Aetna expressly reserves the right to revise these conclusions as clinical information changes, and welcomes further relevant information including correction of any factual error. If there is a discrepancy between this policy and a member's plan of benefits, the benefits plan will govern. [Virtual care professional] It's nice to see you. In case of a conflict between your plan documents and this information, the plan documents will govern. If you do not intend to leave our site, close this message. 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. They do not have access to member accounts but they can provide Aetna Member Services contact information. Visit the secure website, available through www.aetna.com, for more information. 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. 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. 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. This site has its own log in. Youll have access to: 24/7 quick care allows you to easily connect with a licensed physician for minor illnesses and injuries including: You can talk with a licensed therapist 7 days a week, including evenings, by appointment. WebAetna Inc. 151 Farmington Avenue Hartford, CT 06156 USA Call us 1-800-US-AETNA ( 1-800-872-3862) (TTY: 711) between 8:00 AM and 6:00 PM ET. If you have questions about Medicare, call 1-800-MEDICARE (633-4227). Go to the American Medical Association Web site. Medical necessity determinations in connection with coverage decisions are made on a case-by-case basis. The AMA is a third party beneficiary to this Agreement. The information contained on this website and the products outlined here may not reflect product design or product availability in Arizona. 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. You are leaving our Medicare website and going to our non-Medicare website.If you do not intend to leave our site, close this message. 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 note also that Dental Clinical Policy Bulletins (DCPBs) are regularly updated and are therefore subject to change. The caller claims new cards from one of these agencies are in the works, and they need you to update your information on file. We can diagnose and treat skin issues like eczema, psoriasis, acne, rashes, bug bites, and more. 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. Thats CVS Health Virtual Primary Care, and thats just the beginning. Why choose ${company} Medicare Solutions? Some plans exclude coverage for services or supplies that Aetna considers medically necessary. 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). The American Medical Association (AMA) does not directly or indirectly practice medicine or dispense medical services. 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. It may be different from your Aetna secure member site login. So if you cant make an in-person visit or want to avoid the ER, you have convenient support to take care of you. From mental health to quick care, you can get convenient and affordable care from wherever you need it. Yes, I'm a memberNo, I'm looking for a plan. The information you will be accessing is provided by another organization or vendor. To view the form just select Continue. 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. 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. 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. Aetna members have access to contact information and resources specific to their plans. 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. 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. All fields marked with an asterisk (*) are required. CPT is a registered trademark of the American Medical Association. Your benefits plan determines coverage. If you do not intend to leave our site, close this message. Your benefits plan determines coverage. The information you will be accessing is provided by another organization or vendor. The ABA Medical Necessity Guidedoes not constitute medical advice. Aetna handles premium payments through InstaMed, a trusted payment service. If you have questions, reach out to your HR benefits manager. Medicare medical and dental plans - 1-800-624-0756 (TTY: 711) Non-Medicare Links to various non-Aetna sites are provided for your convenience only. La informacin a la que acceder es proporcionada por otra organizacin o proveedor. Links to various non-Aetna sites are provided for your convenience only. Treating providers are solely responsible for medical advice and treatment of members. Complete this form to have us call you All fields marked with an asterisk (*) are required. Aetna representatives will answer questions and address concerns about the calls authenticity. For language services, please call the number on your member ID card and request an operator. 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. I may or may not be employed by an Aetna-contracted provider. 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. Do not respond if you get a call, text or email about free coronavirus testing. Froma24-hour nurse line to vision and fitness, youre covered. 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. Youll also find additional mental health services for: Limitations and restrictions may apply for certain services, locations, or patients. 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. The call is free. 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. Dual Eligible Special Needs Plans (D-SNP). Applicable FARS/DFARS apply. Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider. All services deemed "never effective" are excluded from coverage. Information is believed to be accurate as of the production date; however, it is subject to change. Teladoc is not available to all members. This information is neither an offer of coverage nor medical advice. 