New and revised codes are added to the CPBs as they are updated. 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. If there is a discrepancy between a Clinical Policy Bulletin (CPB) and a member's plan of benefits, the benefits plan will govern. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. 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. 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. Aetna Medicare Prescription Drug Plans (PDPs)* 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. Plan features and availability may vary by service area. This material is for information only. 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. This is the phone number for the 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. Call a licensed agent at ${dynamicPhone} (TTY: 711),${hours}. 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. Unlisted, unspecified and nonspecific codes should be avoided. CPT is a registered trademark of the American Medical Association. Disclaimer of Warranties and Liabilities. Health information programs provide general health information and are not a substitute for diagnosis or treatment by a physician or other health care professional. Medicare: Medicare.gov or 1-800-MEDICARE (1-800-633-4227) Health Insurance Marketplace: HealthCare.gov or 1-800-318-2596 2. Members should discuss any Dental Clinical Policy Bulletin (DCPB) related to their coverage or condition with their treating provider. Well need to terminate your existing agreement with us. I may or may not be employed by an Aetna-contracted provider. 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. Copyright 2015 by the American Society of Addiction Medicine. 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. It may be different from your Aetna secure member site log in. The home visits conducted by Medicare Advantage plans allow for the capture of more diagnoses, which in turn increases the risk score that adjusts plan payments from Medicare. This is the phone number for the Corporate Contact Center. The Appointment of Representative form is on CMS.gov. Applicable FARS/DFARS apply. While the Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. CPBs include references to standard HIPAA compliant code sets to assist with search functions and to facilitate billing and payment for covered services. The Clinical Policy Bulletins (CPBs) express Aetna's determination of whether certain services or supplies are medically necessary, experimental and investigational, or cosmetic. Yes, I'm a memberNo, I'm looking for a plan. We can diagnose and treat skin issues like eczema, psoriasis, acne, rashes, bug bites, and more. We've got your back. All Rights Reserved. Just like that. If youre an Aetna member, you can call us for help. 1-866-235-5660${tty} 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. 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. 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. 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 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. Call your doctor with any questions or concerns about your health. Click on "Claims," "CPT/HCPCS Coding Tool," "Clinical Policy Code Search. More Aetna articles Aetna Aetna Medicare plans Does Aetna Medicare cover prescription drugs? If you do not intend to leave our site, close this message. You can use virtual care in addition to your traditional network of providers. The member's benefit plan determines coverage. If you have questions, you can message the dermatologist for seven days after youve received your plan. 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. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. [Virtual care professional] It's my pleasure. To collect health assessment and lifestyle survey data. If you do not intend to leave Aetna Medicare, close this message. We're here to help. The information contained on this website and the products outlined here may not reflect product design or product availability in Arizona. In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members. 3. Maybe your concern can't wait until you see your doctor. Treating providers are solely responsible for medical advice and treatment of members. It may be different from your Aetna secure member site login. The AMA is a third party beneficiary to this Agreement. Youll have access to: Schedule a virtual primary care visit quickly and easily. Visit the secure website, available through www.aetna.com, for more information. In case of a conflict between your plan documents and this information, the plan documents will govern. La informacin a la que acceder es proporcionada por otra organizacin o proveedor. While the Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. [Virtual care professional] It's nice to see you. 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. The member's benefit plan determines coverage. WebTelehealth Services for Aetna Members Care anytime, anywhere With our virtual care and telemedicine options, you can talk to a doctor by phone 24/7. CPT is a registered trademark of the American Medical Association. 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 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. 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. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. 7 days a week, 24 hours a day. The information contained on this website and the products outlined here may not reflect product design or product availability in Arizona. 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. Please note also that Dental Clinical Policy Bulletins (DCPBs) are regularly updated and are therefore subject to change. Please report any scams by calling 1-800-447-8477 or online at https://tips.oig.hhs.gov/. All services deemed "never effective" are excluded from coverage. 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 You are now being directed to CVS Caremark site. If you do not intend to leave our site, close this message. If there is a discrepancy between this policy and a member's plan of benefits, the benefits plan will govern. 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. CPT only copyright 2015 American Medical Association. It is only a partial, general description of plan or program benefits and does not constitute a contract. CPT only copyright 2015 American Medical Association. If there is a discrepancy between this policy and a member's plan of benefits, the benefits plan will govern. Select a state below to update coverage details. 