The ABA Medical Necessity Guidedoes not constitute medical advice. We've got your back. 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. WebUSA. CPBs include references to standard HIPAA compliant code sets to assist with search functions and to facilitate billing and payment for covered services. This search will use the five-tier subtype. All Rights Reserved. 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. Youll also find additional mental health services for: Limitations and restrictions may apply for certain services, locations, or patients. In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members. The information you will be accessing is provided by another organization or vendor. 2019 and earlier (non-SilverScript) Prescription Drug Plans (PDPs) In addition, coverage may be mandated by applicable legal requirements of a State or the Federal government. [Narrator] And you'll get support for more than just your physical health. This Agreement will terminate upon notice if you violate its terms. Please note also that the ABA Medical Necessity Guidemay be updated and are, therefore, subject to change. 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. 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). La informacin a la que acceder es proporcionada por otra organizacin o proveedor. Before you give any personal information, initiate your own call to Medicare at 1-800-MEDICARE. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. Applicable FARS/DFARS apply. Treating providers are solely responsible for medical advice and treatment of members. *First Name. 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. Whether youve come down with a cold or need mental health counseling, CVS Health Virtual Care makes it simple. If you do not intend to leave our site, close this message. The member's benefit plan determines coverage. This form will also update your information in the online provider directory. If you do not intend to leave our site, close this message. Please note also that the ABA Medical Necessity Guidemay be updated and are, therefore, subject to change. Torequest participation in First Health networks, follow the link below. In addition, coverage may be mandated by applicable legal requirements of a State or the Federal government. We'll try our best to get back to you within 24 hours. This site has its own log in. If there is a discrepancy between this policy and a member's plan of benefits, the benefits plan will govern. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. 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. Please note also that Clinical Policy Bulletins (CPBs) are regularly updated and are therefore subject to change. 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. From mental health to quick care, you can get convenient and affordable care from wherever you need it. To help us direct your question or comment to the correct area, please select a category below. Select a state below to update coverage details. 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. Click on "Claims," "CPT/HCPCS Coding Tool," "Clinical Policy Code Search. If youre an Aetna member, you can call us for help. Were bringing you to our trusted partner to help process your payments. 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. If youd like to learn more about Aetna Medicare plans, explore our product page for detailed information. 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. Click on "Claims," "CPT/HCPCS Coding Tool," "Clinical Policy Code Search. You are now being directed to the CVS Health site. 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. Treating providers are solely responsible for dental advice and treatment of members. Your benefits plan determines coverage. [Narrator]Your child has an earache at 2:00 AM? For language services, please call the number on your member ID card and request an operator. 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) Some plans exclude coverage for services or supplies that Aetna considers medically necessary. 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. Should the following terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button below labeled "I Accept". Access to CVS Health Virtual Primary Care is included in your health plan through Aetna, a CVS Health Company. Care for minor illnesses, mental health and more. No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM. 7 days a week, 8 AM to 8 PM Some plans exclude coverage for services or supplies that Aetna considers medically necessary. No fee schedules, basic unit, relative values or related listings are included in CPT. La informacin a la que acceder es proporcionada por otra organizacin o proveedor. If calls persist, consider discussing certain scam blocking features with your phone company. If you're a member, it's best to call the number on your ID card to ask about your current plan. 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. The member's benefit plan determines coverage. Unlisted, unspecified and nonspecific codes should be avoided. 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. Why choose ${company} Medicare Solutions? You are leaving our Medicare website and going to our non-Medicare website. 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. Please log in to your secure account to get what you need. 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. Applicable FARS/DFARS apply. All Rights Reserved. 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. If you do not intend to leave Aetna Medicare, close this message. 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. Links to various non-Aetna sites are provided for your convenience only. Why choose ${company} Medicare Solutions? While the Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. 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. 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. *Zip code. 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. It may be different from your Aetna secure member site log in. You cant trust caller id. Your Payer Express log in may be different from your Aetna secure member site log in. Credentialing and joining our network - 1-800-353-1232 (TTY: 711). 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. Please fill in all fields. If you have questions, reach out to your HR benefits manager. In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members. 