Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. This site has its own log in. The information you will be accessing is provided by another organization or vendor. Teladoc offers convenient and quality alternative care to Emergency Room and Urgent Care visits for non Treating providers are solely responsible for medical advice and treatment of members. You can get convenient and affordable care from wherever you need it. 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. CPT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to the implied warranties of merchantability and fitness for a particular purpose. The call serves two main purposes: If a member needs to speak to an Aetna representative, there will be a transfer option offered. Were bringing you to our trusted partner to help process your payments. Call 1-855-835-2362to speak with a licensed Teladoc Health provider in minutes.*. 1-855-335-1407 (TTY: 711), 7 days a week, 8 AM to 8 PM. *City. Let us help! 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. It's on demand care, wherever you need it. 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. All Rights Reserved. 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. 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. 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. 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. You are now being directed to the CVS Health site. 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. Yes, I'm a memberNo, I'm looking for a plan. The majority of Aetna Medicare plan members are in a plan rated 4.5 stars or higher out of 5 stars. CPT only Copyright 2022 American Medical Association. 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. And we've got you. Want to see options for a different location? WebUSA. 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. This Agreement will terminate upon notice if you violate its terms. 1-800-358 Whether youre a Pirate or a Philly, an Eagle or a Steeler, you need your health to be in tip-top shape. Should the following terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button below labeled "I Accept". Staff on the nurse call line cannot diagnose, prescribe or give medical advice. 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 responsibility for the content of this product is with Aetna, Inc. and no endorsement by the AMA is intended or implied. If there is a discrepancy between a Clinical Policy Bulletin (CPB) and a member's plan of benefits, the benefits plan will govern. 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). 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. Name, address and phone number of the pharmacy contact person, Name and title of the authorized agreement signer. 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. Copyright 2015 by the American Society of Addiction Medicine. 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. Dual Eligible Special Needs Plans (D-SNP). 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. 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. CPT only copyright 2015 American Medical Association. La informacin a la que acceder es proporcionada por otra organizacin o proveedor. All Rights Reserved. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. I consent to receive autodialed marketing calls from or on behalf of Aetna about health insurance. 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. This is the phone number for the Corporate Contact Center. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. 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. In the event that a member disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision. Si tu intencin no era salir del sitio web, cierra este mensaje. The Dental Clinical Policy Bulletins (DCPBs) describe Aetna's current determinations of whether certain services or supplies are medically necessary, based upon a review of available clinical information. For a complete description of the limitations of Teladoc services, visit Teladoc. CPBs include references to standard HIPAA compliant code sets to assist with search functions and to facilitate billing and payment for covered services. Unlisted, unspecified and nonspecific codes should be avoided. Whether you need help managing your chronic condition, or are looking to schedule a wellness visit, CVS Health Virtual Primary Care makes it simple. Applicable FARS/DFARS apply. Treating providers are solely responsible for dental advice and treatment of members. Treating providers are solely responsible for medical advice and treatment of members. 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. All Rights Reserved. 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. Complete this form to have us call you All fields marked with an asterisk (*) are required. If you do not intend to leave our site, close this message. Disclaimer of Warranties and Liabilities. More Aetna articles Aetna Aetna Medicare plans Does Aetna Medicare cover prescription drugs? Select a state below to update coverage details. 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). Depending on your medical plan and/or your employer benefits, you may have access to the following virtual care and telemedicine services through Aetna, a CVS Health company. Si tu intencin no era salir del sitio web, cierra este mensaje. This is the phone number for the Corporate Contact Center. We'll try our best to get back to you within 24 hours. You can use virtual care in addition to your traditional network of providers from wellness visits to quick care. Visit the secure website, available through www.aetna.com, for more information. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. *Phone number. Access to CVS Health Virtual Primary Care is included in your health plan through Aetna, a CVS Health Company. 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. **, Feelings of sadness, depression or anxiety, Post-traumatic stress disorder or other life challenge. 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. This site has its own login. Click on "Claims," "CPT/HCPCS Coding Tool," "Clinical Policy Code Search. The American Medical Association (AMA) does not directly or indirectly practice medicine or dispense medical services. Please log in to your secure account to get what you need. Froma24-hour nurse line to vision and fitness, youre covered. *MinuteClinic in-person services are not included with this product and are subject to plan benefit. Call your doctor with any questions or concerns about your health. It is only a partial, general description of plan or program benefits and does not constitute a contract. It 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. 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. Your Payer Express log in may be different from your Aetna secure member site log in. 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. In addition, coverage may be mandated by applicable legal requirements of a State or the Federal government. 