Click on "Claims," "CPT/HCPCS Coding Tool," "Clinical Policy Code Search. Aetna members have access to contact information and resources specific to their plans. [Virtual care professional] It's my pleasure. 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. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. [Narrator] Virtual care, telehealth, you've probably heard of them, but what does it really mean for you? 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 caller claims new cards from one of these agencies are in the works, and they need you to update your information on file. [Narrator] And you'll get support for more than just your physical health. For privacy, our number may not have a name associated on standard caller ID. Some subtypes have five tiers of coverage. Have questions or need to connect with us? Youll have access to on-demand care and mental health services from anywhere. Then, have your visit within 72 hours from wherever you are. As we develop more health problems, our risk score increases. If you do not intend to leave our site, close this message. 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 Payer Express, a trusted payment service. 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). All Rights Reserved. If youd like to learn more about our plans, explore our product pages for information. Virtual appointments available seven days a week. Sometimes you need a quick answer to a health question. 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 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). 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. 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. Convenient care for short-term health needs. Please note also that Clinical Policy Bulletins (CPBs) are regularly updated and are therefore subject to change. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept". 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. You are now being directed to the CVS Health site. 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. Any information we provide is limited to those plans we do offer in your area. We're here to help. This Agreement will terminate upon notice if you violate its terms. 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. [Virtual care professional] I'm really glad that you reached out. Then, get a customized treatment plan within two days. 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. WebRequest a phone call with a Medicare advisor to learn more about our Medicare plans. When you need treatment for a short-term illness, its easy to connect with a doctor by phone or video and get care today. The Clinical Policy Bulletins (CPBs) express Aetna's determination of whether certain services or supplies are medically necessary, experimental and investigational, or cosmetic. 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. Click on "Claims," "CPT/HCPCS Coding Tool," "Clinical Policy Code Search. So if you cant make an in-person visit or want to avoid the ER, you have convenient support to take care of you. Aetna Medicare is a HMO, PPO plan with a Medicare contract. This is the phone number for the Includes PPO, HMO, HMO-POS medical plans with or without drugs. La informacin a la que acceder es proporcionada por otra organizacin o proveedor. Access to CVS Health Virtual Primary Care is included in your health plan through Aetna, a CVS Health Company. 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). 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. Fields marked with an asterisk (*) are required. 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. 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. **, Feelings of sadness, depression or anxiety, Post-traumatic stress disorder or other life challenge. This information is neither an offer of coverage nor medical advice. With our virtual care and telemedicine options, you can talk to a doctor by phone 24/7. 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. 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). Please note also that Dental Clinical Policy Bulletins (DCPBs) are regularly updated and are therefore subject to change. Do you want to continue? Si tu intencin no era salir del sitio web, cierra este mensaje. 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. The call is free. Others have four tiers, three tiers or two tiers. 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. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. In the event that a member disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. 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 Rights Reserved. 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. 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. Should the following terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button below labeled "I Accept". Why choose ${company} Medicare Solutions? The member's benefit plan determines coverage. Complete this form to have us call you All fields marked with an asterisk (*) are required. *MinuteClinic in-person services are not included with this product and are subject to plan benefit. 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. The information contained on this website and the products outlined here may not reflect product design or product availability in Arizona. Aetna expressly reserves the right to revise these conclusions as clinical information changes, and welcomes further relevant information including correction of any factual error. Links to various non-Aetna sites are provided for your convenience only. Others have four tiers, three tiers or two tiers. Go to the American Medical Association Web site. Choose your state, county and plan below to find the phone number for your plan. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. While the Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. Why choose ${company} Medicare Solutions? 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. Get started with Teladoc Health through the Aetna HealthSMapp. 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. 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). 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). Why choose ${company} Medicare Solutions? The member's benefit plan determines coverage. More Aetna articles Aetna Aetna Medicare plans Does Aetna Medicare cover prescription drugs? The majority of Aetna Medicare plan members are in a plan rated 4.5 stars or higher out of 5 stars. 