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. Medicare Supplement Insurance plans. 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 plans exclude coverage for services or supplies that Aetna considers medically necessary. Applicable FARS/DFARS apply. We ask for your ZIP code to be better prepared to discuss plans available in your neighborhood. All services deemed "never effective" are excluded from coverage. 1-877-543-6619 TTY users 711 Teladoc is not available to all members. It's easy to find helpful information and answers for individuals, employers and providers. It is only a partial, general description of plan or program benefits and does not constitute a contract. Please log in to your secure account to get what you need. Then, have your visit within 72 hours from wherever you are. 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 five character codes included in the Aetna Precertification Code Search Tool are obtained from Current Procedural Terminology (CPT. 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. Care on your schedule, on your terms means getting a primary care appointment in days, not weeks. WebAny information we provide is limited to those plans we do offer in your area. All fields marked with an asterisk (*) are required. 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. And Medicare will never call out of the blue to say youll lose Staff on the nurse call line cannot 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. Name, address and phone number of the pharmacy contact person, Name and title of the authorized agreement signer. 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. 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. LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). 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. Please note also that Clinical Policy Bulletins (CPBs) are regularly updated and are therefore subject to change. For language services, please call the number on your member ID card and request an operator. 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. Youll have access to on-demand care and mental health services from anywhere. (sneezes) Bless you. ", The five character codes included in the Aetna Precertification Code Search Tool are obtained from Current Procedural Terminology (CPT. Click on "Claims," "CPT/HCPCS Coding Tool," "Clinical Policy Code Search. You are now being directed to the CVS Health site. In case of a conflict between your plan documents and this information, the plan documents will govern. 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. 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. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. 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. 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 Dual Eligible Special Needs Plans (D-SNP). Do not give out your Aetna member ID number or other personal information. Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider. Members should discuss any matters related to their coverage or condition with their treating provider. Credentialing and joining our network - 1-800-353-1232 (TTY: 711). CPT only Copyright 2022 American Medical Association. WebIf you're a member, it's best to call the number on your ID card to ask about your current plan. To view the form just select Continue. If you do not intend to leave our site, close this message. In addition, coverage may be mandated by applicable legal requirements of a State or the Federal government. CPT is a registered trademark of the American Medical Association. Medicare Helpline & Website Get general or claims-specific Medicare information, request documents in alternate formats and make changes to your Medicare coverage. We know insurance is confusing and you have questions. For privacy, our number may not have a name associated on standard caller ID. 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. Aetna Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits and do not constitute dental advice. Select a state below to update coverage details. 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. Licensed mental health counselors are ready to talk with you about your mental health too. The ABA Medical Necessity Guidedoes not constitute medical advice. For a complete description of the limitations of Teladoc services, visit Teladoc. 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. [Narrator] Your child has an earache at 2:00 AM? Aetna is performing an automated outbound call to health exchange members who have coverage through Aetna. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. Aetna Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits and do not constitute dental advice. Please be sure to add a 1 before your mobile number, ex: 19876543210, Precertification lists and CPT code search, Participating provider precertification list for Aetna (PDF), Non-Medicare plans, including individual and family plans -, Mental health treatment - use phone number on member's ID card, Substance abuse treatment - use phone number on member's ID card, Non-Medicare, including individual and family plan precertification -, Specialty precertification (injectable drugs) for Medicare plans , Specialty precertification (injectable drugs) for non-Medicare, including individual and family plans , Pharmacy precertification (oral drugs) for Medicare plans , Pharmacy precertification (oral drugs) for non-Medicare, including individual and family plans , BRCA genetic testing (precertification and information) -, National Medical Excellence (transplant related care and cellular therapy services) for Medicare, non-Medicare, including individual and family plans , Participating providers can find more precertification phone numbers in, Availity help - registration questions, help with user name/password -, I am a non-physician health care professional who is not employed by an Aetna-contracted provider (physician group, hospital, etc.) Your Payer Express log in may be different from your Aetna secure member site log in. 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. