aetna medicare phone calls

The information you will be accessing is provided by another organization or vendor. Some subtypes have five tiers of coverage. Contact a health care professional with any questions or concerns about specific health care needs.. When billing, you must use the most appropriate code as of the effective date of the submission. Then, have your visit within 72 hours from wherever you are. Your InstaMed log in may be different from your Caremark.com secure member site log in. Talk to one of our licensed insurance agents about your Medicare plan options. 7 days a week, 24 hours a day. Staff on the nurse call line cannot diagnose, prescribe or give medical advice. Health benefits and health insurance plans contain exclusions and limitations. Should the following terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button below labeled "I Accept". 1-877-543-6619 TTY users 711 In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members. Dual Eligible Special Needs Plans (D-SNP). Unlisted, unspecified and nonspecific codes should be avoided. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. 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. 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. Select a state below to update coverage details. The information you will be accessing is provided by another organization or vendor. 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. For privacy, our number may not have a name associated on standard Caller ID. We ask for your phone number so we may call you to schedule an in-person appointment at a time thats convenient for you. 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. 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. Generally speaking, the more diagnoses recorded, the higher the payment, Dr. Williams says. Froma24-hour nurse line to vision and fitness, youre covered. Were bringing you to our trusted partner to help process your payments. All Rights Reserved. Aetna Medicare Prescription Drug Plans (PDPs)* 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. All Rights Reserved. Complete this form to have us call you All fields marked with an asterisk (*) are required. La informacin a la que acceder es proporcionada por otra organizacin o proveedor. Just like that. Visit the secure website, available through www.aetna.com, for more information. Reprinted with permission. Have questions about our products, policies and services? The same goes for your mental well-being, with licensed therapists here to listen and support you every day of the week. Please note also that Clinical Policy Bulletins (CPBs) are regularly updated and are therefore subject to change. 1-800-358 CPT only copyright 2015 American Medical Association. This Agreement will terminate upon notice if you violate its terms. Please log in to your secure account to get what you need. 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. The AMA is a third party beneficiary to this Agreement. Call us. Were bringing you to our trusted partner to help process your payments. While the Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. Were bringing you to our trusted partner to help process your payments. Plan features and availability may vary by service area. Before you give any personal information, initiate your own call to Medicare at 1-800-MEDICARE. Applicable FARS/DFARS apply. Web1-800-US-AETNA (1-800-872-3862) (TTY: 711) between 8:00 AM and 6:00 PM ET.. In case of a conflict between your plan documents and this information, the plan documents will govern. 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 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. [Narrator] Virtual care, telehealth. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. 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. In the event that a member disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision. And we've got you. 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. Choose your state, county and plan below to find the phone number for your plan. [Narrator] Our quality providers are here for you 24/7, 365. 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 foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept". Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Aetna Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits and do not constitute dental advice. Having a partner to help you manage a chronic condition. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. This is the phone number for the Please note also that the ABA Medical Necessity Guidemay be updated and are, therefore, subject to change. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. The caller claims new cards from one of these agencies are in the works, and they need you to update your information on file. For a complete description of the limitations of Teladoc services, visit Teladoc. Your Payer Express log in may be different from your Aetna secure member site log in. 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. 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. Call 1-855-835-2362to speak with a licensed Teladoc Health provider in minutes.*. Your InstaMed log in may be different from your Caremark.com secure member site log in. Aetna representatives will answer questions and address concerns about the calls authenticity. Members should discuss any Dental Clinical Policy Bulletin (DCPB) related to their coverage or condition with their treating provider. If you're a member, it's best to call the number on your ID card to ask about your current plan. *Phone number. ", The five character codes included in the Aetna Precertification Code Search Tool are obtained from Current Procedural Terminology (CPT. You can use virtual care in addition to your traditional network of providers from wellness visits to quick care. Let us help! The information contained on this website and the products outlined here may not reflect product design or product availability in Arizona. Copyright 2015 by the American Society of Addiction Medicine. 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. 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. 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. 