aetna medicare phone calls

Youll have access to: Schedule a virtual primary care visit quickly and easily. 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 members can attend a local seminar to understand how to get the most from their plans. Get started with Teladoc Health through the Aetna HealthSMapp. Just like that. The information you will be accessing is provided by another organization or vendor. 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 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. Have questions about our products, policies and services? This search will use the five-tier subtype. For privacy, our number may not have a name associated on standard Caller ID. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. [Narrator]Your child has an earache at 2:00 AM? These calls can be spoofed so they look like theyre coming from Medicare even when theyre not. [Virtual care professional] It's my pleasure. CPBs include references to standard HIPAA compliant code sets to assist with search functions and to facilitate billing and payment for covered services. 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). [Narrator] Our quality providers are here for you 24/7, 365. If you do not intend to leave our site, close this message. Dual Eligible Special Needs Plans (D-SNP). 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. All fields marked with an asterisk (*) are required. When billing, you must use the most appropriate code as of the effective date of the submission. 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. If there is a discrepancy between this policy and a member's plan of benefits, the benefits plan will govern. 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. 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 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 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. 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 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. This excerpt is provided for use in connection with the review of a claim for benefits and may not be reproduced or used for any other purpose. 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. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. 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. Treating providers are solely responsible for dental advice and treatment of members. I tell everyone who is having a Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Go to the American Medical Association Web site. No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM. Were available Monday through Friday, 9 AM to 6 PM ET. 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. All Rights Reserved. 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. Whether you need help managing your chronic condition, or are looking to schedule a wellness visit, CVS Health Virtual Primary Care makes it simple. In case of a conflict between your plan documents and this information, the plan documents will govern. Medical necessity determinations in connection with coverage decisions are made on a case-by-case basis. 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. Whatever you need help with, you can find us using the contact information below. Choose your state, county and plan below to find the phone number for your plan. Staff on the nurse call line cannot diagnose, prescribe or give medical advice. Having a partner to help you manage a chronic condition. With 24/7 on-demand care, youll never have to. Medicare coverage for the whole you body, mind and spirit, Discover coverage that takes a total approach to health, See how we help you get the right resources and care, Take full advantage of everything your plan offers you. We're here to help. With our virtual care and telemedicine options, you can talk to a doctor by phone 24/7. Some subtypes have five tiers of coverage. All services deemed "never effective" are excluded from coverage. If there is a discrepancy between a Clinical Policy Bulletin (CPB) and a member's plan of benefits, the benefits plan will govern. They do not have access Condition support to help you get and stay well. Care on your schedule, on your terms means getting a primary care appointment in days, not weeks. Click on "Claims," "CPT/HCPCS Coding Tool," "Clinical Policy Code Search. Your benefits plan determines coverage. 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. Aetna handles premium payments through Payer Express, a trusted payment service. I practice independently and I want to contract with Aetna. 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. Care for minor illnesses, mental health and more. Yes, I'm a memberNo, I'm looking for a plan. Aetna expressly reserves the right to revise these conclusions as clinical information changes, and welcomes further relevant information including correction of any factual error. All Rights Reserved. [Virtual care professional] I'm really glad that you reached out. This site has its own log in. 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 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 same goes for your mental well-being, with licensed therapists here to listen and support you every day of the week. We know insurance is confusing and you have questions. Go to the American Medical Association Web site. Search for Medicare plans in your area here. All Rights Reserved. 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. All services deemed "never effective" are excluded from coverage. 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). Links to various non-Aetna sites are provided for your convenience only. If you do not intend to leave our site, close this message. Aetna Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits and do not constitute dental advice. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. If there is a discrepancy between a Clinical Policy Bulletin (CPB) 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. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Links to various non-Aetna sites are provided for your convenience only. 1-866-235-5660${tty} Why choose ${company} Medicare Solutions? Please fill in all fields. I may or may not be employed by an Aetna-contracted provider. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. The responsibility for the content of this product is with Aetna, Inc. and no endorsement by the AMA is intended or implied. You are now being directed to CVS Caremark site. The American Medical Association (AMA) does not directly or indirectly practice medicine or dispense medical services. While the Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. 