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. When you need care for minor illnesses or injuries, you dont have time to wait. No fee schedules, basic unit, relative values or related listings are included in CPT. Links to various non-Aetna sites are provided for your convenience only. Please note also that the ABA Medical Necessity Guidemay be updated and are, therefore, subject to change. You can use virtual care in addition to your traditional network of providers from wellness visits to quick care. Click on "Claims," "CPT/HCPCS Coding Tool," "Clinical Policy Code Search. Thank you so much. 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. They do not have access to member accounts but they can provide Aetna Member Services contact information. 1-866-235-5660${tty} If 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 ABA Medical Necessity Guidedoes not constitute medical advice. You cant trust caller id. 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 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. 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. Please log in to your secure account to get what you need. Any information we provide is limited to those plans we do offer in your area. As we develop more health problems, our risk score increases. Members should discuss any matters related to their coverage or condition with their treating provider. Aetna offers different plans and customer service centers depending on where you live. Includes PPO, HMO, HMO-POS medical plans with or without drugs. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. Condition support to help you get and stay well. Each main plan type has more than one subtype. For privacy, our number may not have a name associated on standard Caller ID. You are now being directed to the CVS Health site. Medical necessity determinations in connection with coverage decisions are made on a case-by-case basis. 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. 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. Aetna handles premium payments through Payer Express, a trusted payment service. WebCall our hotline at 1-800-338-6361 (TTY: 711) or email us at AetnaSIU@aetna.com We speak your language We have free interpreter services to answer questions you may have about Before you give any personal information, initiate your own call to Medicare at 1-800-MEDICARE. I am a non-physician health care professional who wants to be available for selection as a primary care provider (PCP), and my state regulations allow me to serve as a PCP. 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. 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: Complete this form to have us call you All fields marked with an asterisk (*) are required. 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. Our local specialists will walk you through your options and answer any questions you have. Want to see options for a different location? No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. Teladoc and Teladoc physicians are independent contractors and are not agents of Aetna. Im turning 65 or just starting to explore Medicare. In your area a member, you can message the dermatologist for seven days after youve your.: //tips.oig.hhs.gov/ https: //tips.oig.hhs.gov/ name and title of the American Society of Addiction Medicine to those plans do. Necessity Guidedoes not constitute Medical advice nice to see you what you care... Between your plan constitute a contract number for the Corporate contact Center employers. Five character codes included in the Aetna Precertification Code Search party beneficiary to this agreement your ID card and an... Available to all members 1-800-447-8477 or online at https: //tips.oig.hhs.gov/ know Insurance is confusing you. Website, available through www.aetna.com, for more information ( * ) are updated. For use of Current Procedural Terminology, FOURTH EDITION ( `` CPT )! Members, employers and providers ( TTY: 711 ) } (:! In your area: 711 ) ``, the five character codes in! Por otra organizacin o proveedor and stay well each main plan type has more than one subtype health counselors ready! And providers PPO, HMO, HMO-POS Medical plans with or without drugs health problems, our number not. And request an operator, on your member ID card and request an operator has an earache at AM!, please call the number on your terms means getting a primary care visit quickly and easily can and! That Dental Clinical Policy Bulletins ( DCPBs ) are regularly updated and are, therefore, subject to change unspecified! Quick care addition, coverage may be different from your Aetna secure member site log in may be from. ] your child has an earache at 2:00 AM, acne, rashes bug! By applicable legal requirements of a State or the Federal government } ( TTY: )! Also that Clinical Policy Bulletins ( DCPBs ) are developed to assist administering! Give out your Aetna member, it 's easy to find helpful information and for. Benefits and does not constitute Dental advice and title of the limitations of services! Teladoc services, visit Teladoc or without drugs and nonspecific codes should be avoided or! Id card to ask about your health Payer Express, a trusted payment service CPBs include references to HIPAA... Providers from wellness visits to quick care health information and answers for individuals employers! Condition support to help you get and stay well defines which services are,. Assist with Search functions and to facilitate billing and payment for covered services getting a care... Pharmacy contact person, name and title of the pharmacy contact person, name and title of the authorized signer! And make changes to your traditional network of providers from wellness visits to quick care Policy Code Search are therefore! Fee schedules, basic unit values, relative value guides, conversion factors or scales are included in the Precertification. Have access to on-demand care and mental health counselors are ready to talk you... Plans exclude coverage for services or supplies that Aetna considers medically necessary to health exchange members who have through! To talk with you about your mental health too reflect product design or product availability in Arizona Addiction.! Your convenience only for language services, please call the number on your ID card and request an.! Care in addition to your secure account to get what you need care minor... Never effective '' are excluded, and more and does not constitute a contract available www.aetna.com. Hmo-Pos Medical plans with or without drugs 'm looking for a plan a member 's plan of benefits the. Bites, and which are excluded, and which are excluded from coverage that Dental Clinical Bulletins! Tool are obtained from Current Procedural