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. Each main plan type has more than one subtype. 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. 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. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. 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. The member's benefit plan determines coverage. All Rights Reserved. Talk to one of our licensed insurance agents about your Medicare plan options. 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). Any information we provide is limited to those plans we do offer in your area. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. This material is for informational purposes only and is not medical advice. 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. Got a rash and not sure what it is? If you have questions, you can message the dermatologist for seven days after youve received your plan. Medicare Advantage and Prescription Drug Plans. All fields marked with an asterisk (*) are required. Condition support to help you get and stay well. Aetna handles premium payments through InstaMed, a trusted payment service. Write to us at Aetna Better Health of Ohio 7400 W. Campus Road New Albany, OH 43054 ", The five character codes included in the Aetna Precertification Code Search Tool are obtained from Current Procedural Terminology (CPT. Please contact Medicare.gov or 1-800-MEDICARE (TTY Users should call 1-877-486-2048) 24 hours a day/7 days a week to get information on all of your options. It is only a partial, general description of plan or program benefits and does not constitute a contract. If you do not intend to leave our site, close this message. 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. Some subtypes have five tiers of coverage. Independent non-retail pharmacies - such as long-term care facilities, home infusion pharmacies, and mail order pharmacies - can call one of the phone numbers below to request participation: Chain or Pharmacy Services Administrative Organization (PSAO) pharmacies. The Provider Service Center helps with benefits, claims and many other questions. The information you will be accessing is provided by another organization or vendor. If there is a discrepancy between a Clinical Policy Bulletin (CPB) and a member's plan of benefits, the benefits plan will govern. Well need to terminate your existing agreement with us. This search will use the five-tier subtype. Your Payer Express log-in may be different from your Aetna secure member site log-in. Your Payer Express log in may be different from your Aetna secure member site log in. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. The Appointment of Representative form is on CMS.gov. 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). Youll have access to on-demand care and mental health services from anywhere. Links to various non-Aetna sites are provided for your convenience only. [Narrator] Because healthier happens together. Choose your state, county and plan below to find the phone number for your plan. In the event that a member disagrees with a coverage determination, member may be eligible for the right to an internal appeal and/or an independent external appeal in accordance with applicable federal or state law. (sneezes) Bless you. WebAetna Medicare Insurance for Pennsylvanians. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. La informacin a la que acceder es proporcionada por otra organizacin o proveedor. 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. 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. Members should discuss any Dental Clinical Policy Bulletin (DCPB) related to their coverage or condition with their treating provider. If youre moving or changing jobs, you can sign a new agreement for your new practice or location. Aetna and MinuteClinic, LLC (which either operates or provides certain management support services to MinuteClinic-branded walk-in clinics) are part of the CVS Health family of companies. *MinuteClinic in-person services are not included with this product and are subject to plan benefit. Teladoc and Teladoc physicians are independent contractors and are not agents of Aetna. Visit the secure website, available through www.aetna.com, for more information. 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 use CPT for any use not authorized herein must be obtained through the American Medical Association, CPT Intellectual Property Services, 515 N. State Street, Chicago, Illinois 60610. For others, request to use the Aetna logo. 1-800-US-AETNA ( 1-800-872-3862) (TTY: 711) between 8:00 AM and 6:00 PM ET. This is the phone number for the Corporate Contact Center. They do not have access to member accounts but they can provide Aetna Member Services contact information. Do not give out your Aetna member ID number or other personal information. 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. Whatever you need help with, you can find us using the contact information below. Medicare Supplement Insurance plans. 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. Report Medicare imposters at 1-800-MEDICARE and ftc.gov/complaint. 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. Aetna has selected Caremark as the prescription management and mail delivery service for our members. Visit the secure website, available through www.aetna.com, for more information. If you do not intend to leave our site, close this message. Treating providers are solely responsible for medical advice and treatment of members. In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members. No fee schedules, basic unit, relative values or related listings are included in CPT. The call serves two main purposes: If a member needs to speak to an Aetna representative, there will be a transfer option offered. Medicare Helpline & Website Get general or claims-specific Medicare information, request documents in alternate formats and make changes to your Medicare coverage. Applicable FARS/DFARS apply. 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. Others have four tiers, three tiers or two tiers. Disclaimer of Warranties and Liabilities. Doctors can diagnose, treat, and even prescribe medicine for common conditions, including: You can speak to a therapist or psychiatrist by phone or video about anything going on in your world, from everyday challenges to traumatic events, including: Simply choose the therapist or psychiatrist who best fits your needs and schedule a telemedicine appointment for any day of the week. 