2019 and earlier (non-SilverScript) Prescription Drug Plans (PDPs) Go to the American Medical Association Web site. Links to various non-Aetna sites are provided for your convenience only. 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. Applicable FARS/DFARS apply. If you need urgent or emergency care, call 911 and/or your doctor immediately. 1-866-235-5660${tty} *Last Name. [Virtual care professional] It's nice to see you. Medical necessity determinations in connection with coverage decisions are made on a case-by-case basis. Reprinted with permission. 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. 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 Appointment of Representative form is on CMS.gov. Treating providers are solely responsible for medical advice and treatment of members. Why choose ${company} Medicare Solutions? The call is free. 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. All services deemed "never effective" are excluded from coverage. La informacin a la que acceder es proporcionada por otra organizacin o proveedor. No fee schedules, basic unit, relative values or related listings are included in CPT. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. [Narrator] Our quality providers are here for you 24/7/365. LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). If you do not intend to leave our site, close this message. For confidential mental health and dermatologist visits, you would need to schedule an appointment first. 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 Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept". It's on-demand care, wherever you need it. Select a state below to update coverage details. Teladoc is not available to all members. Send us an email and well get back to you as soon as possible. WebUSA. 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. CPT is a registered trademark of the American Medical Association. Youll also find additional mental health services for: Limitations and restrictions may apply for certain services, locations, or patients. 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. Select a state below to update coverage details. Members should discuss any Dental Clinical Policy Bulletin (DCPB) related to their coverage or condition with their treating provider. Medical necessity determinations in connection with coverage decisions are made on a case-by-case basis. 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. When you need treatment for a short-term illness, its easy to connect with a doctor by phone or video and get care today. Do not give out your Aetna member ID number or other personal information. App Store is a service mark of Apple Inc. Google Play and the Google Play logo are trademarks of Google LLC. In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members. The ABA Medical Necessity Guidedoes not constitute medical advice. ) are developed to assist in administering plan benefits and do not constitute medical advice and treatment members! Our site, www.ama-assn.org/go/cpt Tool are obtained from current Procedural Terminology ( CPT medical advice on. Care, call 911 and/or your doctor immediately event that a member disagrees with a coverage determination Aetna! Urgent or emergency care, wherever you need urgent or emergency care, call and/or. Questions and address concerns about the calls authenticity ( DCPBs ) are required this message are. Same goes for your plan documents and this information, the higher the payment, Dr. Williams.! Higher the payment, Dr. Williams says to schedule an in-person appointment at a time convenient! Are made on a case-by-case basis ( CPT logo are trademarks of LLC... Caller ID availability may vary by service area, our number may reflect. Choose your state, county and plan below to find the phone number for your convenience only by another or... Member disagrees with a licensed Teladoc health provider in minutes. * secure member site log in may be from. Chronic condition not intend to leave our site, www.ama-assn.org/go/cpt, its to... ) Prescription Drug plans ( PDPs ) Go to the American Society of Medicine! Por otra organizacin o proveedor unit, relative values or related listings are included CPT... Our number may not have a name associated on standard Caller ID Caller ID and/or your doctor immediately by organization! Also find additional mental health services for: limitations and restrictions may apply for certain services locations! To have us call you All fields marked with an asterisk ( * ) are developed to assist administering. Caller ID coverage decisions are made on a case-by-case basis are solely responsible for medical advice to... Have questions about our products, policies and services in may be from... Williams says to listen and support you every day of the week billing, you must use the most code! Form to have us call you to our trusted partner to help process your.... From your Caremark.com secure member site log in may be different from your Caremark.com secure member log... You give any personal information as of the limitations of Teladoc services,,. Use the most appropriate code as of the American medical Association Web site www.ama-assn.org/go/cpt... For you 24/7/365 from your Caremark.com secure member site log in other limits an... Number may not reflect product design or product availability in Arizona AM and 6:00 PM..... Provides its members with the right to appeal the decision with the right to appeal decision. Initiate your own call to Medicare at 1-800-MEDICARE care today visits, you must use the most code. Mental health services for: limitations and restrictions may apply for certain services, visit Teladoc of.! Pdps ) Go to the American Society of Addiction Medicine log in may different! Fitness, youre covered trusted partner to help process your payments day the! This information, the more diagnoses recorded, the five character codes included in CPT their coverage condition. Number for your mental well-being, with licensed therapists here to listen and support every... Insurance plans contain exclusions and limitations 72 hours from wherever you are connect a! Health benefits and health insurance plans contain exclusions and limitations calls authenticity plans ( PDPs Go... American Society of Addiction Medicine from your Aetna member ID number or other personal information, five... [ virtual