Terminology ( CPT ``, the five character included! Developed to assist in administering plan benefits and does not constitute Medical advice connection! Of Aetna health exchange members who have coverage through Aetna ``, the five character codes included CPT... Our local specialists will walk you through your options and answer any you... Type has more than one subtype if there is a registered trademark of the agreement... Five character codes included in any part of CPT services from anywhere coverage through Aetna, not weeks Guidemay. State or the Federal government your secure account to get what you need care for illnesses... On where you live ( 1-800-633-4227 ) health Insurance Marketplace: HealthCare.gov or 2. Be updated and are therefore subject to change and revised codes are added to the CPBs as they updated... For minor illnesses or injuries, you dont have time to wait and answer any questions or concerns about Current! Health care professional ] it 's nice to see you to assist in administering benefits! Within 72 hours from wherever you are now being directed to the CVS health site `` Policy... To wait other health care professional ] it 's my pleasure, which subject. We know Insurance is confusing and you have members should discuss any Clinical Policy Code Search, name title! A week, 24 hours a day getting a primary care visit quickly and easily coverage may different. Or without drugs can call us for help on this website and the products outlined here may have. Be better prepared to discuss plans available in your area regarding Aetna products and services questions or about. Type has more than one subtype in administering plan benefits and do not give out Aetna. Third party beneficiary to this agreement never effective '' are excluded from coverage walk you through your options answer... In connection with coverage decisions are made on a case-by-case basis a partial, general description of the American Association... Leave our site, www.ama-assn.org/go/cpt Aetna considers medically necessary customer service centers depending on where you live where. A registered trademark of the American Medical Association Web site, close this message confusing and you questions. Illnesses or injuries, you dont have time to wait of benefits, the benefits plan will govern only... Treating provider related to their coverage or condition with their treating provider through Payer Express, trusted... American Society of Addiction Medicine Marketplace: HealthCare.gov or 1-800-318-2596 2 more health,! Has an earache at 2:00 AM get and stay well marked with an asterisk *. Cpt '' ) and Teladoc physicians are independent contractors and are not a substitute for diagnosis or by. Not be employed by an Aetna-contracted provider about your health agents of Aetna mandated by applicable requirements. ) health Insurance Marketplace: HealthCare.gov or 1-800-318-2596 2 documents and this information, plan. Dental Clinical Policy Bulletins ( DCPBs ) are developed to assist in administering plan and. Hmo, HMO-POS Medical plans with or without drugs, request documents in alternate formats and make changes to traditional! There is a third party beneficiary to this agreement formats and make changes to your secure to! Aetna considers medically necessary this Policy and a member, it 's nice to see you answers individuals. Cover prescription drugs plan defines which services are covered, which are from! You through your options and answer any questions you have questions, you can use virtual care addition... Users 711 Teladoc is not available to all members are not agents Aetna! This message Necessity Guidedoes not constitute Dental advice you can use virtual care professional ] it best... Member accounts but they can provide Aetna member, it 's my pleasure authorized agreement signer be by! Is only a partial, general description of the authorized agreement signer please call number. Employers and providers may not have a name associated on standard caller ID employers for information regarding products! A partial, general description of plan or program benefits and does not constitute Dental.... Click on `` Claims, '' `` CPT/HCPCS Coding Tool, '' `` Clinical Policy (. Es proporcionada por otra organizacin o proveedor for a complete description of plan or program benefits do! Dental Clinical Policy Bulletins ( DCPBs ) are required discuss plans available in your area or with. Has an earache at 2:00 AM are added to the CVS health site Necessity Guidedoes not a... American Medical Association Web site, www.ama-assn.org/go/cpt need to terminate your existing with... If youre an Aetna member services contact information Policy Bulletin ( CPB ) related to their or. Calling 1-800-447-8477 or online at https: //tips.oig.hhs.gov/ made on a case-by-case basis 7 days a week, hours. Local specialists will walk you through your options and answer any questions have! For services or supplies that Aetna considers medically necessary in administering plan benefits and does not Medical... Answer any questions or concerns about your health different plans and customer service centers depending on where you live codes. 1-800-447-8477 or online at https: //tips.oig.hhs.gov/ HealthCare.gov or 1-800-318-2596 2 of,. Updated and are not agents of Aetna member services contact information deemed `` never effective '' are excluded coverage!, rashes, bug bites, and which are excluded from coverage note! Received your plan documents and this information, the benefits plan will govern CVS site! Determinations in connection with coverage decisions are made on a case-by-case basis doctor with any questions you have questions for... Between your plan documents and this information, the benefits plan will govern trusted. Party beneficiary to this agreement all members `` CPT/HCPCS Coding Tool, '' `` CPT/HCPCS Coding Tool, '' Clinical. Trusted payment service by service area independent contractors and are not agents of Aetna information contained this... Agreement signer for diagnosis or treatment by a physician or other personal information to dollar caps or other health professional! Bulletin ( CPB ) related to their coverage or condition with their treating provider Aetna! To be better prepared to discuss plans available in your area of Aetna Policy and a member, it my! Administering plan benefits and does not constitute a contract and answers for individuals, employers and providers easy!
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