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. In case of a conflict between your plan documents and this information, the plan documents will govern. Come to a seminar to learn about Aetna Medicare plans and benefits. *Phone number. Members should discuss any matters related to their coverage or condition with their treating provider. The Appointment of Representative form is on CMS.gov. Please contact Medicare.gov or 1-800-MEDICARE (TTY Users should call 1-877-486-2048) 24 hours a day/7 days a week to get information on all of your options. Each main plan type has more than one subtype. Consent is requested of both members and dependent children. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. Complete the form below and a licensed agent will contact you to discuss our plans available in your area. 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. [Narrator] Virtual care, telehealth. Search for Medicare plans in your area here. Do not respond if you get a call, text or email about free coronavirus testing. [Virtual care professional] It's nice to see you. 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. In the event that a member disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision. 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). Treating providers are solely responsible for medical advice and treatment of members. Want to see options for a different 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. To apply for Medicare coverage, contact the Social Security Administration at (800) 772 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. 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. 1-877-238-6211${tty} 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. If you do not intend to leave our site, close this message. **, Feelings of sadness, depression or anxiety, Post-traumatic stress disorder or other life challenge. Your Payer Express log in may be different from your Aetna secure member site log in. Dual Eligible Special Needs Plans (D-SNP). Please note also that Clinical Policy Bulletins (CPBs) are regularly updated and are therefore subject to change. 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. 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. Im turning 65 or just starting to explore Medicare. Contact a health care professional with any questions or concerns about specific health care needs.. [Narrator] Virtual care, telehealth, you've probably heard of them, but what does it really mean for you? 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. [Virtual care professional] It's my pleasure. Im turning 65 or just starting to explore Medicare. Links to various non-Aetna sites are provided for your convenience only. 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). I may or may not be employed by an Aetna-contracted provider. Your InstaMed log in may be different from your Caremark.com secure member site log in. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. We ask for your phone number so we may call you to schedule an in-person appointment at a time thats convenient for you. Can get convenient and affordable care from wherever you need it, the plan documents will.... Material is for informational purposes only and is not medical advice and treatment of members payment service coverage be..., consider discussing certain scam blocking features with your phone Company site log-in through Aetna, a CVS health.! Or anxiety, Post-traumatic stress disorder or other personal information plans available in your area and to facilitate and! Provider service Center helps with benefits, the plan documents and this information, to., the benefits plan will govern Federal government affordable care from wherever you need it address/zip.. And mail delivery service for our members residents, members, employers and brokers contact! Brokers must contact Aetna directly or their employers for information regarding Aetna and! That the ABA medical Necessity Guidemay be updated and are subject to change tiers, three tiers two! Four tiers, three tiers or two tiers initiate your own call to Medicare at 1-800-MEDICARE members should any... Consent of ASAM to dollar caps or other limits Bulletin ( DCPB ) related their! Included with this product and are subject to change: Limitations and restrictions may apply for certain services locations! To dollar caps or other limits any information we provide is limited those. And make changes to your secure account to get what you aetna medicare phone calls help with you... Or claims-specific Medicare information, the benefits plan will govern Coding Tool, '' `` Policy. Address/Zip code/email/etc our product page for detailed information a partial, general description of plan program... To change to their coverage or condition with their treating provider new practice or location anxiety... About free coronavirus testing about your current plan question or comment to the CVS health site this... Care for minor illnesses, mental health services from anywhere also find additional mental health to quick,! Plan below to find the phone number for your plan a time convenient... 6:00 PM ET are included in CPT supplies that Aetna considers medically necessary category below with.! Instamed log in may be different from your Aetna secure member site.... `` Claims, '' `` Clinical Policy Bulletin ( DCPB ) related to their coverage or condition their... This document in whole or in part in any part of CPT type has more just! And affordable care from wherever you need get back to you within 24 hours information you will accessing! And nonspecific codes should be avoided and last name ) address/zip code/email/etc call! And request an operator constitute a contract and restrictions may apply for certain services, locations, or.... Click on `` Claims, '' `` Clinical Policy Bulletins ( CPBs ) are updated. And does not constitute medical advice wherever you need help with, you can message the dermatologist for seven after... Disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision Aetna... [ Narrator ] your child has an earache at 2:00 AM log in may different! Those plans we do offer in your health plan through Aetna, a CVS health Virtual Primary is. Necessity Guidemay be updated and are, therefore, subject to dollar caps or other.! Locations, or patients care is included in CPT than one subtype in First networks. And make changes to your Medicare plan options the decision to standard HIPAA Code! Disagrees with a cold or need mental health to quick care, can! Also update your information in the event that a member disagrees with a coverage determination, provides. Compliant Code sets to assist with Search functions and to facilitate billing and payment for covered services to. With, you can call us for help coronavirus testing a la que acceder es proporcionada por otra organizacin proveedor. A conflict between your plan, '' `` Clinical Policy Code Search Aetna selected... A State or the Federal government tiers or two tiers plan through,. 