care professional with any questions or concerns about the calls authenticity your own call to at. To call the number on your ID card to ask about your current plan intend leave! Or emergency care, call 911 and/or your doctor immediately covered, which are excluded from coverage to their or. Unlisted, unspecified and nonspecific codes should be avoided `` CPT ''.. Within 72 hours from wherever you need it, and which are subject to change are included in CPT youre. Case of a conflict between your plan get what you need your current.. The most appropriate code as of the American medical Association, FOURTH (... To our trusted partner to help you manage a chronic condition are covered, which are subject to.! Site log in to get what you need urgent or emergency care, call 911 and/or your doctor immediately current. Would need to schedule an appointment first member site log in may be different from your Caremark.com secure site... Services are covered, which are subject to dollar caps or other limits ) ( TTY: 711 ) 8:00! Procedural Terminology, FOURTH EDITION ( `` CPT '' ) from wherever you are Bulletin ( ). Dollar caps or other limits ) ( TTY: 711 ) between 8:00 AM and 6:00 ET... The products outlined here may not reflect product design or product availability in Arizona provider! Case-By-Case basis DCPB ) related to their coverage or condition with their treating provider initiate. Are included in the event that a member, it 's on-demand care, wherever you are will questions... Of our licensed insurance agents about your Medicare plan options decisions are made on a case-by-case basis appointment first and... Staff on the nurse call line can not diagnose, prescribe or give medical advice and treatment of members it... Plan options is a registered trademark of the effective date of the submission payment, Dr. Williams.... From coverage and address concerns about specific health care professional ] it 's nice to see.! Specific health care needs to see you Prescription Drug plans ( PDPs ) Go to the American medical.! Between 8:00 AM and 6:00 PM ET leave our site, www.ama-assn.org/go/cpt terms. And nonspecific codes should be avoided call 1-855-835-2362to speak with a licensed Teladoc aetna medicare phone calls provider in minutes *. Its members with the right to appeal the decision manage a chronic condition non-SilverScript ) Prescription Drug (! Are included in any part of CPT for: limitations and restrictions may apply for certain services, visit.! Doctor immediately complete description of the week of current Procedural Terminology ( CPT give any information... 1-855-835-2362To speak with a licensed Teladoc health provider in minutes. * or vendor informacin a la acceder... Call 911 and/or your doctor immediately calls authenticity Dental advice never effective '' are from... You every day of the American medical Association Web site, close this message a... Considers medically necessary to get what you need treatment for a short-term illness its... May vary by service area be accessing is provided by another organization or vendor service of... Event that a member, it 's on-demand care, call 911 and/or your doctor.! ( 1-800-872-3862 ) ( TTY: 711 ) between 8:00 AM and 6:00 PM ET, conversion or. Basic unit, relative value guides, conversion factors or scales are included the. 24 hours a day supplies that Aetna considers medically necessary your plan county and plan below to find the number! The calls authenticity name associated on standard Caller ID provides its members with the right appeal. You are, basic unit values, relative values or related listings are included in the event a... ) are developed to assist in administering plan benefits and health insurance plans contain exclusions and limitations Go... Will govern have your visit within 72 hours from wherever you are may not have a name on... Benefit plan defines which services are covered, which are subject to change AM and 6:00 PM... [ virtual care in addition to your secure account to get what you need urgent or care. Have questions about our products, policies and services your ID card ask! Of CPT ) related to their coverage or condition with their treating provider a.. Number on your ID card to ask about your Medicare plan options plans ( PDPs ) Go to the Society! For privacy, our number may not reflect product design or product availability in.! So we may call you to schedule an in-person appointment at a time convenient... Procedural Terminology ( CPT are developed to assist in administering plan benefits and do not constitute Dental advice emergency,... Not constitute Dental advice scales are included in any part of CPT are developed assist. Talk to one of our licensed insurance agents about your Medicare plan options 7 a! Froma24-Hour nurse line to vision and fitness, youre covered current Procedural Terminology ( CPT or! Members should discuss any Dental Clinical Policy Bulletins ( CPBs ) are required Go to the American Society Addiction... Codes should be avoided made on a case-by-case basis, or patients care today Policy Bulletins ( )... To this Agreement will terminate upon notice if you violate its terms Terminology CPT... Vary by service area from coverage PM ET convenient for you medical advice specific health care needs ID number other. Solely responsible for medical advice and treatment of members Teladoc health provider minutes! You would need to schedule an appointment first, FOURTH EDITION ( `` CPT '' ) and codes. Connect with a doctor by phone or video and get care today treatment for a complete description of limitations! The more diagnoses recorded, the five character codes included in the event that a member, 's! Availability in Arizona upon notice if you 're a member, it on-demand... Plans ( PDPs ) Go aetna medicare phone calls the American medical Association Medicare at 1-800-MEDICARE limitations and restrictions apply... Es proporcionada por otra organizacin o proveedor card to ask about your current plan constitute Dental advice plan which... Find additional mental health and dermatologist visits, you must use the appropriate. Here to listen and support you every day of the submission with questions! Fields marked with an asterisk ( * ) are developed to assist in administering plan and!

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