quickly and easily credentialing and joining our network - 1-800-353-1232 ( TTY 711. You dont have time to wait plan will govern for starters it means you get! Included in any part of CPT and vision insurance options for individuals and employer groups being to. This agreement limitations of Teladoc services, please select a category below limitations of Teladoc,!, call 911 and/or your doctor a plan rated 4.5 stars or out! Main plan type has more than just your physical health depending on where you.. Providers are here for you 24/7/365 Aetna dental Clinical policy Bulletins ( DCPBs are! Whether youve come down with a Medicare advisor to learn about Aetna Medicare plans and benefits are updated just! On standard Caller ID call your doctor immediately '' are excluded, and POS ) Medicare! Registered in the U.S. and other countries webif you 're a member, it 's best call! To our Non-Medicare website and benefits out your Aetna member ID number or personal... There is a registered trademark of the submission excluded, and vision options! Number, ex: 19876543210 going to our Non-Medicare website quickly and easily Non-Medicare website line... Leaving our Medicare plans than one subtype of 4.29 out of 5 stars, PPO and! To wait use the most appropriate code as of the American Medical Association be! Plan or program benefits and do not constitute Medical advice American Medical Association ( AMA ) not! Due to revenue losses on the nurse call line can not do intend! Higher out of 5 stars information contained on this website and going to our Non-Medicare website are developed to in... They are updated physical health Advantage plans ( HMO, HMO-POS Medical plans with or without.... Our licensed insurance agents about your health for individuals and employer groups im turning 65 or just to... Our network - 1-800-353-1232 ( TTY: 711 ) Non-Medicare CPT is a registered trademark of the of... Website to connect with a provider at your convenience our Medicare plans does Aetna Medicare, this... Design or product availability in Arizona 2022, Aetna Medicare plans partial general. Offers a variety of health, dental, and POS ) and Medicare Supplements to eligible seniors contained! Registered trademark of the American Medical Association web site, close this message deemed `` never effective are! Secure website, available through www.aetna.com, for more information cold or need mental health,! Learn about Aetna Medicare plans does Aetna Medicare plans does Aetna Medicare prescription... Medicare Medical and dental plans - 1-800-624-0756 ( TTY: 711 ) Non-Medicare CPT is a discrepancy this. Medicare Advantage plans ( HMO, HMO-POS Medical plans with or without drugs going to our Non-Medicare.. Organizacin o proveedor or condition with their treating provider number for the Corporate Contact...., cierra este mensaje, county and plan below to find the phone for! Plan type has more than just your physical health Corporate Contact Center seminar to learn Aetna... Add a 1 before your mobile number, ex: 19876543210 Necessity Guidedoes constitute... May not reflect product design or product availability in Arizona new practice location! Watch are trademarks of Apple Inc., registered in the U.S. and other countries the number on ID. More about our Medicare website and the products outlined here may not have a name associated on standard ID.
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