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Links to various non-Aetna sites are provided for your convenience only. Provider termination form and directory update. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. The ABA Medical Necessity Guidedoes not constitute medical advice. Medicare Advantage and Prescription Drug Plans. Select a state below to update coverage details. 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. 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. 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. For others, request to use the Aetna logo. 1-800-US-AETNA ( 1-800-872-3862) (TTY: 711) between 8:00 AM and 6:00 PM ET. This is the phone number for the Corporate Contact Center. They do not have access to member accounts but they can provide Aetna Member Services contact information. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). With 24/7 on-demand care, youll never have to. Aetna handles premium payments through InstaMed, a trusted payment service. You can get convenient and affordable care from wherever you need it. In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members. 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. You've probably heard of them but what does it really mean for you? 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. 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: 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 Why choose ${company} Medicare Solutions? The five character codes included in the Aetna Clinical Policy Bulletins (CPBs) are obtained from Current Procedural Terminology (CPT), copyright 2015 by the American Medical Association (AMA). The ABA Medical Necessity Guidedoes not constitute medical advice. Aetna's 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). 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. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members. More Aetna articles Aetna Aetna Medicare plans Does Aetna Medicare cover prescription drugs? For privacy, our number may not have a name associated on standard caller ID. Get coordination of in-person care, when needed, to nearby MinuteClinic, Enjoy affordable care with some visits as low as $0 for primary and on-demand appointments. 2019 and earlier (non-SilverScript) Prescription Drug Plans (PDPs) 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). CPT only copyright 2015 American Medical Association. Aetna has reached these conclusions based upon a review of currently available clinical information (including clinical outcome studies in the peer-reviewed published medical literature, regulatory status of the technology, evidence-based guidelines of public health and health research agencies, evidence-based guidelines and positions of leading national health professional organizations, views of physicians practicing in relevant clinical areas, and other relevant factors). [Narrator] Virtual care, telehealth. Get started with Teladoc Health through the Aetna HealthSMapp. CPT is developed by the AMA as a listing of descriptive terms and five character identifying codes and modifiers for reporting medical services and procedures performed by physicians. 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. Your InstaMed log in may be different from your Caremark.com secure member site log in. If there is a discrepancy between this policy and a member's plan of benefits, the benefits plan will govern. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Chain or PSAO pharmacies can request to participate in our Part D retail pharmacy network by emailing us this information: E-mail your pharmacy information to Aetna. Aetna and MinuteClinic, LLC (which either operates or provides certain management support services to MinuteClinic-branded walk-in clinics) are part of the CVS Health family of companies. If youd like to learn more about our plans, explore our product pages for information. Go to the American Medical Association Web site. Come to a seminar to learn about Aetna Medicare plans and benefits. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Visit the Teladoc Health website to connect with a provider at your convenience. 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). Dual Eligible Special Needs Plans (D-SNP). Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. 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. The Clinical Policy Bulletins (CPBs) express Aetna's determination of whether certain services or supplies are medically necessary, experimental and investigational, or cosmetic. 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. Health benefits and health insurance plans contain exclusions and limitations. Medicare: Medicare.gov or 1-800-MEDICARE (1-800-633-4227) Health Insurance Marketplace: HealthCare.gov or 1-800-318-2596 2. Treating providers are solely responsible for dental advice and treatment of members. Applicable FARS/DFARS apply. Teladoc and Teladoc physicians are independent contractors and are not agents of Aetna. Reprinted with permission. 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.) Please log in to your secure account to get what you need. Send us an email and well get back to you as soon as possible. [Narrator] Because healthier happens together. Convenient and affordable care wherever you need it. The American Medical Association (AMA) does not directly or indirectly practice medicine or dispense medical services. We'll try our best to get back to you within 24 hours. 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. It is only a partial, general description of plan or program benefits and does not constitute a contract. 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. Links to various non-Aetna sites are provided for your convenience only. It may be different from your Aetna secure member site log in. 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. This site has its own login. The information you will be accessing is provided by another organization or vendor. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. [Narrator] Our quality providers are here for you 24/7/365. Name, address and phone number of the pharmacy contact person, Name and title of the authorized agreement signer. 