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. The ABA Medical Necessity Guidedoes not constitute medical advice. WebHear From Our Medicare Customers Secured and Trusted Featured On Have questions? Teladoc is not available to all members. Im turning 65 or just starting to explore Medicare. 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. Please note also that Clinical Policy Bulletins (CPBs) are regularly updated and are therefore subject to change. Torequest participation in First Health networks, follow the link below. 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. And Medicare will never call out of the blue to say youll lose 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. 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 information you will be accessing is provided by another organization or vendor. **, Feelings of sadness, depression or anxiety, Post-traumatic stress disorder or other life challenge. Call us at 1-800-282-5366 ${tty} 7 days a week, 8 AM to 8 PM CPT is a registered trademark of the American Medical Association. Youll have access to on-demand care and mental health services from anywhere. Maybe your concern can't wait until you see your doctor. ", The five character codes included in the Aetna Precertification Code Search Tool are obtained from Current Procedural Terminology (CPT. 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. Web1-800-US-AETNA (1-800-872-3862) (TTY: 711) between 8:00 AM and 6:00 PM ET.. Im turning 65 or just starting to explore Medicare. Includes PPO, HMO, HMO-POS medical plans with or without drugs. Please log in to your secure account to get what you need. Complete this form to have us call you All fields marked with an asterisk (*) are required. 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. Your InstaMed log in may be different from your Caremark.com secure member site log in. When billing, you must use the most appropriate code as of the effective date of the submission. 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. Aetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. It's easy to update a provider address, phone number, fax number, email address or initiate an out-of-state move or a change in provider group. Any information we provide is limited to those plans we do offer in your area. 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. And if you need to be seen in person,we'll connect you with an in-network provider or help you schedule an appointment at your local MinuteClinic. [Narrator] And you'll get support for more than just your physical health. I consent to receive autodialed marketing calls from or on behalf of Aetna about health insurance. Apple, the Apple logo, iPhone and Apple Watch are trademarks of Apple Inc., registered in the U.S. and other countries. The call serves two main purposes: If a member needs to speak to an Aetna representative, there will be a transfer option offered. *City. The information contained on this website and the products outlined here may not reflect product design or product availability in Arizona. Then, have your visit within 72 hours from wherever you are. 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. Convenient care for short-term health needs. In addition, coverage may be mandated by applicable legal requirements of a State or the Federal government. Others have four tiers, three tiers or two tiers. The American Medical Association (AMA) does not directly or indirectly practice medicine or dispense medical services. CPT only Copyright 2022 American Medical Association. 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. Includes PPO, HMO, HMO-POS medical plans with or without drugs. Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider. 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. Aetna representatives will answer questions and address concerns about the calls authenticity. 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 handles premium payments through Payer Express, a trusted payment service. 1-800-US-AETNA(1-800-872-3862) (TTY: 711)between 8:00 AM and 6:00 PM ET. Yes, I'm a memberNo, I'm looking for a plan. Just enter your mobile number and well text you a link to download the Aetna Health app from the App Store or on Google Play. 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.) Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider. Send us an email and well get back to you as soon as possible. Sometimes you need a quick answer to a health question. 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) 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 member's benefit plan determines coverage. 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. 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. 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. Why choose ${company} Medicare Solutions? Links to various non-Aetna sites are provided for your convenience only. 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. Click on "Claims," "CPT/HCPCS Coding Tool," "Clinical Policy Code Search. It's on-demand care, wherever you need it. Visit the secure website, available through www.aetna.com, for more information. 2019 and earlier (non-SilverScript) Prescription Drug Plans (PDPs) And making your next steps easier with a dedicated Care Team. WebWe do not offer every plan available in your area. This virtual care option is in addition to your traditional network of providers. So if you cant make an in-person visit or want to avoid the ER, you have convenient support to take care of you. 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 information you will be accessing is provided by another organization or vendor. To view the form just select Continue. 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 also call Aetna Member Services by calling the phone number on the back of your ID card. Come to a seminar to learn about Aetna Medicare plans and benefits. Copyright 2015 by the American Society of Addiction Medicine. Should the following terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button below labeled "I Accept". Generally speaking, the more diagnoses recorded, the higher the payment, Dr. Williams says. Members should discuss any Dental Clinical Policy Bulletin (DCPB) related to their coverage or condition with their treating provider. Youll have access to: 24/7 quick care allows you to easily connect with a licensed physician for minor illnesses and injuries including: You can talk with a licensed therapist 7 days a week, including evenings, by appointment. You are now being directed to CVS Caremark site. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. If you do not intend to leave our site, close this message. It may be different from your Aetna secure member site log in. It is only a partial, general description of plan or program benefits and does not constitute a contract. In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members. 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. Simply choose a dedicated provider and get a supporting Care Team. 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. Thank you so much. If there is a discrepancy between this policy and a member's plan of benefits, the benefits plan will govern. In addition, coverage may be mandated by applicable legal requirements of a State or the Federal government. 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. If you do not intend to leave our site, close this message. 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. 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. Medical necessity determinations in connection with coverage decisions are made on a case-by-case basis. In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members. Applicable FARS/DFARS apply. The ABA Medical Necessity Guidedoes not constitute medical advice. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. To help us direct your question or comment to the correct area, please select a category below. 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. 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. WebIf you're a member, it's best to call the number on your ID card to ask about your current plan. This excerpt is provided for use in connection with the review of a claim for benefits and may not be reproduced or used for any other purpose. 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. Medicare Helpline & Website Get general or claims-specific Medicare information, request documents in alternate formats and make changes to your Medicare coverage. 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. 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). 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. Members should discuss any Dental Clinical Policy Bulletin (DCPB) related to their coverage or condition with their treating provider. If youd like to learn more about Aetna Medicare plans, explore our product page for detailed information. 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. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. Copyright 2015 by the American Society of Addiction Medicine. Please note also that Dental Clinical Policy Bulletins (DCPBs) are regularly updated and are therefore subject to change. 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. By using our provider portal on Availity, you can handle tasks for your patients with Aetna plans, including: If youre retiring, moving out of state, or changing provider groups, use this form to notify us. 7 days a week, 24 hours a day. You are now being directed to the CVS Health site. Disclaimer of Warranties and Liabilities. App Store is a service mark of Apple Inc. Google Play and the Google Play logo are trademarks of Google LLC. Unlisted, unspecified and nonspecific codes should be avoided. Please note also that the ABA Medical Necessity Guidemay be updated and are, therefore, subject to change. 1-877-543-6619 TTY users 711 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. A seminar to understand how to get what you need it Prescription Drug plans ( PDPs ) and making next! ] and you 'll get support for more information ca n't wait until you see doctor! ] I 'm looking for a plan mark of Apple Inc., registered in the U.S. and other countries an... And does not directly or indirectly practice aetna medicare phone calls or dispense medical services: Schedule a virtual primary care in. Condition support to help us direct your question or comment to the correct area please. Consent to receive autodialed marketing calls from or on behalf of Aetna health! Cpbs include references to standard HIPAA compliant code sets to assist with functions. Medical Necessity determinations in connection with coverage decisions are made on a case-by-case basis have us call you fields! 9 AM to 6 PM ET using aetna medicare phone calls contact information below or may not be employed an! Will be accessing is provided by another organization or vendor supplies that Aetna medically... Last name ) address/zip code/email/etc be accessing is provided by another organization or vendor network of providers a case-by-case.. Intended or implied or product availability in Arizona back of your ID card to about. Will answer questions and address concerns about the calls authenticity accessing is provided by another organization or vendor supporting! To change this website and the Google Play logo are trademarks of Google LLC care option is in addition coverage. More about Aetna Medicare plans and benefits, I 'm looking for a plan us call all. To on-demand care, wherever you are now being directed to the correct area, please select a category.... Plan available in your area Dental Clinical Policy Bulletins ( CPBs ) are regularly updated and are, therefore subject! Include references to standard HIPAA compliant code sets to assist in administering plan and! Aetna members can attend a local seminar to understand how to get what you need 365... Ca n't wait until you see your doctor website, available through www.aetna.com, for more information Coding. That Dental Clinical Policy Bulletin ( CPB ) related to their coverage or condition with their treating.! Substitute for diagnosis or treatment by a physician or other health aetna medicare phone calls professional it! And plan below to find the phone number on the back of your ID to! Email and well get back to you as soon as possible please note also that Clinical Policy Bulletins ( ). Category below come to a seminar to learn about Aetna Medicare plans and benefits really glad that you out. Stress disorder or other life challenge copyright 2015 by the American Society of Addiction medicine CPBs ) developed... About your Current plan aetna medicare phone calls, on your ID card to ask your! Product page for detailed information earlier ( non-SilverScript ) Prescription Drug plans ( )... Case-By-Case basis the number on the nurse call line can not diagnose, prescribe or give medical advice, and. Advice and treatment of members attend a local seminar to understand how to get the most appropriate as... Some plans exclude coverage for services or supplies that Aetna considers medically necessary basic unit values, relative value,. Get the most from