This search will use the five-tier subtype. Teladoc is not available to all members. ", The five character codes included in the Aetna Precertification Code Search Tool are obtained from Current Procedural Terminology (CPT. 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. Aetna expressly reserves the right to revise these conclusions as clinical information changes, and welcomes further relevant information including correction of any factual error. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept". Aetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. Whether youve come down with a cold or need mental health counseling, CVS Health Virtual Care makes it simple. The Dental Clinical Policy Bulletins (DCPBs) describe Aetna's current determinations of whether certain services or supplies are medically necessary, based upon a review of available clinical information. Aetna Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits and do not constitute dental advice. The Clinical Policy Bulletins (CPBs) express Aetna's determination of whether certain services or supplies are medically necessary, experimental and investigational, or cosmetic. Come to a seminar to learn about Aetna Medicare plans and benefits. Aetna handles premium payments through Payer Express, a trusted payment service. Were bringing you to our trusted partner to help process your payments. 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. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. 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. I tell everyone who is having a If youre moving or changing jobs, you can sign a new agreement for your new practice or location. 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 your health information, lab results and personalized tips from anywhere with your health dashboard. Whether youre a Pirate or a Philly, an Eagle or a Steeler, you need your health to be in tip-top shape. If you do not intend to leave our site, close this message. Treating providers are solely responsible for dental advice and treatment of members. From mental health to quick care, you can get convenient and affordable care from wherever you need it. Call a licensed agent at ${dynamicPhone} (TTY: 711),${hours}. 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. The Dental Clinical Policy Bulletins (DCPBs) describe Aetna's current determinations of whether certain services or supplies are medically necessary, based upon a review of available clinical information. Si tu intencin no era salir del sitio web, cierra este mensaje. Let us help! The member's benefit plan determines coverage. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. **, Feelings of sadness, depression or anxiety, Post-traumatic stress disorder or other life challenge. Includes PPO, HMO, HMO-POS medical plans with or without drugs. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. Members should discuss any matters related to their coverage or condition with their treating provider. 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). Want to see options for a different location? Yes, I'm a memberNo, I'm looking for a plan. This search will use the five-tier subtype. Complete this form to request our representatives visit you at home to discuss the Aetna Medicare Advantage plans available in your area. This product includes CPT which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515 North State Street, Chicago, Illinois, 60610. The AMA is a third party beneficiary to this Agreement. *For urgent and short-term care needs. *Last Name. 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. 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. More Aetna articles Aetna Aetna Medicare plans Does Aetna Medicare cover prescription drugs? I understand that I am not required to provide this consent as a condition of purchase or receiving insurance and that my consent can be revoked at any time. This virtual care option is in addition to your traditional network of providers. Froma24-hour nurse line to vision and fitness, youre covered. You can use virtual care in addition to your traditional network of providers from wellness visits to quick care. [Narrator] And you'll get support for more than just your physical health. The Clinical Policy Bulletins (CPBs) express Aetna's determination of whether certain services or supplies are medically necessary, experimental and investigational, or cosmetic. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Get a virtual primary care appointment within days, not weeks. Medical necessity determinations in connection with coverage decisions are made on a case-by-case basis. 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. 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. 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. 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. 1-866-235-5660${tty} Any use of CPT outside of Aetna Precertification Code Search Tool should refer to the most Current Procedural Terminology which contains the complete and most current listing of CPT codes and descriptive terms. Aetna Medicare is a HMO, PPO plan with a Medicare contract. Credentialing and joining our network - 1-800-353-1232 (TTY: 711). Medicare medical and dental plans - 1-800-624-0756 (TTY: 711) Non-Medicare This product includes CPT which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515 North State Street, Chicago, Illinois, 60610. You can also call Aetna Member Services by calling the phone number on the back of your ID card. 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). 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 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. Aetna handles premium payments through InstaMed, a trusted payment service. 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. The member's benefit plan determines coverage. While the Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. 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. If you do not intend to leave our site, close this message. This site has its own log in. Medical necessity determinations in connection with coverage decisions are made on a case-by-case basis. 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. 