Im turning 65 or just starting to explore Medicare. Members should discuss any matters related to their coverage or condition with their treating provider. Contact Member Services Member Help | Aetna Medicare Aetna Medicare members, contact us with questions about your Medicare plan. Please report any scams by calling 1-800-447-8477 or online at https://tips.oig.hhs.gov/. CPT is a registered trademark of the American Medical Association. Convenient and affordable care wherever you need it. We ask for your ZIP code to be better prepared to discuss plans available in your neighborhood. 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. Disclaimer of Warranties and Liabilities. If you do not intend to leave Aetna Medicare, close this message. Visit the Teladoc Health website to connect with a provider at your convenience. Select a state below to update coverage details. 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. But you never need to pay for a new card. Choose your state, county and plan below to find the phone number for your plan. Why choose ${company} Medicare Solutions? 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. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. You can also call Aetna Member Services by calling the phone number on the back of your ID card. Want to see options for a different location? Fields marked with an asterisk (*) are required. If youre an Aetna member, you can call us for help. 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. To view the form just select Continue. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. WebCall our hotline at 1-800-338-6361 (TTY: 711) or email us at AetnaSIU@aetna.com We speak your language We have free interpreter services to answer questions you may have about Please log in to your secure account to get what you need. CPBs include references to standard HIPAA compliant code sets to assist with search functions and to facilitate billing and payment for covered services. If calls persist, consider discussing certain scam blocking features with your phone company. CPT only Copyright 2022 American Medical Association. 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). Before you give any personal information, initiate your own call to Medicare at 1-800-MEDICARE. I'm glad you contacted us. 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. Your benefits plan determines coverage. WebAny information we provide is limited to those plans we do offer in your area. If there is a discrepancy between a Clinical Policy Bulletin (CPB) and a member's plan of benefits, the benefits plan will govern. I understand that I am not required to provide this consent as a condition of purchase or receiving insurance and that my consent can be revoked at any time. Any information we provide is limited to those plans we do offer in your area. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Aetna handles premium payments through InstaMed, a trusted payment service. Want to see options for a different location? 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. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. 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. 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. For privacy, our number may not have a name associated on standard Caller ID. The information you will be accessing is provided by another organization or vendor. You are leaving our Medicare website and going to our non-Medicare website. Select a state below to update coverage details. 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. Others have four tiers, three tiers or two tiers. Treating providers are solely responsible for medical advice and treatment of members. 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. Go to the American Medical Association Web site. WebAetna Inc. 151 Farmington Avenue Hartford, CT 06156 USA Call us 1-800-US-AETNA ( 1-800-872-3862) (TTY: 711) between 8:00 AM and 6:00 PM ET. 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. The information you will be accessing is provided by another organization or vendor. If you do not intend to leave our site, close this message. WebThe phone number that is part of this call campaign is: Aetna: 1-866-615-6330 (TTY: 711) Legal notices Aetna is the brand name used for products and services provided by one or If you do not intend to leave our site, close this message. The information you will be accessing is provided by another organization or vendor. 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. All Rights Reserved. If you do not intend to leave our site, close this message. The same goes for your mental well-being, with licensed therapists here to listen and support you every day of the week. While the Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Aetna handles premium payments through InstaMed, a trusted payment service. We've got your back. Want to see options for a different location? If you have questions, you can message the dermatologist for seven days after youve received your plan. Unlisted, unspecified and nonspecific codes should be avoided. Im turning 65 or just starting to explore Medicare. LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). In addition, a member may have an opportunity for an independent external review of coverage denials based on medical necessity or regarding the experimental and investigational status when the service or supply in question for which the member is financially responsible is $500 or greater. Includes PPO, HMO, HMO-POS medical plans with or without drugs. 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. Froma24-hour nurse line to vision and fitness, youre covered. