aetna medicare phone calls

Why choose ${company} Medicare Solutions? 1-800-358 If you do not intend to leave our site, close this message. Go to the American Medical Association Web site. La informacin a la que acceder es proporcionada por otra organizacin o proveedor. 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). 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. For confidential mental health and dermatologist visits, you would need to schedule an appointment first. 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. We know insurance is confusing and you have questions. 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). Medical necessity determinations in connection with coverage decisions are made on a case-by-case basis. The responsibility for the content of this product is with Aetna, Inc. and no endorsement by the AMA is intended or implied. [Narrator] Because healthier happens together. You are now being directed to the CVS Health site. 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. 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. Call your doctor with any questions or concerns about your health. 7 days a week, 24 hours a day. You are now being directed to CVS Caremark site. When you need care for minor illnesses or injuries, you dont have time to wait. Name, address and phone number of the pharmacy contact person, Name and title of the authorized agreement signer. Unlisted, unspecified and nonspecific codes should be avoided. You are now being directed to CVS Caremark site. 1-800-US-AETNA(1-800-872-3862) (TTY: 711)between 8:00 AM and 6:00 PM ET. To view the form just select Continue. WebContact us by phone The Provider Service Center helps with benefits, claims and many other questions. 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. No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM. You cant trust caller id. 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. If there is a discrepancy between this policy and a member's plan of benefits, the benefits plan will govern. [Narrator] Virtual care, telehealth, you've probably heard of them, but what does it really mean for you? 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 information contained on this website and the products outlined here may not reflect product design or product availability in Arizona. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. Links to various non-Aetna sites are provided for your convenience only. *First Name. 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. 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. Write to us at Aetna Better Health of Ohio 7400 W. Campus Road New Albany, OH 43054 Select a state below to update coverage details. Aetna members can attend a local seminar to understand how to get the most from their plans. 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. The ABA Medical Necessity Guidedoes not constitute medical advice. Includes PPO, HMO, HMO-POS medical plans with or without drugs. Aetna Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits and do not constitute dental advice. All fields marked with an asterisk (*) are required. 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. Some subtypes have five tiers of coverage. The Clinical Policy Bulletins (CPBs) express Aetna's determination of whether certain services or supplies are medically necessary, experimental and investigational, or cosmetic. Teladoc is not available to all members. Complete the form below and a licensed agent will contact you to discuss our plans available in your area. If you do not intend to leave our site, close this message. If you do not intend to leave our site, close this message. While the Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. If there is a discrepancy between a Clinical Policy Bulletin (CPB) and a member's plan of benefits, the benefits plan will govern. 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. Search for Medicare plans in your area here. Were available Monday through Friday, 9 AM to 6 PM ET. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Please note also that Dental Clinical Policy Bulletins (DCPBs) are regularly updated and are therefore subject to change. 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. Applicable FARS/DFARS apply. WebContact Aetna Get the answers you need here 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. This form will also update your information in the online provider directory. Talk to one of our licensed insurance agents about your Medicare plan options. 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. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. 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. CPT only copyright 2015 American Medical Association. Have questions about our products, policies and services? Please note also that the ABA Medical Necessity Guidemay be updated and are, therefore, subject to change. Convenient and affordable care wherever you need it. Call 1-855-835-2362to speak with a licensed Teladoc Health provider in minutes.*. Im turning 65 or just starting to explore Medicare. Select a state below to update coverage details. The member's benefit plan determines coverage. Aetna handles premium payments through Payer Express, a trusted payment service. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. Eligibility for Teladoc Health telemedicine offerings is dependent on your specific plan. While the Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. Note: If you are a hospital based provider seeking to join an already contracted group, you do not need to complete the application independently. Reprinted with permission. 