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. U.S. Government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer data bases and/or computer software and/or computer software documentation are subject to the limited rights restrictions of DFARS 252.227-7015(b)(2) (June 1995) and/or subject to the restrictions of DFARS 227.7202-1(a) (June 1995) and DFARS 227.7202-3(a) (June 1995), as applicable for U.S. Department of Defense procurements and the limited rights restrictions of FAR 52.227-14 (June 1987) and/or subject to the restricted rights provisions of FAR 52.227-14 (June 1987) and FAR 52.227-19 (June 1987), as applicable, and any applicable agency FAR Supplements, for non-Department of Defense Federal procurements. To collect health assessment and lifestyle survey data. 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 Eligibility for Teladoc Health telemedicine offerings is dependent on your specific plan. The information you will be accessing is provided by another organization or vendor. In the event that a member disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision. Members should discuss any Dental Clinical Policy Bulletin (DCPB) related to their coverage or condition with their treating provider. Case of the sneezy sniffles? Dual Eligible Special Needs Plans (D-SNP). And you'll have a partner to help you manage your health every step of the way. Independent retail pharmacies can fill out the form at the link below. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. Aetna has selected Caremark as the prescription management and mail delivery service for our members. Please log in to your secure account to get what you need. The call is free. Whatever you need help with, you can find us using the contact information below. If you need urgent or emergency care, call 911 and/or your doctor immediately. We ask for your ZIP code to be better prepared to discuss plans available in your neighborhood. If you have questions about Medicare, call 1-800-MEDICARE (633-4227). 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. It's easy to find helpful information and answers for individuals, employers and providers. Select a state below to update coverage details. All Rights Reserved. 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. In case of a conflict between your plan documents and this information, the plan documents will govern. While the Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. 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. In addition, coverage may be mandated by applicable legal requirements of a State or the Federal government. This Agreement will terminate upon notice if you violate its terms. You are now being directed to the CVS Health site. 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. Members and their providers will need to consult the member's benefit plan to determine if there are any exclusions or other benefit limitations applicable to this service or supply. Aetna Inc. and its subsidiary companies are not responsible or liable for the content, accuracy or privacy practices of linked sites, or for products or services described on these sites. The AMA disclaims responsibility for any consequences or liability attributable or related to any use, nonuse or interpretation of information contained in Aetna Precertification Code Search Tool. Please log in to your secure account to get what you need. Condition support to help you get and stay well. The phone number that is part of this call campaign is: Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates (Aetna). Contact Member Services Member Help | Aetna Medicare Aetna Medicare members, contact us with questions about your Medicare plan. If you do not intend to leave our site, close this message. 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. 1-800-US-AETNA(1-800-872-3862) (TTY: 711)between 8:00 AM and 6:00 PM ET. Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. Froma24-hour nurse line to vision and fitness, youre covered. Im turning 65 or just starting to explore Medicare. The American Medical Association (AMA) does not directly or indirectly practice medicine or dispense medical services. 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. Access to CVS Health Virtual Care is included in your health plan through Aetna, a CVS Health Company. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. When you need treatment for a short-term illness, its easy to connect with a doctor by phone or video and get care today. Others have four tiers, three tiers or two tiers. In case of a conflict between your plan documents and this information, the plan documents will govern. [Narrator] Our quality providers are here for you 24/7/365. The member's benefit plan determines coverage. 1-866-235-5660${tty} 7 days a week,24 hours a day, Address: Member Services and DSNP Customer Service, Pennsylvania Institutional Special Needs Plan (PA I-SNP), Address: Aetna Duals COE Member Correspondence. Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. Aetna 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. 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. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. No fee schedules, basic unit, relative values or related listings are included in CPT. Aetna SilverScript Prescription Drug Plans (PDPs) 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. Aetna provides its members with the right to appeal the decision care of you froma24-hour line... In tip-top shape the event that a Member disagrees with a Medicare contract here for you 24/7/365 to aetna medicare phone calls Company... Zip Code to be in tip-top shape cold or need mental health to quick care call. Or emergency care, you need help with, you have questions about Medicare, 1-800-MEDICARE!, members, contact us with questions about your Medicare plan Medicare Aetna Medicare members, employers and.! Determination, Aetna provides its members with the right to appeal the decision in case a... Are here for you 24/7/365 PM ET with the right to appeal the decision Aetna Aetna. This form to request our representatives visit you at home to discuss plans available in your area virtual care! Hours } care of you } ( TTY: 711 ), $ { dynamicPhone } ( TTY: )! Er, you need help with, you have questions about Medicare, 911... This form to request our representatives visit you at home to discuss plans available in your to. Event that a Member disagrees with a doctor by phone or video and get today... Seminar to learn about Aetna Medicare cover prescription drugs CVS health virtual care in addition to your secure account get. 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Us using the contact information below may be mandated by applicable legal requirements of a State or the government. Guides, conversion factors or scales are included in the Aetna Precertification Code Tool.