#2020 . Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. Providers may not balance bill members who do not have cost-share responsibility (including QMB-only). Join today and elevate your smile for less than you ever dreamed was possible. Aetna offers health insurance, as well as dental, vision and other plans, to meet the needs of individuals and families, employers, health care providers and insurance agents/brokers. To reduce the If you have any questions about authorization requirements or need help with the search tool, contact Aetna Better Health Provider Relations at 1-855-364-0974. 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. Dentists and dental office professionals, log in to Aetna Dental to handle claims, find forms, stay ahead of policy changes and more. information regarding PA submission or service partner requirements. Learn about your health plan or find coverage for you and your family. For enhanced adults benefit, visit Dental Provider Search to view your dental providers. You can get a copy of the provider directory by mail. Please note also that Dental Clinical Policy Bulletins (DCPBs) are regularly updated and are therefore subject to change. It is only a partial, general description of plan or program benefits and does not constitute a contract. 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. 2023 DentalPlans.com, Inc. All Rights Reserved. Aetna Better Health of Maryland Dental Provider Search. When billing, you must use the most appropriate code as of the effective date of the submission. Medicaid your for low-income and working humans or families, their . If you are in Virginia, check your status by going to the Aetna Better Health of Virginia provider search page. All Rights Reserved. The American Medical Association (AMA) does not directly or indirectly practice medicine or dispense medical services. Others have four tiers, three tiers or two tiers. Please log in to your secure account to get what you need. 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. You are now being directed to CVS Caremark site. Find a Doctor, Dentist or Hospital | Aetna 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. The information you will be accessing is provided by another organization or vendor. The member's benefit plan determines coverage. *Required Selections. Links to various Aetna Better Health and non-Aetna Better Health sites are provided for your convenience. 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. Health Insurance Plans | Aetna 1. 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. Please correct the following errors and try again: Fill out this form to find providers and health care facilities near you. Were a health care company thats building a healthier world. Or they can help you find a provider. This search will use the five-tier subtype. Aetna Inc. and itsitsaffiliated 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. The information contained on this website and the products outlined here may not reflect product design or product availability in Arizona. 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. 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. 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. The member's benefit plan determines coverage. Aetna Better Health - LIBERTY Dental Plan 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. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Oncology treatment plans must be submitted to NantHealth via their web portal, Eviti Connect, which will expedite clinical review of any chemotherapy, radiation therapy, or supportive medications that require prior-authorization. Aetna Inc. and itsitsaffiliated 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. Links to various non-Aetna sites are provided for your convenience only. 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. Please be sure to add a 1 before your mobile number, ex: 19876543210. In the event that a member disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision. Aetna Inc. and itsaffiliated 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 here to let us know so we can fix it. Links to various non-Aetna sites are provided for your convenience only. 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. CPBs include references to standard HIPAA compliant code sets to assist with search functions and to facilitate billing and payment for covered services. 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). To get started: 1. DocFind - Aetna We're sorry but Provider Locator doesn't work properly without JavaScript enabled. Category: Health Detail Health. By providing us with your email address, you agree to receive email communications from Aetna until you opt out of further emails. If you have questions, visit our contact us page. Our directory PDF (or printed directory) is updated monthly.You can get a copy of the provider directory by mail. CPT only copyright 2015 American Medical Association.