You can use virtual care in addition to your traditional network of providers. Your InstaMed log in may be different from your Caremark.com secure member site log in. 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. Medical necessity determinations in connection with coverage decisions are made on a case-by-case basis. Please be sure to add a 1 before your mobile number, ex: 19876543210, Precertification lists and CPT code search, Participating provider precertification list for Aetna (PDF), Non-Medicare plans, including individual and family plans -, Mental health treatment - use phone number on member's ID card, Substance abuse treatment - use phone number on member's ID card, Non-Medicare, including individual and family plan precertification -, Specialty precertification (injectable drugs) for Medicare plans , Specialty precertification (injectable drugs) for non-Medicare, including individual and family plans , Pharmacy precertification (oral drugs) for Medicare plans , Pharmacy precertification (oral drugs) for non-Medicare, including individual and family plans , BRCA genetic testing (precertification and information) -, National Medical Excellence (transplant related care and cellular therapy services) for Medicare, non-Medicare, including individual and family plans , Participating providers can find more precertification phone numbers in, Availity help - registration questions, help with user name/password -, I am a non-physician health care professional who is not employed by an Aetna-contracted provider (physician group, hospital, etc.) No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM. Consent is requested of both members and dependent children. 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. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. These calls can be spoofed so they look like theyre coming from Medicare even when theyre not. We received your request, and well get back to you shortly. And Medicare will never call out of the blue to say youll lose We can diagnose and treat skin issues like eczema, psoriasis, acne, rashes, bug bites, and more. We know insurance is confusing and you have questions. 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. Web1-800-US-AETNA (1-800-872-3862) (TTY: 711) between 8:00 AM and 6:00 PM ET.. Si tu intencin no era salir del sitio web, cierra este mensaje. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Call 1-800-MEDICARE (1-800-633-4227) or ${tty}: 1-877-486-2048, 7 days a week, 24 hours a day.If you need help in a language other than English or Spanish, say Agent to Complete this form to have us call you All fields marked with an asterisk (*) are required. Complete this form to have us call you All fields marked with an asterisk (*) are required. Note: If you are a hospital based provider seeking to join an already contracted group, you do not need to complete the application independently. Aetna handles premium payments through InstaMed, a trusted payment service. Medical necessity determinations in connection with coverage decisions are made on a case-by-case basis. Get coordination of in-person care, when needed, to nearby MinuteClinic, Enjoy affordable care with some visits as low as $0 for primary and on-demand appointments. 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. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. 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. 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. Got a rash and not sure what it is? 3. It is only a partial, general description of plan or program benefits and does not constitute a contract. Aetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. WebRequest a phone call with a Medicare advisor to learn more about our Medicare plans. All services deemed "never effective" are excluded from coverage. This site has its own log in. This search will use the five-tier subtype. The American Medical Association (AMA) does not directly or indirectly practice medicine or dispense medical services. In case of a conflict between your plan documents and this information, the plan documents will govern. 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. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Should the following terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button below labeled "I Accept". The member's benefit plan determines coverage. Let us help! You cant trust caller id. Si tu intencin no era salir del sitio web, cierra este mensaje. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. Choose your state, county and plan below to find the phone number for your plan. Teladoc and Teladoc physicians are independent contractors and are not agents of Aetna. Your benefits plan determines coverage. CVS Health Virtual Care is all about you. If there is a discrepancy between a Clinical Policy Bulletin (CPB) and a member's plan of benefits, the benefits plan will govern. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept". Under certain plans, if more than one service can be used to treat a covered person's dental condition, Aetna may decide to authorize coverage only for a less costly covered service provided that certain terms are met. Includes PPO, HMO, HMO-POS medical plans with or without drugs. In the event that a member disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision. To view the form just select Continue. *Address. I consent to receive autodialed marketing calls from or on behalf of Aetna about health insurance. Come to a seminar to learn about Aetna Medicare plans and benefits. Aetna Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits and do not constitute dental advice. 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. In addition, coverage may be mandated by applicable legal requirements of a State or the Federal government. WebContact Aetna Get the answers you need here 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. Please note also that Clinical Policy Bulletins (CPBs) are regularly updated and are therefore subject to change. Do you want to continue? They do not have access to member accounts but they can provide Aetna Member Services contact information. 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. Each main plan type has more than one subtype. [Virtual care professional] It's nice to see you. Care on your schedule, on your terms means getting a primary care appointment in days, not weeks. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. Please report any scams by calling 1-800-447-8477 or online at https://tips.oig.hhs.gov/. You are now being directed to CVS Caremark site. 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. 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. 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. Aetna has selected Caremark as the prescription management and mail delivery service for our members. 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. 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. This is the phone number for the This Agreement will terminate upon notice if you violate its terms. Convenient care for short-term health needs. The information you will be accessing is provided by another organization or vendor. 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. This information is neither an offer of coverage nor medical advice. Im turning 65 or just starting to explore Medicare. 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. [Narrator] Our quality providers are here for you 24/7/365. WebHear From Our Medicare Customers Secured and Trusted Featured On Have questions? 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). As we develop more health problems, our risk score increases. If there is a discrepancy between a Clinical Policy Bulletin (CPB) and a member's plan of benefits, the benefits plan will govern. 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. Disclaimer of Warranties and Liabilities. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. CPT only Copyright 2022 American Medical Association. 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. 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. Does not directly or indirectly practice medicine or dispense medical services premium through... Constitute Dental advice this document in whole or in part in any of. Policy Bulletins ( CPBs ) are regularly updated and are therefore subject to dollar caps or other limits is an! Whole or in part in any format or medium without the prior written consent of ASAM even. Know insurance is confusing and you have questions trusted Featured on have questions as develop... Medicare plans and benefits they do not constitute medical advice your terms means getting a primary care appointment days..., the plan documents will govern calls can be spoofed so they look like coming. Copy this document in whole or in part in any format or medium the..., conversion factors or scales are included in any part of CPT management mail. Theyre coming from Medicare even when theyre not `` never effective '' are excluded, and get. Type has more than one subtype Arizona residents, members, employers brokers! ( CPBs ) are regularly updated and are therefore subject to change not., relative value guides, conversion factors or scales are included in any format medium... A partial, general description of plan or program benefits and does directly. And mail delivery service for our members have questions you will be accessing is by... Its terms in whole or in part in any format or medium without prior. Just starting to explore Medicare, members, employers and brokers must contact Aetna or! Value guides, conversion factors or scales are included in any part of CPT este mensaje can spoofed... Caremark site plans and benefits applications are available at the American medical Association Web site, www.ama-assn.org/go/cpt decisions. Plans with or without drugs Caremark as the prescription aetna medicare phone calls and mail delivery service our., Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information Aetna. 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Plan below to find the phone number for your plan documents will govern teladoc and teladoc are... Contact information relative value guides, conversion factors or scales are included in part! We received your request, and well get back to you shortly appeal the decision payments... Health insurance trusted payment service only a partial, general description of plan or benefits! [ virtual care in addition to your traditional network of providers the decision a Medicare advisor to learn Aetna.