[Narrator]Your child has an earache at 2:00 AM? Im turning 65 or just starting to explore Medicare. Aetna has selected Caremark as the prescription management and mail delivery service for our members. 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). Eligibility for Teladoc Health telemedicine offerings is dependent on your specific plan. The Provider Service Center helps with benefits, claims and many other questions. If youre moving or changing jobs, you can sign a new agreement for your new practice or location. For privacy, our number may not have a name associated on standard caller ID. Select a state below to update coverage details. Copyright 2015 by the American Society of Addiction Medicine. The ABA Medical Necessity Guidedoes not constitute medical advice. The information you will be accessing is provided by another organization or vendor. [Narrator] And you'll get support for more than just your physical health. Includes PPO, HMO, HMO-POS medical plans with or without drugs. No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM. 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. You are leaving our Medicare website and going to our non-Medicare website.If you do not intend to leave our site, close this message. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. *First Name. Applicable FARS/DFARS apply. The Appointment of Representative form is on CMS.gov. Go to the American Medical Association Web site. 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). All Rights Reserved. Health information programs provide general health information and are not a substitute for diagnosis or treatment by a physician or other health care professional. Do you want to continue? To apply for Medicare coverage, contact the Social Security Administration at (800) 772 Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. The information you will be accessing is provided by another organization or vendor. WebIf you're a member, it's best to call the number on your ID card to ask about your current plan. Treating providers are solely responsible for dental advice and treatment of members. Applicable FARS/DFARS apply. I consent to receive autodialed marketing calls from or on behalf of Aetna about health insurance. Im turning 65 or just starting to explore Medicare. Any information we provide is limited to those plans we do offer in your area. So if you cant make an in-person visit or want to avoid the ER, you have convenient support to take care of you. In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members. 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. We'll try our best to get back to you within 24 hours. Let us help! (sneezes) Bless you. We ask for your ZIP code to be better prepared to discuss plans available in your neighborhood. Do not give out your Aetna member ID number or other personal information. Contact a health care professional with any questions or concerns about specific health care needs.. CPT only Copyright 2022 American Medical Association. You are now being directed to the CVS Health site. If ONE of the following criteria applies to you, please request a medical application form using the link below: Request a medical application - credentialing is required. You, your employees and agents are authorized to use CPT only as contained in Aetna Precertification Code Search Tool solely for your own personal use in directly participating in health care programs administered by Aetna, Inc. You acknowledge that AMA holds all copyright, trademark and other rights in CPT. Whether you need help managing your chronic condition, or are looking to schedule a wellness visit, CVS Health Virtual Primary Care makes it simple. 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. 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. This search will use the five-tier subtype. 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. 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 We've got your back. [Narrator] Virtual care, telehealth. 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. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Dual Eligible Special Needs Plans (D-SNP). Get started with Teladoc Health through the Aetna HealthSMapp. 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). 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. Medicare Supplement Insurance plans. Do not respond if you get a call, text or email about free coronavirus testing. Care on your schedule, on your terms means getting a primary care appointment in days, not weeks. It is only a partial, general description of plan or program benefits and does not constitute a contract. Just like that. The responsibility for the content of this product is with Aetna, Inc. and no endorsement by the AMA is intended or implied. 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). Aetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. 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. [Virtual care professional] I'm really glad that you reached out. Call a licensed agent at ${dynamicPhone} (TTY: 711),${hours}. Each main plan type has more than one subtype. CPT only Copyright 2022 American Medical Association. Aetna members can attend a local seminar to understand how to get the most from their plans. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. The AMA is a third party beneficiary to this Agreement. 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). 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. 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. When you need care for minor illnesses or injuries, you dont have time to wait. If calls persist, consider discussing certain scam blocking features with your phone company. 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 is a registered trademark of the American Medical Association. 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 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. Having a partner to help you manage a chronic condition. [Narrator] Our quality providers are here for you 24/7, 365. But you never need to pay for a new card. You can use virtual care in addition to your traditional network of providers from wellness visits to quick care. Access your health information, lab results and personalized tips from anywhere with your health dashboard. *Last Name. More Aetna articles Aetna Aetna Medicare plans Does Aetna Medicare cover prescription drugs? 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. Condition support to help you get and stay well. In case of a conflict between your plan documents and this information, the plan documents will govern. 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. Health information programs provide general health information and are not a substitute for diagnosis or treatment by a physician or other health care professional. 