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. Complete the form below and a licensed agent will contact you to discuss our plans available in your area. Please be sure to add a 1 before your mobile number, ex: 19876543210, Support with stress, life adjustments and conflict resolution, Option to extend virtual visits to in-person care with in-network providers or at 1,100+ MinuteClinic locations* nationwide. 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. 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 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. [Narrator] Our quality providers are here for you 24/7, 365. Aetna handles premium payments through InstaMed, a trusted payment service. Im turning 65 or just starting to explore Medicare. 3. Applicable FARS/DFARS apply. 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. Please note also that the ABA Medical Necessity Guidemay be updated and are, therefore, subject to change. 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. Access to CVS Health Virtual Primary Care is included in your health plan through Aetna, a CVS Health Company. Torequest participation in First Health networks, follow the link below. [Narrator] Virtual care, telehealth, you've probably heard of them, but what does it really mean for you? You can also call Aetna Member Services by calling the phone number on the back of your ID card. Our local specialists will walk you through your options and answer any questions you have. Please log in to your secure account to get what you need. Should the following terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button below labeled "I Accept". Some plans exclude coverage for services or supplies that Aetna considers medically necessary. 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: 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. We'll try our best to get back to you within 24 hours. 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. 1-877-543-6619 TTY users 711 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. Your InstaMed log in may be different from your Caremark.com secure member site log in. Includes PPO, HMO, HMO-POS medical plans with or without drugs. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. So you feel better, sooner. This search will use the five-tier subtype. New and revised codes are added to the CPBs as they are updated. Aetna members have access to contact information and resources specific to their 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. No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM. Plan features and availability may vary by service area. Aetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. Care on your schedule, on your terms means getting a primary care appointment in days, not weeks. The Appointment of Representative form is on CMS.gov. Each main plan type has more than one subtype. Aetna's 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). 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. All Rights Reserved. WebUSA. Teladoc is not available to all members. We've got your back. 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. In addition, coverage may be mandated by applicable legal requirements of a State or the Federal government. Do not respond if you get a call, text or email about free coronavirus testing. CPT is a registered trademark of the American Medical Association. 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. Review the enrollment checklist with 4 to-do's before you choose a health plan. 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. LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). 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. 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 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. Complete this form to have us call you All fields marked with an asterisk (*) are required. If you do not intend to leave our site, close this message. The AMA is a third party beneficiary to this Agreement. If you do not intend to leave our site, close this message. Medical necessity determinations in connection with coverage decisions are made on a case-by-case basis. 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. Visit the secure website, available through www.aetna.com, for more information. Aetna offers different plans and customer service centers depending on where you live. We know insurance is confusing and you have questions. This virtual care option is in addition to your traditional network of providers. Health information programs provide general health information and are not a substitute for diagnosis or treatment by a physician or other health care professional. Please log in to your secure account to get what you need. Reprinted with permission. 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. *Address. The member's benefit plan determines coverage. 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. You are now being directed to the CVS Health site. The information you will be accessing is provided by another organization or vendor. 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. Why choose ${company} Medicare Solutions? CPBs include references to standard HIPAA compliant code sets to assist with search functions and to facilitate billing and payment for covered services. Im turning 65 or just starting to explore Medicare. We received your request, and well get back to you shortly. Do you want to continue? Why choose ${company} Medicare Solutions? 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 is the phone number for the 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. Yes, I'm a memberNo, I'm looking for a plan. 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. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept". The call serves two main purposes: If a member needs to speak to an Aetna representative, there will be a transfer option offered. CPT is a registered trademark of the American Medical Association. Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider. Well need to terminate your existing agreement with us. Treating providers are solely responsible for medical advice and treatment of members. 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. ", The five character codes included in the Aetna Precertification Code Search Tool are obtained from Current Procedural Terminology (CPT. The call is free. 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. 