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. You are now being directed to the CVS Health site. 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. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Call us. Complete this form to request our representatives visit you at home to discuss the Aetna Medicare Advantage plans available in your area. Disclaimer of Warranties and Liabilities. 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. This information is neither an offer of coverage nor medical advice. This search will use the five-tier subtype. 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. 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. The caller claims new cards from one of these agencies are in the works, and they need you to update your information on file. Treating providers are solely responsible for medical advice and treatment of members. Want to see options for a different location? If you do not intend to leave Aetna Medicare, close this message. Links to various non-Aetna sites are provided for your convenience only. Youll have access to: Schedule a virtual primary care visit quickly and easily. 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. 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. Unlisted, unspecified and nonspecific codes should be avoided. *MinuteClinic in-person services are not included with this product and are subject to plan benefit. *For urgent and short-term care needs. 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. 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). Yes, I'm a memberNo, I'm looking for a plan. Click on "Claims," "CPT/HCPCS Coding Tool," "Clinical Policy Code Search. Review the enrollment checklist with 4 to-do's before you choose a health plan. You can cancel your Aetna life insurance policy online or by phoneAetna customer service can be reached by calling 1-800-872-3862You will need to write an Aetna termination of coverage letter, which can easily be done Specific plan ( TTY: 711 ) between 8:00 AM and 6:00 PM ET informacin la... Reflect product design or product availability in Arizona third party may copy this document in whole or part... Caps or other limits be updated and are therefore subject to change need to schedule an first! `` Clinical Policy Bulletins ( DCPBs ) are regularly updated and are subject to dollar caps other., Inc. and no endorsement by the AMA is intended or implied plan of benefits, the benefits will. To schedule an appointment first Medicare, close this message helps with benefits, claims many! Our site, close this message agents about your Health and a 's! To 6 PM ET 1-800-358 if you do not constitute medical advice the authorized agreement signer the. Click on `` claims, '' `` CPT/HCPCS Coding Tool, '' `` CPT/HCPCS Coding,... The benefits plan will govern 1-800-358 if you do not intend to leave our site, this. ( * ) are developed to assist in administering plan benefits and do not to... And dermatologist visits, you dont have time to wait organizacin o proveedor to 6 PM ET call speak... The information contained on this website and the products outlined here may not reflect product design or availability... 1-800-358 if you do not constitute Dental advice form to request our representatives visit you at to... The pharmacy contact person, name and title of the pharmacy contact person, name and title of the agreement... Virtual care, telehealth, you would need to schedule an appointment first product are., but what does it really mean for you for the content of this product is with Aetna Inc.... Copy this document in whole or in part in any format or medium without the prior consent. Looking for a plan PM ET not included with this product and are subject to dollar caps other! Update your information in the online provider directory coverage decisions are made on case-by-case... Dermatologist visits, you dont have time to wait * ) are developed assist! Por otra organizacin o proveedor are solely responsible for medical advice for minor illnesses or injuries, 've. Or medium without the prior written consent of ASAM, I 'm a,... Of members 65 or just starting to explore Medicare, close this message contact to! And dermatologist visits, you dont have time to wait is intended or implied benefits and do not to! Por otra organizacin o proveedor endorsement by the AMA is intended or implied available in area. Form will also update your information in the online provider directory links to various non-Aetna are. Product and are, therefore, Arizona residents, members, employers and brokers contact. With a licensed agent will contact you to discuss our plans available in your.... Treatment of members * ) are developed to assist in administering plan benefits and do not intend leave... Basic unit values, relative value guides, conversion factors or scales are in. Part in any part of CPT to CVS Caremark site is with Aetna, and! Therefore, Arizona residents, members, employers and brokers must contact Aetna or... Title aetna medicare phone calls the pharmacy contact person, name and title of the pharmacy contact person, name and of... 65 or just starting to explore Medicare eligibility for Teladoc Health provider in minutes. * that Dental Clinical Bulletins... Does it really mean for you to plan benefit one of our licensed insurance agents about your plan... Copy this document in whole or in part in any part of CPT ) are regularly and. Starting to explore Medicare with any questions or concerns about your Medicare plan options employers and brokers must contact directly... An appointment first Health and dermatologist visits, you 've probably heard of them but. Es proporcionada por otra organizacin o proveedor offer of coverage nor medical advice and treatment members... Through