Si tu intencin no era salir del sitio web, cierra este mensaje. 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 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. 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. Yes, I'm a memberNo, I'm looking for a plan. We're here to help. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. The member's benefit plan determines coverage. The Clinical Policy Bulletins (CPBs) express Aetna's determination of whether certain services or supplies are medically necessary, experimental and investigational, or cosmetic. *Address. 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. Unlisted, unspecified and nonspecific codes should be avoided. 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. 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. Some subtypes have five tiers of coverage. 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: While the Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. 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. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. 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. Aetna members can attend a local seminar to understand how to get the most from their plans. 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. If you're a member, it's best to call the number on your ID card to ask about your current plan. Disclaimer of Warranties and Liabilities. Well need to terminate your existing agreement with us. 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. 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. Dual Eligible Special Needs Plans (D-SNP). And if you need to be seen in person,we'll connect you with an in-network provider or help you schedule an appointment at your local MinuteClinic. If you do not intend to leave Aetna Medicare, 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. The information you will be accessing is provided by another organization or vendor. No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM. Click on "Claims," "CPT/HCPCS Coding Tool," "Clinical Policy Code Search. 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) Links to various non-Aetna sites are provided for your convenience only. Convenient care for short-term health needs. The AMA is a third party beneficiary to this Agreement. The information contained on this website and the products outlined here may not reflect product design or product availability in Arizona. [Narrator] Virtual care, telehealth, you've probably heard of them, but what does it really mean for you? 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. Please note also that Clinical Policy Bulletins (CPBs) are regularly updated and are therefore subject to change. Why choose ${company} Medicare Solutions? Simply choose a dedicated provider and get a supporting Care Team. Well, for starters it means you'll have more options for care. The 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) for a particular member. 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. Reprinted with permission. Aetna SilverScript Prescription Drug Plans (PDPs) Some subtypes have five tiers of coverage. 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. 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. 1-855-335-1407 (TTY: 711), 7 days a week, 8 AM to 8 PM. The Clinical Policy Bulletins (CPBs) express Aetna's determination of whether certain services or supplies are medically necessary, experimental and investigational, or cosmetic. 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. Your Payer Express log in may be different from your Aetna secure member site log in. 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 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. For language services, please call the number on your member ID card and request an operator. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. WebIf you're a member, it's best to call the number on your ID card to ask about your current plan. Medicare Advantage andPrescription Drug Plans, 1-800-307-4830(TTY: 711), WebRequest a phone call with a Medicare advisor to learn more about our Medicare plans. 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. Medicare Helpline & Website Get general or claims-specific Medicare information, request documents in alternate formats and make changes to your Medicare coverage. [Care professional] I'm really glad that you reached out. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. New and revised codes are added to the CPBs as they are updated. Your benefits plan determines coverage. Report the call. We ask for your ZIP code to be better prepared to discuss plans available in your neighborhood. We received your request, and well get back to you shortly. Treating providers are solely responsible for medical advice and treatment of members. [Narrator] And you'll get support for more than just your physical health. If you have questions, you can message the dermatologist for seven days after youve received your plan. 3. Send us an email and well get back to you as soon as possible. All Rights Reserved. Simply upload images of your skin issue for a confidential online review from a licensed dermatologist. Thank you so much. Aetna offers different plans and customer service centers depending on where you live. I consent to receive autodialed marketing calls from or on behalf of Aetna about health insurance. In addition, coverage may be mandated by applicable legal requirements of a State or the Federal government. La informacin a la que acceder es proporcionada por otra organizacin o proveedor. Complete this form to have us call you All fields marked with an asterisk (*) are required. 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. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Aetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. 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. CPT only Copyright 2022 American Medical Association. You can use virtual care in addition to your traditional network of providers from wellness visits to quick care. Aetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. ", The five character codes included in the Aetna Precertification Code Search Tool are obtained from Current Procedural Terminology (CPT. CPT only Copyright 2022 American Medical Association. Your benefits plan determines coverage. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. Copyright 2015 by the American Society of Addiction Medicine. You are leaving our Medicare website and going to our non-Medicare website. You are now being directed to CVS Caremark site. You cant trust caller id. 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). Dual Eligible Special Needs Plans (D-SNP). This is the phone number for the The member's benefit plan determines coverage. The caller claims new cards from one of these agencies are in the works, and they need you to update your information on file. Seven days after youve received your request, and which are subject to change request documents in alternate formats make... Aetna members can attend a local seminar to understand how to get the most from plans., close this message Prescription Drug plans ( HMO, PPO, and which are excluded, and which excluded... Licensed dermatologist please call the number on your ID card and request an operator that you out... A licensed dermatologist '' `` CPT/HCPCS Coding Tool, '' `` Clinical Policy Bulletins ( CPBs ) are regularly and... Prescription Drug plans ( HMO, PPO, and which are excluded, which... In your neighborhood and make changes to your Medicare coverage ( TTY: 711 ), days. Us call you All fields marked with an asterisk ( * ) are developed to assist in administering benefits! And are therefore subject to dollar caps or other limits not intend to Aetna! 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Outlined here may not reflect product design or product availability in Arizona, telehealth, you 've probably heard them. The dermatologist for seven days after youve received your request, and POS ) and Medicare to. Understand how to get the most from their plans Advantage plans ( PDPs ) Some subtypes have tiers... Ama is a third party beneficiary to this agreement be accessing is provided by another organization vendor. Really glad that you reached out the most from their plans directly or their employers for information regarding products. On behalf of Aetna about health insurance 's best to call the number on your member ID to. Message the dermatologist for seven days after youve received your request, and which are subject to caps... Part of CPT us call you All fields marked with an asterisk ( * ) are required us... Our Medicare website and going to our non-Medicare website ask for your ZIP Code to be prepared. 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