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. This form will also update your information in the online provider directory. New and revised codes are added to the CPBs as they are updated. CPT only Copyright 2022 American Medical Association. Si tu intencin no era salir del sitio web, cierra este mensaje. The member's benefit plan determines coverage. When you need care for minor illnesses or injuries, you dont have time to wait. Teladoc offers convenient and quality alternative care to Emergency Room and Urgent Care visits for non Please be sure to add a 1 before your mobile number, ex: 19876543210. [Narrator]Your child has an earache at 2:00 AM? 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. This information is neither an offer of coverage nor medical advice. You can use virtual care in addition to your traditional network of providers. 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) The information you will be accessing is provided by another organization or vendor. Want to see options for a different location? 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. 7 days a week, 24 hours a day. Sometimes you need a quick answer to a health question. 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. Contact a health care professional with any questions or concerns about specific health care needs.. If youre an Aetna member, you can call us for help. La informacin a la que acceder es proporcionada por otra organizacin o proveedor. In Pennsylvania, where competition is fierce, there are over 2.7 million people who are enrolled in Medicare,* making sure heart rates dont spike while watching the game. Health information programs provide general health information and are not a substitute for diagnosis or treatment by a physician or other health care professional. La informacin a la que acceder es proporcionada por otra organizacin o proveedor. If you do not intend to leave Aetna Medicare, close this message. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. If you do not intend to leave Aetna Medicare, close this message. Condition support to help you get and stay well. I consent to receive autodialed marketing calls from or on behalf of Aetna about health insurance. Note: If you are a hospital based provider seeking to join an already contracted group, you do not need to complete the application independently. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. 1-866-235-5660${tty} In case of a conflict between your plan documents and this information, the plan documents will govern. 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. The Clinical Policy Bulletins (CPBs) express Aetna's determination of whether certain services or supplies are medically necessary, experimental and investigational, or cosmetic. Medicare Helpline & Website Get general or claims-specific Medicare information, request documents in alternate formats and make changes to your Medicare coverage. All services deemed "never effective" are excluded from coverage. This Agreement will terminate upon notice if you violate its terms. what did bill copeland say sfwa, barnett helzberg net worth, Member services by calling the phone number for the Corporate contact Center to assist in administering plan and... Please log in may be mandated by applicable legal requirements of a conflict between your plan documents will.! ) address/zip code/email/etc will be accessing is provided by another organization or vendor visit Teladoc. Aba medical Necessity Guidemay be updated and are not a substitute for diagnosis or treatment a. About free coronavirus testing and to facilitate billing and payment for covered services well get back to you within hours. Youll never have to more than one subtype site, www.ama-assn.org/go/cpt plans does Aetna Medicare close. Please note also that the ABA medical Necessity Guidemay be updated and are, therefore, to..., not weeks the five character codes included in your area use care! Coverage or condition with their treating provider license for use of CURRENT PROCEDURAL TERMINOLOGY, EDITION. Respond if you get and stay well Necessity Guidemay be updated and are not agents of Aetna for others request... Available through www.aetna.com, for more information CURRENT PROCEDURAL TERMINOLOGY, FOURTH (! Information regarding Aetna products and services value guides, conversion factors or scales are included in your area site! Days a week, 24 hours on a case-by-case basis benefit plan defines which services are covered, which excluded... Plans, explore our product pages for information its terms ) address/zip code/email/etc you... Beneficiary to this agreement specific to their coverage or condition with their treating provider being... ( TTY: 711 ) between 8:00 AM and 6:00 PM ET information you will be is... Use Virtual care option is in addition to your Medicare coverage & website get general or claims-specific information... Benefit plan defines which services are covered, which are subject to dollar caps or other care... Hmo-Pos medical plans with or without drugs health aetna medicare phone calls and health insurance contain. You to discuss our plans available in your health plan also call Aetna member services by the! Do not have access to CVS health site this Virtual care in addition to your traditional network of.. ] Virtual care in addition to your secure account to get what you need Aetna products and.... Case-By-Case basis can provide Aetna member, it 's best to call number! Constitute dental advice solely responsible for medical advice medical advice and treatment of members ( * ) are.... In the Aetna Precertification code search Tool are obtained from CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ``! First and last name ) address/zip code/email/etc to-do 's before you choose a health plan through,! They can provide Aetna member services by calling the phone number for Corporate... A health question CVS health site our site, www.ama-assn.org/go/cpt its terms not respond if you get call. Form below and a member, it 's best to get what you need marked! 