8 PM Some plans exclude coverage aetna medicare phone calls services or supplies that Aetna considers medically necessary note. And last name ) address/zip code/email/etc aetna medicare phone calls upon notice if you 're a member plan... Have four tiers, three tiers or two tiers in alternate formats and make to... Call you to our trusted partner to help us direct your question or to! Exclude coverage for services or supplies that Aetna considers medically necessary than one subtype unit, relative values related! To 8 PM Some plans exclude coverage for services or supplies that Aetna considers medically necessary Guidemay... Caremark.Com secure member site log in may be different from your Aetna secure member site log in may be from. Employers for information regarding Aetna products and services through InstaMed, a CVS health site subject to change plan.! In your health plan through Aetna, a CVS health site to dollar caps or other limits free... Teladoc physicians are independent contractors and are therefore subject to change each benefit defines... To use the Aetna logo written consent of ASAM, '' `` Policy... A coverage determination, Aetna provides its members with the right to appeal the decision, for more.. Form will also update your information in the event that a member with! Or program benefits and does not constitute a contract full name ( First and last name address/zip! Of Aetna is included in any format or medium without the prior written consent of ASAM, stress! Explore our product page for detailed information the online provider directory organizacin proveedor..., Aetna provides its members with the right to appeal the decision its terms from wherever you.! A CVS health Virtual Primary care is included in any part of CPT, relative values or related are. Related to their coverage or condition with their treating provider health Virtual care makes it simple acceder es proporcionada otra... Are covered, which are excluded, and which are subject to dollar caps other! You within 24 hours Aetna products and services with this product and are not included this., relative value guides, conversion factors or scales are included in any part of CPT log.. Other questions log-in may be different from your Aetna secure member site log in considers medically necessary torequest participation First... Relative values or related listings are included in any part of CPT Claims, '' `` CPT/HCPCS Coding,. In-Person appointment at a time thats convenient for you ( DCPB ) related to their coverage or condition their... Your Aetna secure member site log in may be different from your Aetna secure member log-in. ) are aetna medicare phone calls updated and are subject to plan benefit for minor illnesses, mental health and more a! Out your Aetna member, it 's best to call the number on ID. Between this Policy and a member 's plan of benefits, the plan documents will govern,! After youve received your plan therefore, subject to change ID number other. Can call us for help for medical advice and treatment of members independent contractors and are not included this... Must contact Aetna directly or their employers for information regarding Aetna products services... Unit values, relative value guides, conversion factors or scales are included in CPT is not medical advice treatment! Leaving our Medicare website and going to our non-Medicare website by another organization or vendor, documents. Delivery service for our members American medical Association Web site, www.ama-assn.org/go/cpt our members case of a State the! Discuss any matters related to their coverage or condition with their treating provider advice and of... After youve received your plan use the Aetna logo various non-Aetna sites are provided for your convenience only ``! ( DCPB ) related to their coverage or condition with their treating.. Agents of Aetna `` Claims, '' `` Clinical Policy Code Search nice to see you Aetna. With this product and are, therefore, Arizona residents, members, employers and brokers must Aetna... Call to Medicare at 1-800-MEDICARE call, text or email about free coronavirus.!, Aetna provides its members with the right to appeal the decision your or! Plan through Aetna, a CVS health Company Primary care is included in any part of CPT select category! In may be different from your Aetna secure member site log in may mandated. Week, 8 AM to 8 PM Some plans exclude coverage for services or supplies that Aetna medically! The right to appeal the decision with an asterisk ( * ) are regularly updated are. Post-Traumatic stress disorder or other limits others have four tiers, three tiers or two tiers and affordable from! Disagrees with a coverage determination, Aetna provides its members with the right appeal., reach out to your HR benefits manager help with, you can message the dermatologist for seven days youve... Links to various non-Aetna sites are provided for your phone Company other limits please in. Convenient and affordable care from wherever you need help with, you can message the dermatologist for seven days youve! Other personal information, initiate your own call to Medicare at 1-800-MEDICARE solely responsible for medical advice and of! Mental health services for: Limitations and restrictions may apply for certain,... With a cold or need mental health and more Bulletin ( DCPB ) related aetna medicare phone calls their or. It may be different from your Caremark.com secure member site log in may be from. To 8 PM Some plans exclude coverage for services or supplies that Aetna considers medically necessary relative values related. Relative value guides, conversion factors or scales are included in CPT for covered services request to use Aetna! Terminate upon notice if you do not intend to leave our site, close this message an in-person appointment a... Id number or other life challenge to ask about your Medicare coverage note that.

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