Why choose ${company} Medicare Solutions? While the Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. Find a provider You may also refer your patients to Teladoc. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Dual Eligible Special Needs Plans (D-SNP). Some plans exclude coverage for services or supplies that Aetna considers medically necessary. 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. The caller claims new cards from one of these agencies are in the works, and they need you to update your information on file. 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. Treating providers are solely responsible for medical advice and treatment of members. In the event that a member disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision. Each main plan type has more than one subtype. 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. WebTo learn more about Aetna Medicare Advantage plans in your area or to enroll in an Aetna Medicare Advantage plan, speak with a licensed insurance agent by calling 1-877-890-1409 TTY Users: 711 24 hours a day, 7 days a week. CPT only Copyright 2022 American Medical Association. Select a state below to update coverage details. 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. All services deemed "never effective" are excluded from coverage. CPBs include references to standard HIPAA compliant code sets to assist with search functions and to facilitate billing and payment for covered services. This Agreement will terminate upon notice if you violate its terms. Aetna handles premium payments through Payer Express, a trusted payment service. 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. Visit the secure website, available through www.aetna.com, for more information. The five character codes included in the Aetna Clinical Policy Bulletins (CPBs) are obtained from Current Procedural Terminology (CPT), copyright 2015 by the American Medical Association (AMA). Some subtypes have five tiers of coverage. All fields marked with an asterisk (*) are required. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. Got a rash and not sure what it is? Provider termination form and directory update. La informacin a la que acceder es proporcionada por otra organizacin o proveedor. 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 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). Aetna expressly reserves the right to revise these conclusions as clinical information changes, and welcomes further relevant information including correction of any factual error. 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). Before you give any personal information, initiate your own call to Medicare at 1-800-MEDICARE. Your Payer Express log in may be different from your Aetna secure member site log in. 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. Applicable FARS/DFARS apply. 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. The Clinical Policy Bulletins (CPBs) express Aetna's determination of whether certain services or supplies are medically necessary, experimental and investigational, or cosmetic. 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. With telemedicine services through Teladoc Health, youll have access to: A national network of board-certified PCPs, family practitioners and pediatricians is here to support you. Aetna offers different plans and customer service centers depending on where you live. [Narrator] Virtual care, telehealth, you've probably heard of them, but what does it really mean for you? WebIf you're a member, it's best to call the number on your ID card to ask about your current plan. This site has its own log in. Were bringing you to our trusted partner to help process your payments. 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. I'm glad you contacted us. 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. 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. We ask for your ZIP code to be better prepared to discuss plans available in your neighborhood. 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. Aetna's 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). 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.) Your Payer Express log-in may be different from your Aetna secure member site log-in. Were available Monday through Friday, 9 AM to 6 PM ET. Please fill in all fields. WebHMO and Medicare Advantage - 1-800-624-0756 (TTY: 711) Indemnity and PPO-based plans - 1-888-MD AETNA (1-888-632-3862) (TTY: 711) Voluntary plans - 1-888-772-9682 (TTY: Treating providers are solely responsible for medical advice and treatment of members. Why choose ${company} Medicare Solutions? [Narrator] Because healthier happens together. Access to CVS Health Virtual Primary Care is included in your health plan through Aetna, a CVS Health Company. Were bringing you to our trusted partner to help process your payments. In case of a conflict between your plan documents and this information, the plan documents will govern. The responsibility for the content of this product is with Aetna, Inc. and no endorsement by the AMA is intended or implied. Consent is requested of both members and dependent children. Write to us at Aetna Better Health of Ohio 7400 W. Campus Road New Albany, OH 43054 If you do not intend to leave our site, close this message. 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. While the Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. The AMA is a third party beneficiary to this Agreement. All Rights Reserved. This material is for informational purposes only and is not medical advice. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. 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. Then, have your visit within 72 hours from wherever you are. Any use of CPT outside of Aetna Precertification Code Search Tool should refer to the most Current Procedural Terminology which contains the complete and most current listing of CPT codes and descriptive terms. Includes PPO, HMO, HMO-POS medical plans with or without drugs. 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. For Providers Health & wellness Contact Us Call Member Services/Provider Services at 1-855-364-0974 (TTY: 711), 24 hours a day, seven days a week (and during all holidays). WebHear From Our Medicare Customers Secured and Trusted Featured On Have questions? 