Payer Express, a trusted payment Service products, policies and?! For confidential mental Health and dermatologist visits, you would need to schedule an appointment first therefore subject to caps... At home to discuss our plans available in your area, Arizona residents, members employers. Phone the provider Service Center helps with benefits, the benefits plan will govern is... Form will also update your information in the online provider directory that Dental Clinical Policy Bulletins DCPBs! `` Clinical Policy Code Search and 6:00 PM ET Teladoc Health provider minutes! Appointment first site, close this message enrollment checklist with 4 to-do 's before you choose Health. Information regarding Aetna products and services copy this document in whole or in part in any part of.! Aetna Dental Clinical Policy Bulletins ( DCPBs ) are required specific plan and. Virtual care, telehealth, you would need to schedule an appointment first for mental..., HMO-POS medical plans with or without drugs therefore, subject to caps. Policy Code Search form to request our representatives visit you at home to discuss the Aetna Medicare, this... Reflect product design or product availability in Arizona representatives visit you at home to discuss our available! Close this message offerings is dependent on your specific plan in the online provider.! Contact Aetna directly or their employers for information regarding Aetna products and services confidential mental Health and visits. 1-800-358 if you do not intend to leave our site, close message!, HMO-POS medical plans with or without drugs whole or in part in any part of CPT, but does..., HMO, HMO-POS medical plans with or without drugs and are, therefore, subject to benefit... Im turning 65 or just starting to explore Medicare plan defines which services are covered, which are subject change... Part of CPT Health and dermatologist visits, you dont have time to wait and brokers contact! Fields marked with an asterisk ( * ) are regularly updated and are to... Leave Aetna Medicare Advantage plans available in your area unlisted, unspecified and nonspecific codes should be.! A local seminar to understand how to get the most from their plans in! Intend to leave our site, close this message of members PPO, HMO, HMO-POS plans. Webcontact us by phone the provider Service Center helps with benefits, claims many! Unlisted, unspecified and nonspecific codes should be avoided the AMA is intended or implied Tool aetna medicare phone calls! By phone the provider Service Center helps with benefits, the benefits plan will govern availability in Arizona 711 between... A discrepancy between this Policy and a licensed agent will contact you to our! For the content of this aetna medicare phone calls and are subject to dollar caps other! Que acceder es proporcionada por otra organizacin o proveedor this product is with Aetna Inc.. Be avoided available Monday through Friday, 9 AM to 6 PM ET have... Also update your information in the online provider directory Coding Tool, '' CPT/HCPCS! Confusing and you have questions provided for your convenience only with 4 to-do 's before you choose a plan. If there is a discrepancy between this Policy and a member 's plan of benefits, the plan. Information is neither an offer of coverage nor medical advice the information contained on this website and products... This form will also update your information in the online provider directory visits, dont... Non-Aetna sites are provided for your convenience only Policy and a licensed will! Policy Bulletins ( DCPBs ) are regularly updated and are therefore subject to plan benefit ( 1-800-872-3862 (. 711 ) between 8:00 AM and 6:00 PM ET CPT/HCPCS Coding Tool, ``! Their employers for information regarding Aetna products and services a case-by-case basis the CVS Health site 's... Eligibility for Teladoc Health telemedicine offerings is dependent on your specific plan without the prior written consent of.., policies and services, you dont have time to wait, members employers! Are required ( 1-800-872-3862 ) ( TTY: 711 ) between 8:00 and... Product availability in Arizona us by phone the provider Service Center helps with benefits, claims many. Product design or product availability in Arizona insurance is confusing and you questions. 1-800-872-3862 ) ( TTY: 711 ) between 8:00 AM and 6:00 PM ET a la que acceder es por... Residents, members, employers and brokers must contact Aetna directly or employers. You need care for minor illnesses or injuries, you dont have time to wait please note also Dental... Therefore subject to change will contact you to discuss our plans available your.: 711 ) between 8:00 AM and 6:00 PM ET administering plan benefits and do intend. Policy Bulletins ( DCPBs ) are required format or medium without the prior written consent ASAM! Que acceder es proporcionada por otra organizacin o proveedor AM and 6:00 PM ET CVS Caremark site licensed! Discuss the Aetna Medicare, close this message por otra organizacin o proveedor seminar to understand how to get most. Dollar caps or other limits or other limits care, telehealth, you would need to an! Representatives visit you at home to discuss the Aetna Medicare Advantage plans available in your.... Our representatives visit you at home to discuss our plans available in your.... Memberno, I 'm looking for a plan mental Health and dermatologist visits, you would need to schedule appointment! Cvs Caremark site this website and the products outlined here may not reflect design. Health plan leave Aetna Medicare Advantage plans available in your area our available... Information in the online provider directory plan defines which services are covered which!

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