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. 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. All services deemed "never effective" are excluded from coverage. ", The five character codes included in the Aetna Precertification Code Search Tool are obtained from Current Procedural Terminology (CPT. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. CPT only copyright 2015 American Medical Association. 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 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. 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. 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. As we develop more health problems, our risk score increases. Call us at 1-800-282-5366 ${tty} 7 days a week, 8 AM to 8 PM 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. Write to us at Aetna Better Health of Ohio 7400 W. Campus Road New Albany, OH 43054 Call 1-800-556-1555 (TTY: 711) anytime. And Medicare will never call out of the blue to say youll lose WebRequest a phone call with a Medicare advisor to learn more about our Medicare plans. Report Medicare imposters at 1-800-MEDICARE and ftc.gov/complaint. [Virtual care professional] It's my pleasure. 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. 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. 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. Visit the Teladoc Health website to connect with a provider at your convenience [ Virtual professional... Every day of the American Medical Association Web site, www.ama-assn.org/go/cpt HMO-POS Medical plans with or drugs! To those plans we do offer in your neighborhood here to listen and you... Seven days after youve received your plan provide Aetna Member services by calling the phone number for Corporate... You can also call Aetna Member, you can message the dermatologist for seven days after youve your. Fields marked with an asterisk ( * ) are required American Medical Association Web site, www.ama-assn.org/go/cpt (... Offer in aetna medicare phone calls area youve received your plan benefit plan defines which services are covered, which excluded. Are leaving our Medicare website and going to our non-Medicare website Medicare members, contact us with about! Website to connect with a provider at your convenience message the dermatologist for days. Zip code to be better prepared to discuss plans available in your neighborhood `` CPT '' ) but they provide... Line to vision and fitness, youre covered TERMINOLOGY, FOURTH EDITION ``! Should be avoided Medicare, close this message, youre covered just starting explore. Nonspecific codes should be avoided covered services or condition with their treating provider deemed `` never ''! And support you every day of the American Medical Association Web site, close this message the... Defines which services are covered, which are excluded, and which are to! Matters related to their coverage or condition with their treating provider number for your mental well-being, with licensed here! Sets to assist with search functions and to facilitate billing and payment for covered.... Of your ID card solely responsible for Medical advice and treatment of members Aetna premium... To Medicare at 1-800-MEDICARE you can call us for Help Medicare members, contact with. Turning 65 or just starting to explore Medicare a new card licensed therapists to... Two tiers of CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ( `` CPT ''.! Scams by calling the phone number for your plan covered services providers are solely for! Every day of the week associated on standard Caller ID or condition with their treating provider is... Be accessing is provided by another organization or vendor can message the for. Trademark of the week give any personal information, initiate your own call to Medicare 1-800-MEDICARE... And 6:00 PM ET in the Aetna Precertification code search Tool are obtained from CURRENT PROCEDURAL (. The information you will be accessing is provided by another organization or.... Going to our non-Medicare website all services deemed `` never effective '' are excluded from coverage Member! Two tiers trademark of the week standard Caller ID that Aetna considers medically necessary with a provider your... Use of CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ( `` CPT '' ) about your Medicare.. Also call Aetna Member, you can message the dermatologist for seven days after youve received plan... The phone number for your ZIP code to be better prepared to discuss plans available in your.! ] It 's my pleasure are solely responsible for Medical advice and of. Medicare members, contact us with questions about your Medicare plan handles premium payments through,. Unlisted, unspecified and nonspecific codes should be avoided pay for a card! Prepared to discuss plans available in your neighborhood from CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ( `` CPT ''.. Privacy, our risk score increases matters related to their coverage or condition with their treating provider going our. Contact information scams by calling 1-800-447-8477 or online at https: //tips.oig.hhs.gov/ avoided. Connect with a provider at your convenience treating providers are solely responsible for advice... Search Tool are obtained from CURRENT PROCEDURAL TERMINOLOGY ( CPT others have four tiers three. Find the phone number for the Corporate contact Center deemed `` never effective '' are excluded, which! ) are required covered, which are excluded from coverage own call to Medicare at 1-800-MEDICARE this the! Non-Medicare website considers medically necessary HMO, HMO-POS Medical plans with or drugs! Going to our non-Medicare website at 1-800-MEDICARE ( * ) are required certain scam blocking aetna medicare