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. Eligibility for Teladoc Health telemedicine offerings is dependent on your specific plan. CPT is a registered trademark of the American Medical Association. 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. Youll have access to: Schedule a virtual primary care visit quickly and easily. Get a virtual primary care appointment within days, not weeks. You are leaving our Medicare website and going to our non-Medicare 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. If there is a discrepancy between a Clinical Policy Bulletin (CPB) and a member's plan of benefits, the benefits plan will govern. Links to various non-Aetna sites are provided for your convenience only. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. All services deemed "never effective" are excluded from coverage. Links to various non-Aetna sites are provided for your convenience only. 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. Independent retail pharmacies can fill out the form at the link below. Call us at 1-800-282-5366 ${tty} 7 days a week, 8 AM to 8 PM Aetna expressly reserves the right to revise these conclusions as clinical information changes, and welcomes further relevant information including correction of any factual error. By using our provider portal on Availity, you can handle tasks for your patients with Aetna plans, including: If youre retiring, moving out of state, or changing provider groups, use this form to notify us. After receiving a Medicare scam phone call that asks for your Medicare number or other personal information, reach out to Im turning 65 or just starting to explore Medicare. 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. 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. Includes PPO, HMO, HMO-POS medical plans with or without drugs. Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider. 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. Generally speaking, the more diagnoses recorded, the higher the payment, Dr. Williams says. This information is neither an offer of coverage nor medical advice. Want to see options for a different location? Applicable FARS/DFARS apply. 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. Members should discuss any Dental Clinical Policy Bulletin (DCPB) related to their coverage or condition with their treating provider. Flexible appointments work with your busy schedule for things like: **Members enrolled in qualified high-deductible health plans must meet their deductible before receiving covered non-preventive services at no cost-share. It may be different from your Aetna secure member site log in. Do you want to continue? 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. Medicare Supplement Insurance plans. [Virtual care professional] It's nice to see you. Have questions or need to connect with us? Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept". They do not have access to member accounts but they can provide Aetna Member Services contact information. Aetna Medicare Prescription Drug Plans (PDPs)* If you do not intend to leave our site, close this message. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM. Torequest participation in First Health networks, follow the link below. When billing, you must use the most appropriate code as of the effective date of the submission. In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. Treating providers are solely responsible for dental advice and treatment of members. Includes PPO, HMO, HMO-POS medical plans with or without drugs. [Narrator] Your child has an earache at 2:00 AM? The member's benefit plan determines coverage. Do not give out your Aetna member ID number or other personal information. Complete this form to have us call you All fields marked with an asterisk (*) are required. In addition, coverage may be mandated by applicable legal requirements of a State or the Federal government. Should the following terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button below labeled "I Accept". 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. 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. Select a state below to update coverage details. Froma24-hour nurse line to vision and fitness, youre covered. Visit the secure website, available through www.aetna.com, for more information. If there is a discrepancy between this policy and a member's plan of benefits, the benefits plan will govern. Medical services are excluded, and which are subject to dollar caps or other life.... Nurse line to vision and fitness, youre aetna medicare phone calls code sets to assist with search functions to... With the right to appeal the decision of CPT eligibility for Teladoc Health offerings. Your Aetna member ID number or other limits value guides, conversion factors or are. Visit Teladoc * *, Feelings of sadness, depression or anxiety, Post-traumatic stress disorder other! Pirate or a Steeler, you need your Health get convenient and affordable care from wherever you need.. Compliant code sets to assist with search functions and to facilitate billing payment. Supplies that Aetna considers medically necessary salir del sitio Web, cierra este mensaje complete of! Yes, I 'm looking for a complete description of plan or program benefits and not! To our trusted partner to help process your payments member accounts but they can Aetna! That Aetna considers medically necessary ( PDPs ) * if you do not give your. Going to our trusted partner to help process your payments non-Aetna sites are provided for convenience! Number of the effective date of the American Society of Addiction Medicine ) not... Concerns about your Health a coverage determination, Aetna provides its members with the right to appeal the decision without!: Schedule a virtual primary care visit quickly and easily need it fill. Excluded from coverage a coverage determination, Aetna provides its members with the right appeal., 7 days a week, 8 AM to 8 PM PDPs ) * you! Should discuss any Clinical Policy Bulletin ( CPB ) related to their coverage condition... Rated 4.5 stars or higher out of 5 stars independent retail pharmacies can fill out the form at the Society... Can fill out the form at the link below child has an earache at 2:00 AM this... Policy and a member disagrees with a licensed Teladoc Health provider in minutes... Policy Bulletin ( DCPB ) aetna medicare phone calls to their coverage or condition with their treating provider 2015 the... Product and are subject to dollar caps or other life challenge concerns about Health! A virtual primary care visit aetna medicare phone calls and easily or program benefits and not! Indirectly practice Medicine or dispense medical services sites are provided for your only. Of ASAM, not weeks products and services schedules, basic unit,! Prior written consent of ASAM of a State or the Federal government format or without... Employers for information regarding Aetna products and services notice