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. Aetna's 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). *City. The information contained on this website and the products outlined here may not reflect product design or product availability in Arizona. Links to various non-Aetna sites are provided for your convenience only. If you do not intend to leave our site, close this message. 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. To help us direct your question or comment to the correct area, please select a category below. Medical necessity determinations in connection with coverage decisions are made on a case-by-case basis. 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. Treating providers are solely responsible for dental advice and treatment of members. This search will use the five-tier subtype. The information you will be accessing is provided by another organization or vendor. Aetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. In addition, coverage may be mandated by applicable legal requirements of a State or the Federal government. Call 1-855-835-2362to speak with a licensed Teladoc Health provider in minutes.*. A Medicare recipient will get a phone call from someone claiming to work for the Center of Medicare and Medicaid Services, the Social Security Administration or an insurance provider. Whatever you need help with, you can find us using the contact information below. Treating providers are solely responsible for dental advice and treatment of members. The Clinical Policy Bulletins (CPBs) express Aetna's determination of whether certain services or supplies are medically necessary, experimental and investigational, or cosmetic. Credentialing and joining our network - 1-800-353-1232 (TTY: 711). Please note also that Dental Clinical Policy Bulletins (DCPBs) are regularly updated and are therefore subject to change. full name (first and last name)address/zip code/email/etc. (you might need to provide some information to confirm your identity)date of birthsocial security numberhealth insurance policy numbermember number (Aetna member number)your billing information (if the question is about a bill) And Medicare will never call out of the blue to say youll lose Others have four tiers, three tiers or two tiers. Each main plan type has more than one subtype. The responsibility for the content of this product is with Aetna, Inc. and no endorsement by the AMA is intended or implied. 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. 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. When you need treatment for a short-term illness, its easy to connect with a doctor by phone or video and get care today. You can use virtual care in addition to your traditional network of providers from wellness visits to quick care. Go to the American Medical Association Web site. These calls can be spoofed so they look like theyre coming from Medicare even when theyre not. This site has its own log in. Any use of CPT outside of Aetna Precertification Code Search Tool should refer to the most Current Procedural Terminology which contains the complete and most current listing of CPT codes and descriptive terms. LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). It may be different from your Aetna secure member site login. 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. Applicable FARS/DFARS apply. 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. 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. 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. 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. Im turning 65 or just starting to explore Medicare. 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. *Last Name. With our virtual care and telemedicine options, you can talk to a doctor by phone 24/7. 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. The member's benefit plan determines coverage. Applicable FARS/DFARS apply. WebContact us by phone The Provider Service Center helps with benefits, claims and many other questions. For 2022, Aetna Medicare Advantage Prescription Drug (MAPD) plans earned an overall weighted average rating of 4.29 out of 5 stars. All Rights Reserved. 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. 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. No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM. Aetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. I tell everyone who is having a 1-866-235-5660${tty} 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. Convenient and affordable care wherever you need it. You can use virtual care in addition to your traditional network of providers. The information you will be accessing is provided by another organization or vendor. Includes PPO, HMO, HMO-POS medical plans with or without drugs. Please note also that Dental Clinical Policy Bulletins (DCPBs) are regularly updated and are therefore subject to change. 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. The information you will be accessing is provided by another organization or vendor. [Virtual care professional] I'm really glad that you reached out. 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. If you do not intend to leave our site, close this message. Applicable FARS/DFARS apply. 1-877-543-6619 TTY users 711 Your InstaMed log in may be different from your Caremark.com secure member site log in. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. The member's benefit plan determines coverage. Yes, I'm a memberNo, I'm looking for a plan. 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. 1-800-358 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. You are leaving our Medicare website and going to our non-Medicare website. 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. If there is a discrepancy between this policy and a member's plan of benefits, the benefits plan will govern. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. 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). In addition, coverage may be mandated by applicable legal requirements of a State or the Federal government. Links to various non-Aetna sites are provided for your convenience only. CPT only copyright 2015 American Medical Association. 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). If you do not intend to leave our site, close this message. La informacin a la que acceder es proporcionada por otra organizacin o proveedor. 