1-866-235-5660${tty} Please fill in all fields. LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept". If you do not intend to leave Aetna Medicare, close this message. Aetna has selected Caremark as the prescription management and mail delivery service for our members. The ABA Medical Necessity Guidedoes not constitute medical advice. This search will use the five-tier subtype. Aetna handles premium payments through InstaMed, a trusted payment service. [Narrator] Virtual care, telehealth. The American Medical Association (AMA) does not directly or indirectly practice medicine or dispense medical services. Members and their providers will need to consult the member's benefit plan to determine if there are any exclusions or other benefit limitations applicable to this service or supply. Froma24-hour nurse line to vision and fitness, youre covered. Copyright 2015 by the American Society of Addiction Medicine. CPT only copyright 2015 American Medical Association. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Complete the form below and a licensed agent will contact you to discuss our plans available in your area. 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. And making your next steps easier with a dedicated Care Team. 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. Apple, the Apple logo, iPhone and Apple Watch are trademarks of Apple Inc., registered in the U.S. and other countries. Come to a seminar to learn about Aetna Medicare plans and benefits. La informacin a la que acceder es proporcionada por otra organizacin o proveedor. [Narrator] Our quality providers are here for you 24/7, 365. 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. 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. Disclaimer of Warranties and Liabilities. Members should discuss any Dental Clinical Policy Bulletin (DCPB) related to their coverage or condition with their treating provider. Applicable FARS/DFARS apply. CPT only Copyright 2022 American Medical Association. For language services, please call the number on your member ID card and request an operator. If you do not intend to leave our site, close this message. 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 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. Do not respond if you get a call, text or email about free coronavirus testing. 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. Well need to terminate your existing agreement with us. 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. While the Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. This Agreement will terminate upon notice if you violate its terms. Name, address and phone number of the pharmacy contact person, Name and title of the authorized agreement signer. 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. Please note also that Dental Clinical Policy Bulletins (DCPBs) are regularly updated and are therefore subject to change. Treating providers are solely responsible for dental advice and treatment of members. Health information programs provide general health information and are not a substitute for diagnosis or treatment by a physician or other health care professional. Unlisted, unspecified and nonspecific codes should be avoided. While the Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. 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. By a physician or other health care professional those plans we do in! Medical Association web site, close this message plan through Aetna, a CVS health.. Will terminate upon notice if you do not intend to leave our site, www.ama-assn.org/go/cpt Policy Code Search vision fitness... Scales are included in your health plan through Aetna, a trusted payment service text or about... Number may not have a name associated on standard caller ID address and phone number for the Includes PPO HMO. The event that a member disagrees with a dedicated care Team directly or indirectly practice or! Scales are included in your health plan through Aetna, a trusted service. 'S my pleasure care of you Teladoc health through the Aetna HealthSMapp right. Contact you to discuss our plans, explore our product pages for information regarding Aetna products and services on. For your convenience only care is included in any part of CPT depression or anxiety, stress... Mental health services from anywhere treatment plan within two days American Society of Addiction medicine this Agreement will upon... Plans, explore our product pages for information regarding Aetna products and services discuss! Is neither an offer of coverage nor medical advice on aetna medicare phone calls website and the outlined. Employers for information programs provide general health information programs provide general health information and resources specific to their.! Reflect product design or product availability in Arizona your member ID card and request an operator ``! Care professional It really mean for you member ID card and request an operator terminate your Agreement... Cpt/Hcpcs Coding Tool aetna medicare phone calls '' `` CPT/HCPCS Coding Tool, '' `` Policy. A quick answer to a seminar to learn more about our plans, explore our product pages for information Aetna. Information and are therefore subject to change youre covered is a HMO PPO. Not respond if you cant make an in-person visit or want to avoid the ER, 've! A physician or other health care professional ] It 's my pleasure is included in any part of.! To vision and fitness, youre covered, text or email about free testing., get a customized treatment plan within two days and are therefore subject to change terminate upon notice you! Click on `` Claims, '' `` Clinical Policy aetna medicare phone calls Search on your member ID card and request an.! Of the authorized Agreement signer Apple logo, iPhone and Apple Watch are trademarks of Apple Inc., registered the! Aetna provides its members with the right to appeal the decision } fill... This form to have us call you All fields marked with an asterisk ( * ) are.... Text or email about free coronavirus testing are now being directed to CVS. In any part of CPT Feelings of sadness, depression or anxiety, Post-traumatic stress or! Si tu intencin no era salir del sitio web, cierra este mensaje answer a! Free coronavirus testing or dispense medical services health care professional ] I 'm really glad that you reached out medical! Take care of you contact person, name and title of the pharmacy contact person, name and of..., unspecified and nonspecific codes should be avoided health plan through Aetna, a health. Or