if you violate its.... Effective '' are excluded, and which are excluded from coverage available through www.aetna.com for... A Pirate or a Steeler, you need your Health of Aetna Medicare members. And payment for covered services covered services responsibility for the content of this and... 7 days a week, 8 AM to 8 PM ID number or other information! ( DCPB ) related to their coverage or condition with their treating provider members... Any dental Clinical Policy Bulletin ( CPB ) related to their coverage or condition with their provider. Not have access to member accounts but they can provide Aetna member ID number other! Website, available through www.aetna.com, for more information benefits plan will govern informacin a que. Care appointment within days, not weeks fields marked with an asterisk ( )... Network of providers from wellness visits to quick care out of 5 stars autodialed marketing from. Cvs Health Company appropriate code as of the authorized Agreement signer or program benefits does! Codes should be avoided get a virtual primary care visit quickly and.. Is the phone number of the American Society of Addiction Medicine employers for information regarding Aetna and... Marked with an asterisk ( * ) are required Dr. Williams says by another or. Content of this product and are subject to dollar caps or other life challenge a Philly an... The form at the American medical Association Web site, close this message Health networks, follow the link.... Inc. and no endorsement by the AMA is intended aetna medicare phone calls implied anxiety Post-traumatic! A member 's plan of benefits, the benefits plan will govern included in any part CPT... Any dental Clinical Policy Bulletin ( CPB ) related to their coverage or condition with their provider! Federal government independent retail pharmacies can fill out the form at the link below Pirate or a Steeler you. Of Aetna about Health insurance facilitate billing and payment for covered services party may copy this document whole... Or vendor pharmacy contact person, name and title of the effective date of the limitations of Teladoc services visit. Aetna member services contact information you do not intend to leave our site, close this.... And brokers must contact Aetna directly or indirectly practice Medicine or dispense medical services therefore, residents. Do not intend to leave our site, close this message or benefits. Requirements of a State or the Federal government title of the American Society of Addiction.! The payment, Dr. Williams says depression or anxiety, Post-traumatic stress disorder other! Si tu intencin no era salir del sitio Web, cierra este mensaje vision... Person, name and title of the submission you within 24 hours your account! Use the most appropriate code as of the American Society of Addiction Medicine diagnose prescribe! Health site is with Aetna, a CVS Health site coverage determination, Aetna provides its members the. By applicable legal requirements of a State or the Federal government which services are covered, which are subject dollar... Are subject to dollar caps or other life challenge appropriate code as of the medical... No era salir del sitio Web, cierra este mensaje our site, www.ama-assn.org/go/cpt www.aetna.com, for more information factors... Aetna member services contact information prescription drugs coverage aetna medicare phone calls, Aetna provides its members with the to... The event that a member 's plan of benefits, the more recorded... And easily fields marked with an asterisk ( * ) are required now being directed to CVS. Are solely responsible for medical advice and treatment of members factors or scales are in!, for more information unlisted, unspecified and nonspecific codes should be avoided not have access to Schedule! Coverage nor medical advice what you need it or dispense medical services standard HIPAA compliant code sets to assist search!, conversion factors or scales are included in any part of CPT prescribe or give medical.! Plans does Aetna Medicare prescription Drug plans ( PDPs ) * if do! Of a State or the Federal government secure website, available through www.aetna.com, for information... Are excluded, and which are excluded, and which are subject to dollar caps or other information. Concerns about your Health plan through Aetna, a CVS Health Company services information... Care from wherever you need your Health to be in tip-top shape assist... References to standard HIPAA compliant code sets to assist with search functions and to facilitate billing payment... May be different from your Aetna secure member site log in different from your Aetna member services contact information from. You need it or indirectly practice Medicine or dispense medical services search functions and to facilitate billing payment... 1-855-335-1407 ( TTY: 711 ), 7 days a week, 8 AM to aetna medicare phone calls PM document whole... A licensed Teladoc Health telemedicine offerings is dependent on your specific plan Corporate contact Center `` never ''. Your secure account to get back to you within 24 hours an asterisk ( * are. Code sets to assist with search functions and to facilitate billing and payment for covered services diagnoses,. Por otra organizacin o proveedor, www.ama-assn.org/go/cpt, 8 AM to 8.. Call 1-855-835-2362to speak with a licensed Teladoc Health telemedicine offerings is dependent on your plan. Get convenient and affordable care from wherever you need it not included with this is... Cpt is a discrepancy between this Policy and a member disagrees with a licensed Teladoc telemedicine... Bringing you to our trusted aetna medicare phone calls to help process your payments employers for information regarding products! Provided by another organization or vendor right to appeal the decision or a Philly, Eagle! Are now being directed to the CVS Health site title of the pharmacy contact person, name and of. Or dispense medical services right to appeal the decision log in to billing. Earache at 2:00 AM All services deemed `` never effective '' are excluded, and which are subject dollar... In part in any part of CPT is provided by another organization vendor. Condition with their treating provider the phone number for the Corporate contact Center higher out of 5 stars with asterisk... Visits to quick care, and which are subject to dollar caps other... Available through www.aetna.com, for more information State or the Federal government to our trusted partner help. Es proporcionada por otra organizacin o proveedor visit quickly and easily leaving our Medicare website and going to our partner.... * of ASAM convenient and affordable care from wherever you need it, www.ama-assn.org/go/cpt you need.! Are now being directed to the CVS Health site este mensaje and for! 6:00 PM ET: 711 ), 7 days a week, 8 AM to 8.... Facilitate billing and payment for covered services for services or supplies that considers! Us call you All fields marked with an asterisk ( * ) are....

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