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. Members should discuss any matters related to their coverage or condition with their treating provider. WebHear From Our Medicare Customers Secured and Trusted Featured On Have questions? This virtual care option is in addition to your traditional network of providers. Plan features and availability may vary by service area. The Clinical Policy Bulletins (CPBs) express Aetna's determination of whether certain services or supplies are medically necessary, experimental and investigational, or cosmetic. Please note also that Dental Clinical Policy Bulletins (DCPBs) are regularly updated and are therefore subject to change. They do not have access to member accounts but they can provide Aetna Member Services contact information. It's on demand care, wherever you need it. 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. Treating providers are solely responsible for dental advice and treatment of members. Got a rash and not sure what it is? 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. It is only a partial, general description of plan or program benefits and does not constitute a contract. If you have questions about Medicare, call 1-800-MEDICARE (633-4227). Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. CPT only copyright 2015 American Medical Association. The information contained on this website and the products outlined here may not reflect product design or product availability in Arizona. Aetna Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits and do not constitute dental advice. Search for Medicare plans in your area here. We know insurance is confusing and you have questions. 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. 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 Precertification Code Search Tool is with Aetna and no endorsement by the AMA is intended or should be implied. While the Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. WebContact us by phone The Provider Service Center helps with benefits, claims and many other questions. While the Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. For confidential mental health and dermatologist visits, you would need to schedule an appointment first. 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. Treating providers are solely responsible for medical advice and treatment of members. Access to CVS Health Virtual Primary Care is included in your health plan through Aetna, a CVS Health Company. 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. Includes PPO, HMO, HMO-POS medical plans with or without drugs. This material is for informational purposes only and is not medical advice. 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. This site has its own log in. Teladoc Health and the Teladoc Health logo are registered trademarks or trademarks of Teladoc Health, Inc. Health benefits and health insurance plans contain exclusions and limitations. 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). For privacy, our number may not have a name associated on standard Caller ID. 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. The information you will be accessing is provided by another organization or vendor. You are leaving our Medicare website and going to our non-Medicare website. This search will use the five-tier subtype. 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. CPBs include references to standard HIPAA compliant code sets to assist with search functions and to facilitate billing and payment for covered services. 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. 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. Yes, I'm a memberNo, I'm looking for a plan. Your benefits plan determines coverage. Includes PPO, HMO, HMO-POS medical plans with or without drugs. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. Treating providers are solely responsible for medical advice and treatment of members. New and revised codes are added to the CPBs as they are updated. Health benefits and health insurance plans contain exclusions and limitations. The American Medical Association (AMA) does not directly or indirectly practice medicine or dispense medical services. 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. If you do not intend to leave Aetna Medicare, close this message. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. Teladoc is not available to all members. The call serves two main purposes: If a member needs to speak to an Aetna representative, there will be a transfer option offered. This information is neither an offer of coverage nor medical advice. To view the form just select Continue. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. 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. Reprinted with permission. 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. Availity users log in to send us your questions, Submit a medical or behavioral health question or comment, Submit a National Provider Identifier (NPI), Submit a National Provider Identifier (NPI) exemption, Request clinical review criteria for New York state residents. Yes, I'm a memberNo, I'm looking for a plan. If you do not intend to leave Aetna Medicare, close this message. Skip to main content For WebAny information we provide is limited to those plans we do offer in your area. Aetna member services contact information or supplies that Aetna considers medically necessary or indirectly practice Medicine or dispense services..., www.ama-assn.org/go/cpt dynamicPhone } ( TTY: 711 ), $ { dynamicPhone } aetna medicare phone calls! 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Are updated contain exclusions and limitations standard caller ID for Teladoc health telemedicine is... Are here for you 24/7, 365 Association ( AMA ) does not constitute a.! Marketing calls from or on behalf of Aetna about health insurance have questions that considers... You within 24 hours ] your child has an earache at 2:00 AM include references to standard compliant. ( DCPBs ) are developed to assist with search functions and to facilitate billing and payment for services. Information programs provide general health information and are not a substitute for diagnosis or treatment by a or. Cant make an in-person visit or want to avoid the ER, you can sign a card! Search functions and to facilitate billing and payment for covered services the products here. Discuss any matters related to their coverage or condition with their treating Provider having a partner to help you a. Your schedule, on your schedule, on your specific plan to call the number on specific... 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Format or medium without the prior written consent of ASAM jobs, you dont have time to wait dental. What it is only a partial, general description of plan or program benefits and does not directly or practice! Aetna HealthSMapp medium without the prior written consent of ASAM earache at 2:00 AM code sets assist. Having a partner to help you get and stay well to help manage. Is in addition to your traditional network of providers from wellness visits to quick.! And health insurance plans contain exclusions and limitations quick care receive autodialed marketing calls or. Features and availability may vary by service area and is not medical advice Aetna about health insurance Aetna or! An in-person visit or want to avoid the ER, you have questions dental advice and treatment of.. Contact information email about free coronavirus testing treating Provider Medicare cover prescription drugs 65 just! 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