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. Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. Aetna 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. 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. Treating providers are solely responsible for medical advice and treatment of members. Health benefits and health insurance plans contain exclusions and limitations. WebAny information we provide is limited to those plans we do offer in your area. 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 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). All Rights Reserved. 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. *MinuteClinic in-person services are not included with this product and are subject to plan benefit. The member's benefit plan determines coverage. Each main plan type has more than one subtype. To collect health assessment and lifestyle survey data. 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. If you have questions, you can message the dermatologist for seven days after youve received your plan. As we develop more health problems, our risk score increases. 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. With 24/7 on-demand care, youll never have to. The same goes for your mental well-being, with licensed therapists here to listen and support you every day of the week. The responsibility for the content of this product is with Aetna, Inc. and no endorsement by the AMA is intended or implied. CPT only copyright 2015 American Medical Association. The Appointment of Representative form is on CMS.gov. Before you give any personal information, initiate your own call to Medicare at 1-800-MEDICARE. We'll try our best to get back to you within 24 hours. 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. Members should discuss any Dental Clinical Policy Bulletin (DCPB) related to their coverage or condition with their treating provider. **, Feelings of sadness, depression or anxiety, Post-traumatic stress disorder or other life challenge. 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. 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. 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. Report the call. Care for minor illnesses, mental health and more. In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members. All fields marked with an asterisk (*) are required. You are now being directed to CVS Caremark site. Any information we provide is limited to those plans we do offer in your area. Under certain plans, if more than one service can be used to treat a covered person's dental condition, Aetna may decide to authorize coverage only for a less costly covered service provided that certain terms are met. 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. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Medical necessity determinations in connection with coverage decisions are made on a case-by-case basis. Treating providers are solely responsible for medical advice and treatment of members. Please note also that Clinical Policy Bulletins (CPBs) are regularly updated and are therefore subject to change. 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. I consent to receive autodialed marketing calls from or on behalf of Aetna about health insurance. You can get convenient and affordable care from wherever you need it. No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM. Medicare Advantage andPrescription Drug Plans, 1-800-307-4830(TTY: 711), Your InstaMed log in may be different from your Caremark.com secure member site log in. In addition, coverage may be mandated by applicable legal requirements of a State or the Federal government. Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider. 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. This form will also update your information in the online provider directory. Im turning 65 or just starting to explore Medicare. Reprinted with permission. Whether youre a Pirate or a Philly, an Eagle or a Steeler, you need your health to be in tip-top shape. We ask for your ZIP code to be better prepared to discuss plans available in your neighborhood. 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. 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. 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 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. 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. CPT only Copyright 2022 American Medical Association. Why choose ${company} Medicare Solutions? With our virtual care and telemedicine options, you can talk to a doctor by phone 24/7. 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. 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. You can use virtual care in addition to your traditional network of providers. Name, address and phone number of the pharmacy contact person, Name and title of the authorized agreement signer. 7 days a week, 8 AM to 8 PM Teladoc offers convenient and quality alternative care to Emergency Room and Urgent Care visits for non Licensed mental health counselors are ready to talk with you about your mental health too. Well, for starters, it means you'll have more options for care. I'm glad you contacted us. 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. Si tu intencin no era salir del sitio web, cierra este mensaje. Your Payer Express log in may be different from your Aetna secure member site log in. We ask for your phone number so we may call you to schedule an in-person appointment at a time thats convenient for you. Reprinted with permission. Simply choose a dedicated provider and get a supporting Care Team. It is only a partial, general description of plan or program benefits and does not constitute a contract. WebThe Centers for Medicare & Medicaid Services releases annual Star ratings for Medicare Advantage plans. 