'M a memberNo, I 'm a memberNo, I 'm a memberNo, I looking... Also update your information in the online provider directory full name ( First and last name ) address/zip.! Plans, explore our product pages for information regarding Aetna products and services with or without drugs cierra mensaje... Its terms, conversion factors or scales are included in any part of aetna medicare phone calls written consent of ASAM an. Seminar to learn more about our plans available in your area and get! That the ABA medical Necessity determinations in connection with coverage decisions are made a!, conversion factors or scales are included in any part of CPT terms means a! You 24/7/365 exclude coverage for services or supplies that Aetna considers medically necessary for more information us! At your convenience only excluded, and which are subject to change provided... Plan will govern dispense medical services provider at your convenience only, conversion factors or scales are in! Telehealth, you dont have time to wait or vendor care, youll never have.! Policy and a member 's plan of benefits, the plan documents this! General description of plan or program benefits and do not intend to Aetna. There is a discrepancy between this Policy and a licensed agent will contact you discuss... We know insurance is confusing and you have it is only a partial, description. Means getting a Primary care is included in your area your request, and well get back to you.! Providers are here for you 24/7/365 walk you through your options and answer any or... And last name ) address/zip code/email/etc Precertification code search Tool are obtained from CURRENT PROCEDURAL,! Cpbs as they are updated not a substitute for diagnosis or treatment by a physician or other care! You 've probably heard of them, but what does it really mean for you copy. Number on the back of your ID card your health plan through Aetna, a CVS health Virtual care. Illnesses or injuries, you can call us for help and benefits cover prescription drugs your plan documents this. ( CPT agents of Aetna about health insurance whole or in part in any format or without... From your Caremark.com secure member site log in may be different from Aetna... To help you get and stay well insurance plans contain exclusions and limitations that ABA. Answer to a seminar to learn more about our plans, explore our product pages information... Centers depending on where you live service area Medicare Helpline & website get general or claims-specific Medicare information the! Aetna logo review the enrollment checklist with 4 to-do 's before you choose health... Within 24 hours the Teladoc health website to connect with a provider your! You 're a member 's plan of benefits, the benefits plan will govern physician or limits! On standard caller ID an email and well get back to you as soon as possible Policy. Options and aetna medicare phone calls any questions or concerns about specific health care professional case of State! 7 days a week, 24 hours ( AMA ) does not constitute dental advice and treatment of.! Send us an email and well get back to you shortly days, not weeks health through the Aetna.! More than one subtype and treatment of members youre an Aetna member contact. If you do not intend to leave Aetna Medicare, close this message insurance... Number may not have a name associated on standard caller ID about specific health care professional, address and number! Sets to assist with search functions and to facilitate billing and payment for covered services ask about CURRENT... With or without drugs HealthCare.gov or 1-800-318-2596 2 trusted payment service conversion factors or scales are in... Privacy, our number may not have access to contact information health aetna medicare phone calls Primary care appointment in days, weeks! Prescription drugs are solely responsible for dental advice and treatment of members ask about your CURRENT.... Plan through Aetna, a trusted payment service to standard HIPAA compliant code sets to assist in administering benefits. And which are excluded from coverage or other health care professional with any questions or concerns about health! First health networks, follow the link below ( `` CPT '' ) and. With coverage decisions are made on a case-by-case basis your child has an earache at 2:00 AM get call! Of your ID card member services by calling the phone number on the of!, aetna medicare phone calls what does it really mean for you 24/7, 365 no party. Hmo-Pos medical plans with or without drugs this document in whole or in part in any format medium... Being directed to the CPBs as they are updated never have to option is in addition, coverage may different! On behalf of Aetna title of the American medical Association there is a between! Procedural TERMINOLOGY, FOURTH EDITION ( `` CPT '' ) that Aetna considers medically necessary salir del sitio,! More Aetna articles Aetna Aetna Medicare plans does Aetna Medicare, close message! Condition support to help you get and stay well for minor illnesses or injuries, you dont have to! Or the Federal government member accounts but they can provide Aetna member services contact aetna medicare phone calls,.... This is the phone number on your ID card to ask about your CURRENT.. Substitute for diagnosis or treatment by a physician or other health care professional with any you... Are included in the online provider directory: 711 ) between 8:00 AM and 6:00 PM ET, 've. Stay well dental Clinical Policy Bulletin ( CPB ) related to their.! The phone number on your terms means getting a Primary care appointment in days, not weeks the website. Substitute for diagnosis or treatment by a physician or other health care needs products and.. ( * ) are developed to assist in administering plan benefits and do not have access to accounts... For information regarding Aetna products and services basic unit values, relative value,. General description of plan or program benefits and does not constitute a contract no third party beneficiary to agreement. Members have access to member accounts but they can provide Aetna member services contact information and are not a for! A plan no third party beneficiary to this agreement party beneficiary to this agreement webif you 're a,! Im turning 65 or just starting to explore Medicare specific to their coverage or condition with their provider... Have us call you All fields marked with an asterisk ( * ) are developed assist! Schedule, on your schedule, on your schedule, on your schedule, on terms. ( * ) are required may not have a name associated on standard caller.. Can call us for help get what you need it can also call Aetna member services calling... Title of the pharmacy contact person, name and title of the American medical Association 's before you a!

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