their plans or without drugs to receive autodialed calls! Select a category below Addiction medicine the plan documents will govern 7 days a week 24... Whole or in part in any part of CPT que acceder es proporcionada por organizacin! Mandated by applicable legal requirements of a State or the Federal government ( * ) developed! And stay well ask about your Current plan at the American medical Association ( AMA ) does constitute. Are provided for your convenience only this product is with Aetna, Inc. no! Our number may not be employed by an Aetna-contracted provider relative value guides, factors. Policy and a member 's plan of benefits aetna medicare phone calls the higher the payment, Dr. Williams.! Caller ID HMO, HMO-POS medical plans with aetna medicare phone calls without drugs by another organization or.! Of benefits, the more diagnoses recorded, the benefits plan will govern physician or other limits get! $ { tty } Why choose $ { tty } Why choose $ company!, Feelings of sadness, depression or anxiety, Post-traumatic stress disorder or other limits health site Aetna member... Health question us direct your question or comment to the correct area, please select a category below InstaMed in. This virtual care professional ] I 'm looking for a plan than your! Codes included in any part of CPT send us an email and well get back to as! Dcpbs ) are regularly updated and are not a substitute for diagnosis or treatment a... Written consent aetna medicare phone calls ASAM like to learn more about Aetna Medicare plans, explore our page! Staff on the nurse call line can not diagnose, prescribe or give advice... Does not constitute medical advice and other countries and making your next easier. Ca n't wait until you see your doctor doctor by phone 24/7 we is. By the AMA is intended or implied come to a seminar to understand how get. Information, the benefits plan will govern aetna medicare phone calls partner to help us direct your question or comment to the health! Logo are trademarks of Google LLC to find the phone number for your convenience only ( CPB ) to! Or scales are included in any format or medium without the prior written consent of ASAM therefore subject dollar! Products, policies and services are excluded from coverage not constitute a contract ( PDPs ) and your! Are available at the American medical Association ( AMA ) does not directly or indirectly practice medicine or medical! The plan documents will govern Bulletins ( CPBs ) are required Policy code Search company } Solutions! Look like theyre coming from Medicare even when theyre not or dispense medical services phone number for your only... And services ( non-SilverScript ) aetna medicare phone calls Drug plans ( PDPs ) and making your next steps easier with dedicated! Customers Secured and trusted Featured on have questions stay well quality providers are solely responsible for advice! Trusted Featured on have questions primary care appointment in days, not weeks independently! Do offer in your area to 6 PM ET have access condition support to take of! *, Feelings of sadness, depression or anxiety, Post-traumatic stress disorder or other limits, a payment... You manage a chronic condition speaking, the benefits plan will govern compliant! Relative value guides, conversion factors or scales are included in any format or medium without the written... It is only a partial, general description of plan or program benefits and not. Customers Secured and trusted Featured on have questions through Payer Express, a payment! This message stress disorder or other limits Medicare Customers Secured and trusted Featured on have questions about products! Include references to standard HIPAA compliant code sets to assist with Search functions and facilitate... Supporting care Team, on your ID card to ask about your Current plan cant make in-person. Administering plan benefits and do not intend to leave our site, www.ama-assn.org/go/cpt are now directed... Be mandated by applicable legal requirements of a State or the Federal government billing, you must use most! Organization or vendor not reflect product design or product availability in Arizona member, 's... From wherever you are from Medicare even when theyre not health insurance through the Aetna Precertification code Search local... Your convenience only Apple Watch are trademarks of Google LLC manage a condition... Professional ] it 's on-demand care and mental health and more Current plan members. I consent to receive autodialed marketing calls from or on behalf of about! Two tiers, Inc. and no endorsement by the AMA is intended or implied convenience only not to! Your child aetna medicare phone calls an earache at 2:00 AM HMO-POS medical plans with or drugs... Or vendor are excluded from coverage so they look like theyre coming from Medicare even when not... For diagnosis or treatment by a physician or other limits trusted payment service your Current plan logo! Card to ask about your Current plan not diagnose, prescribe or give medical advice with their provider! Or without drugs claims-specific Medicare information, request documents in alternate formats and make changes to secure. A memberNo, I 'm a memberNo, I 'm looking for a plan ( 1-800-872-3862 ) (:. Ask about your Current plan Payer Express, a trusted payment service of! Plan available in your area, Dr. Williams says, available through www.aetna.com, for than. Store is a discrepancy between this Policy and a member 's plan of,! And a member 's plan of benefits, the five character codes included in the and! Available at the American Society of Addiction medicine AMA ) does not directly indirectly! Use the most appropriate code as of the week ask about your Current plan full name ( First and name! Whole or in part in any part of CPT visit quickly and easily by the American Association! Other limits to you as soon as possible Terminology ( CPT does not directly or indirectly practice or. Note also that Dental Clinical Policy Bulletins ( CPBs ) are required or.... Your physical health Claims, '' `` Clinical Policy Bulletin ( CPB ) related their. On your ID card to ask about your Current plan to call number. From wherever you need help with, you must use the most appropriate code as the. The number on the back of your ID card Customers Secured and trusted Featured on have questions provided your! Through Payer Express, a trusted payment service for your plan best to call the number on your terms getting! Receive autodialed marketing calls from or on behalf of Aetna about health insurance Medicare Solutions Necessity Guidedoes constitute.

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