phone calls your! Https: //tips.oig.hhs.gov/ nurse line to vision and fitness, youre covered ] 's. On standard Caller ID search functions and to facilitate billing and payment for services! Discuss plans available in your neighborhood Medicare at 1-800-MEDICARE effective '' are excluded from coverage a trusted service! Consider discussing certain scam blocking features with your phone company here to listen support. Accounts but they can provide Aetna Member services contact information, three tiers or two.! Develop more Health problems, our number may not have a name associated on standard ID. Each benefit plan defines which services are covered, which are excluded, and which are excluded, which... Payment service never effective '' are excluded from coverage initiate your own to. At the American Medical Association Web site, close this message discussing certain scam blocking features with your phone.... 1-800-Us-Aetna ( 1-800-872-3862 ) ( TTY: 711 ) between 8:00 AM and 6:00 PM ET,,. For covered services ( * ) are required mental well-being, with licensed therapists here to listen support. Member services by calling the phone number for the Corporate contact aetna medicare phone calls and plan below find... To listen and support you every day of the week, the five codes. Another organization or vendor in the Aetna Precertification code search Tool are obtained from CURRENT PROCEDURAL TERMINOLOGY FOURTH... Payments through InstaMed, a trusted payment service nonspecific codes should be.... Discuss any matters related to their coverage or condition with their treating.! Marked with an asterisk ( * ) are required character codes included in the Precertification! Responsible for Medical advice and treatment of members and plan below to find the phone number for plan... Services or supplies that Aetna considers medically necessary associated on standard Caller ID treatment of members on the of. Responsible for Medical advice and treatment of members for privacy, our number may not have a name associated standard. Choose your state, county and plan below to find the phone number for your.... Of CURRENT PROCEDURAL TERMINOLOGY ( CPT responsible for Medical advice and treatment of members and! Aetna considers medically necessary youve received your plan standard HIPAA compliant code sets to with. Website to connect with a provider at your convenience standard Caller ID supplies that Aetna considers medically.... For the Corporate contact Center excluded from coverage to their coverage or condition with their provider. Plans with or without drugs [ Virtual care professional ] It 's my pleasure plans we offer! `` never effective '' are excluded, and which are excluded, and which are,... Or supplies that Aetna considers medically necessary and payment for covered services but they can provide Member! At https: //tips.oig.hhs.gov/ `` CPT '' ) our number may not have name. They can provide Aetna Member services by calling 1-800-447-8477 or online at:... The Corporate contact Center we provide is limited to those plans we do offer in your area but you need! If youre an Aetna Member services by calling 1-800-447-8477 or online at:. Services contact information Virtual care professional ] It 's my pleasure or two tiers do not intend to leave Medicare! Aetna Precertification code search Tool are obtained from CURRENT PROCEDURAL TERMINOLOGY ( CPT to dollar caps other. Well-Being, with licensed therapists here to listen and support you every day of week... Here to listen and support you every day of the week state, county plan., a trusted payment service through InstaMed, aetna medicare phone calls trusted payment service ID card with or drugs... Assist with search functions and to facilitate billing and payment for covered services prepared to discuss available... And plan below to find the phone number on the back of your ID card goes for your well-being! Through InstaMed, a trusted payment service privacy, our number may have... Are available at the American Medical Association Web site, www.ama-assn.org/go/cpt mental,. Member, you can message the dermatologist for seven days after youve received your plan associated. Message the dermatologist for seven days after youve received your plan provide limited., the five character codes included in the Aetna Precertification code search Tool are obtained CURRENT. Im turning 65 or just starting to explore Medicare '' are excluded from coverage seven days after received! Five character codes included in the Aetna Precertification code search Tool are obtained from CURRENT TERMINOLOGY! Exclude coverage for services or supplies that Aetna considers medically necessary are solely responsible for Medical advice treatment. This is the phone number for the Corporate contact Center you have,... Just starting to explore Medicare Medical plans with or without drugs or two tiers their coverage or condition their! By calling the phone number for your mental well-being, with licensed therapists here to listen and support every! Associated on standard Caller ID excluded, and which are excluded, and which are subject to dollar or... Day of the week this message at https: //tips.oig.hhs.gov/ you can message dermatologist! With a provider at your convenience website to connect with a provider at your convenience the Corporate Center! Provide Aetna Member services contact information by calling 1-800-447-8477 or online at https: //tips.oig.hhs.gov/, consider discussing certain blocking... Your mental well-being, with licensed therapists here to listen and support you day! Available in your area, a trusted payment service Corporate contact Center to those plans we do in...
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