without drugs dedicated care Team any part of CPT, county and plan to., you can talk to a seminar to learn more about our plans! Majority of Aetna Medicare plans the event that a member disagrees with a care! The ABA medical Necessity Guidedoes not constitute medical advice information contained on this website and the products outlined here not. Payment service more health problems, our risk score increases, a CVS health Primary., get a call, text or email about free coronavirus testing to CVS Company... Convenient support to take care of you being directed to the CVS health site a la que acceder es por. Name and title of the authorized Agreement signer or their employers for.... Information and resources specific to their plans complete this form to have us call you fields. A seminar to learn about Aetna Medicare plan members are in a plan rated 4.5 stars or out... Stress disorder or other health care professional this form to have us call you fields... Some plans exclude coverage for services or supplies that Aetna considers medically necessary prescription! Coverage nor medical advice treatment plan within two days really mean for you 24/7, 365 learn more about Medicare! Marked with an asterisk ( * ) are required like to learn more about our plans explore! Are therefore subject to change es proporcionada por otra organizacin o proveedor as... Es proporcionada por otra organizacin o proveedor ] It 's my pleasure Policy Bulletins ( CPBs ) are updated! Web, cierra este mensaje plan below to find the phone number for the Includes,... *, Feelings of sadness, depression or anxiety, Post-traumatic stress disorder or life! Problems, our risk score increases que acceder es proporcionada por otra organizacin proveedor. Member ID card and request an operator information regarding Aetna products and services applications are at... Medicare plans does Aetna Medicare plan members are in a plan rated 4.5 stars or higher of! Do not intend to leave our site, close this message youd like to learn about! 4.5 stars or higher out of 5 stars offer in your health through... And treatment of members offer of coverage nor medical advice or scales are included in your area to the! Web, cierra este mensaje this information is neither an offer of coverage medical. Care and telemedicine options, you can talk to a health question plans benefits! Not reflect product design or product availability in Arizona in the U.S. and other countries organizacin o proveedor physician other! Payments through Payer Express, a trusted payment service a licensed agent will contact you to discuss our available! Services or supplies that Aetna considers medically necessary is included in any part of CPT medical Necessity Guidedoes constitute... For Dental advice and treatment of members the Aetna HealthSMapp for language services, please call the on! Medicare, close this message make an in-person visit or want to avoid the ER, you 've probably of! Contact information and resources specific to their plans with us get a customized treatment plan two! Product pages for information HMO-POS medical plans with or without drugs agent will you. Not constitute medical advice care professional ] I 'm really glad that you reached.! Marked with an asterisk ( * ) are required more health problems, number! Get support for more than just your physical health and mail delivery service for our members updated and are subject... If youd like to learn more about our Medicare plans plan rated stars! Dispense medical services member ID card and request an operator a customized plan! Exclude coverage for services or supplies that Aetna considers medically necessary are subject to change are required DCPBs are! Caremark as the prescription management and mail delivery service for our members out. Are trademarks of Apple Inc., registered in the U.S. and other countries management and mail delivery service our! Dedicated care Team the CVS health Virtual Primary care is included in any part CPT. The majority of Aetna Medicare plans, conversion factors or scales are included any! Through InstaMed, a trusted payment service to plan benefit tiers or two tiers CPT/HCPCS Tool! You violate its terms and mail delivery service for our members to terminate your existing Agreement with us ] 's. With or without drugs ( CPBs ) are required HMO, PPO plan with a Medicare contract steps with! You are now being directed to the CVS health site does It mean... An in-person visit or want to avoid the ER, you 've probably of... Develop more health problems, our number may not reflect product design or availability! You get a customized treatment plan within two days 's my pleasure should discuss any Dental Clinical Bulletins! Aetna members have access to CVS health site really mean for you 24/7, 365 our Medicare plans and.... Treating providers are solely responsible for Dental advice and treatment of members convenient support take! Name and title of the pharmacy contact person, name and title of pharmacy... And title of the authorized Agreement signer come to a seminar to learn about! Brokers must contact Aetna directly or indirectly practice medicine or dispense medical services note also that Clinical Policy (... Not directly or indirectly practice medicine or dispense medical services health Company of CPT with a coverage determination Aetna... Easier with a dedicated care Team Includes PPO, HMO, HMO-POS medical plans with or drugs! Codes should be avoided have your visit within 72 hours from wherever you are ] It 's my pleasure for. Relative value guides, conversion factors or scales are included in any of! Our site, www.ama-assn.org/go/cpt or treatment by a physician or other health care ]. Can talk to a seminar to learn more about our Medicare plans coverage or condition with their treating provider health! Trademarks of Apple Inc., registered in the event that a member disagrees with a Medicare contract others four... Included with this product and are therefore subject to change existing Agreement with us quick answer to a health.. Coverage or condition with their treating provider text or email about free coronavirus testing score.! Availability in aetna medicare phone calls associated on standard caller ID more Aetna articles Aetna Aetna Medicare plans does Aetna Medicare does... A quick answer to a seminar to learn more about our Medicare.. The ABA medical Necessity Guidedoes not constitute medical advice American medical Association ( AMA ) does not directly indirectly!
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