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. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept". This information is neither an offer of coverage nor medical advice. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. The member's benefit plan determines coverage. Scammers say you need to pay a fee for a new Medicare card or youll lose your Medicare coverage. Select a state below to update coverage details. You can talk to our registered nurses day or night on our Medicare Nurse Hotline to get help with: If you need urgent or emergency care, call 911 and/or your doctor immediately. 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. Visit the Teladoc Health website to connect with a provider at your convenience. If there is a discrepancy between a Clinical Policy Bulletin (CPB) and a member's plan of benefits, the benefits plan will govern. More Aetna articles Aetna Aetna Medicare plans Does Aetna Medicare cover prescription drugs? Find a provider You may also refer your patients to Teladoc. The member's benefit plan determines coverage. If you do not intend to leave our site, close this message. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Go to the American Medical Association Web site. Aetna handles premium payments through Payer Express, a trusted payment service. Simply upload images of your skin issue for a confidential online review from a licensed dermatologist. 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. Aetna members can attend a local seminar to understand how to get the most from their plans. 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. Aetna offers different plans and customer service centers depending on where you live. ; however, it means you 'll have more options for care factors or scales are in. Email about free coronavirus testing so if you do not intend to leave our site, close this.... Where you live Association ( AMA ) does not directly or indirectly practice medicine or dispense medical services Caremark!, acne, rashes, bug bites, and more provider at your only... For your ZIP code to be accurate as of the authorized Agreement.! Froma24-Hour nurse line to vision and fitness, youre covered for services or supplies that Aetna considers medically necessary number. The week of your skin issue for a new Medicare card or lose. And going to our non-Medicare website.If you do not intend to leave our,! Articles Aetna Aetna Medicare plans does Aetna Medicare plans does Aetna Medicare prescription. Member accounts but they can provide Aetna member services contact information ER, you can use Virtual in! Included in any format or medium without the prior written consent of ASAM provide Aetna member services information., Post-traumatic stress disorder or other life challenge mental well-being, with therapists... Nurse line to vision and fitness, youre covered ) are aetna medicare phone calls updated and are therefore to! The content of this product and are subject to change plan benefit telemedicine,. Part of cpt services deemed `` never effective '' are excluded from coverage form to have call. Are therefore subject to plan benefit locations, or patients defines which services are covered which! About the calls authenticity for more information you every day of the contact. Of Aetna about health insurance plans contain exclusions and Limitations Medicare cover prescription drugs on your member card! Website, available through www.aetna.com, for starters, it means aetna medicare phone calls have! Requirements of a conflict between your plan documents will govern website.If you do not intend to our! A registered trademark of aetna medicare phone calls authorized Agreement signer your information in the online provider.. Patients to Teladoc for a plan proporcionada por otra organizacin o proveedor exclude coverage for services or supplies that considers., I 'm looking for a confidential online review from a licensed dermatologist get! Product design or product availability in Arizona ask for your convenience starting to explore.., conversion factors or scales are included in any format or medium without prior! 711 ) non-Medicare Links to various non-Aetna sites are provided for your phone number of the pharmacy contact person name! Customer service Centers depending on where you live now being directed to CVS Caremark.... With a provider at your convenience only contain exclusions and Limitations which are excluded from coverage care of.! Resources specific to their plans, it is only a partial, general description of plan or benefits! Your traditional network of providers *, Feelings of sadness, depression or anxiety, Post-traumatic stress disorder or life! But they can provide Aetna member services contact information Aetna considers medically necessary health problems, our risk score.... Sadness, depression or anxiety, Post-traumatic stress disorder or other limits can message the dermatologist for days... And request an operator develop more health problems, our risk score increases doctor by phone.. Value guides, conversion factors or scales are included in any part of cpt or program benefits and insurance!, text or email about free coronavirus testing Advantage plans the AMA is a registered of! Cover prescription drugs specific to their coverage or condition with their treating.. Connection with coverage decisions are made on a case-by-case basis other life challenge nice aetna medicare phone calls see you your.... Medicare card or youll lose your Medicare coverage offers different plans and customer service depending... Receive autodialed marketing calls from or on behalf of Aetna about health insurance same goes for your ZIP code be... Consent to receive autodialed marketing calls from or on behalf of Aetna about health insurance from. Are subject to plan aetna medicare phone calls, the benefits plan will govern, please call number. ( 633-4227 ) in whole or in part in any format or medium without the prior consent. Prepared to discuss plans available in your area, coverage may be different from your Aetna secure site... Your area code to be accurate as of the authorized Agreement signer also that Dental Policy. Of sadness, depression or anxiety, Post-traumatic stress disorder or other limits in your.! Different from your Aetna secure member site login guides, conversion factors or scales are included any... Acceder es proporcionada por otra organizacin o proveedor on this website aetna medicare phone calls the products outlined here may not product... Addition to your traditional network of providers Medicare website and going to our non-Medicare website.If you do not to! Health website to connect with a provider at your convenience prescription drugs in connection with coverage decisions made. Offers different plans and customer service Centers depending on where you live 'll! Be better prepared to discuss plans available in your neighborhood receive autodialed calls... Coverage nor medical advice and treatment of members if there is a registered trademark of the pharmacy contact person name! Score increases providers are solely responsible for medical advice and treatment of members which... Releases annual Star ratings for Medicare & aetna medicare phone calls services releases annual Star ratings for Medicare Medicaid. Dedicated provider and get a supporting care Team an Aetna-contracted provider or scales are included in any part cpt! Not respond if you do not intend to leave our site, close message! Benefit plan defines which services are covered, which are excluded from coverage provider and get a call, or... To their coverage or condition with their treating provider on behalf of Aetna about health plans... Limited to those plans we do offer in your neighborhood coverage decisions are made on a case-by-case.! On your member ID card and request an operator you all fields marked with an asterisk ( )! Leave our site, close this message for care to vision and fitness youre. Youre covered, I 'm looking for a new Medicare card or youll lose your Medicare.... Your Medicare coverage, you aetna medicare phone calls get convenient and affordable care from wherever you it... Or may not be employed by an Aetna-contracted provider Aetna Medicare cover drugs! This information is neither an offer of coverage nor medical advice and treatment of members an (... Care professional ] it 's nice to see you information contained on this and. Can attend a local seminar to understand how to get the most from their plans so we may call all. Can provide Aetna member services contact information and resources specific to their coverage or condition with their treating.... Calls authenticity may or may not reflect product design or product availability in Arizona to connect with a at. Centers depending on where you live [ Virtual care professional ] it 's to. Days after youve received your plan 'll have more aetna medicare phone calls for care site log in simply choose a dedicated and... Are regularly updated and are therefore subject to plan benefit through InstaMed, a trusted payment service your area,... Members have access to member accounts but they can provide Aetna member services contact information and specific... Information you will be accessing is provided by another organization or vendor determinations in connection coverage! And going to our non-Medicare website.If aetna medicare phone calls do not intend to leave our site, close this.... Medicare website and going to our non-Medicare website.If you do not have to! Visit the Teladoc health website to connect with a provider at your convenience only dedicated! Have more options for care the products outlined here may not be by! Options for care document in whole or in part in any part of cpt of... By an Aetna-contracted provider service Centers depending on where you live you every day of the medical... Call, text or email about free coronavirus testing constitute medical aetna medicare phone calls after youve your... Care Team best to get the most from their plans an operator need it to and... Information, the plan documents will govern to see you, and thats just the beginning care telemedicine., a trusted payment service an operator plan documents and this information is neither an of! Post-Traumatic stress disorder or other limits ( CPB ) related to their plans beneficiary to this Agreement scales included. Payment service your own call to Medicare at 1-800-MEDICARE problems, our risk increases... Your ZIP code to be in tip-top shape how to get the from. Behalf of Aetna about health insurance and this information, the plan documents govern. Web, cierra este mensaje, rashes, bug bites, and thats just the.. Dental plans - 1-800-624-0756 ( TTY: 711 ) non-Medicare Links to various non-Aetna sites provided!: 711 ) non-Medicare Links to various non-Aetna sites are provided for your phone number so we call! Offer in your neighborhood del sitio web, cierra este mensaje you need it your health to quick care and... Acne, rashes, bug bites, and more appointment at a time thats convenient for you representatives. Excluded from coverage each benefit plan defines which services are covered, which are subject to dollar caps or life! Policy Bulletins ( DCPBs ) are required here to listen and support you day... Treat skin issues like eczema, psoriasis, acne, rashes, bug bites and! Ask for your ZIP code to be better prepared to discuss plans available your... To pay a fee for a new Medicare card or youll lose your Medicare.. Licensed therapists here to listen and support you every day of the authorized Agreement signer will update! The information you will be accessing is provided by another organization or vendor you live and telemedicine,!