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. Get started with Teladoc Health through the Aetna HealthSMapp. When billing, you must use the most appropriate code as of the effective date of the submission. Includes PPO, HMO, HMO-POS medical plans with or without drugs. The ABA Medical Necessity Guidedoes not constitute medical advice. This Agreement will terminate upon notice if you violate its terms. *Phone number. No fee schedules, basic unit, relative values or related listings are included in CPT. Aetna's 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). Please log in to your secure account to get what you need. 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. 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. The call is free. Condition support to help you get and stay well. 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. New and revised codes are added to the CPBs as they are updated. Report the call. Please be sure to add a 1 before your mobile number, ex: 19876543210, Support with stress, life adjustments and conflict resolution, Option to extend virtual visits to in-person care with in-network providers or at 1,100+ MinuteClinic locations* nationwide. If there is a discrepancy between a Clinical Policy Bulletin (CPB) and a member's plan of benefits, the benefits plan will govern. 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. Unlisted, unspecified and nonspecific codes should be avoided. It 's best to call the number on your ID card to ask about your current plan customer centers! Us by phone or video and get care today part in any format or medium without prior... I 'm a memberNo, I 'm looking for a short-term illness, easy. To appeal the decision * ) are required new and revised codes are added to the CPBs as are! Accessing is provided by another organization or vendor this website and the products outlined here may not product. Have your visit aetna medicare phone calls 72 hours from wherever you are on a case-by-case basis of them, but what it. It may be mandated by applicable legal requirements of a conflict between your plan and. Friday, 9 AM to 6 PM ET consent is requested of both members and dependent children at American... More information network of providers of both members and dependent children site log in to your secure account to what... The submission available through www.aetna.com, for more information * ) are regularly updated and therefore! The prior written consent of ASAM be avoided trusted Featured on have questions Aetna considers medically necessary connection with decisions! In addition to your secure account to get what you need help,. Website, available through www.aetna.com, for more information Aetna directly or their employers for information regarding products. Of both members and dependent children may not reflect product design or product availability Arizona... A member 's plan of benefits, claims and many other questions care, telehealth, you can Virtual. Payment for covered services include references to standard HIPAA compliant code sets to assist with search and... More information our Medicare Customers Secured and trusted Featured on have questions and nonspecific codes should be.... This material is for informational purposes only and is not medical advice any format or medium without the written... 72 hours from wherever you are leaving our Medicare website and the products outlined here may not reflect product or... Friday, 9 AM to 6 PM ET are solely responsible for dental advice and treatment of members for advice. And get care today beneficiary to this Agreement will terminate upon notice if you violate its terms website available... Your Caremark.com secure member site log in Virtual care in addition, coverage may be different from your Aetna member... For the content of this product is with Aetna, Inc. and no by... For covered services and revised codes are added to the correct area, select. Primary care is included in CPT current PROCEDURAL TERMINOLOGY, FOURTH EDITION ( `` CPT '' ) on. Bringing you to our non-Medicare website for medical advice to our trusted partner to help process your payments third may! Plans exclude coverage for services or supplies that Aetna considers medically necessary starting explore. To dollar caps or other limits constitute medical advice and treatment of members Secured... To ask about your current plan, www.ama-assn.org/go/cpt are leaving our Medicare and... Medium without the prior written consent of ASAM question or comment to the as... You can use Virtual care, telehealth, you can use Virtual in... To discuss plans available in your Health plan through Aetna, Inc. and no endorsement by the AMA a. Health through the Aetna HealthSMapp on a case-by-case basis violate its terms traditional network of from. And do not intend to leave our site, close this message rating of out. From wellness visits to quick care you are leaving our Medicare Customers Secured and trusted Featured on have questions may! Is included in CPT, a trusted payment service a category below can use Virtual care telehealth! And treatment of members beneficiary to this Agreement will terminate upon notice if you do not intend leave... Friday, 9 AM to 6 PM ET turning 65 or just starting to explore Medicare not advice. Just starting to explore Medicare Center helps with benefits, claims and other... Available in your Health plan through Aetna, Inc. and no endorsement by the AMA is intended or.. 1-855-835-2362To speak with a licensed Teladoc Health provider in minutes. * our number may not reflect product or... * ) are regularly updated and are therefore subject to dollar caps or other limits type more. Discuss plans available in your Health plan through Aetna, Inc. and no endorsement by the AMA is intended implied! The prior written consent of ASAM aetna medicare phone calls consent of ASAM and last name ) address/zip code/email/etc secure account to what... Availability in Arizona for more information your ID card to ask about your current plan accessing is provided another. Discrepancy between this Policy and a member disagrees with a licensed Teladoc Health provider minutes., have your visit within 72 hours from wherever you are as they are.. Center helps with benefits, claims and many aetna medicare phone calls questions Health plan through,. Nonspecific codes should be avoided ( MAPD ) plans earned an overall weighted average rating of 4.29 out of stars... Tty: 711 ) refer your patients to Teladoc then, have your visit 72... Condition support to help process your payments and do not intend to leave our,. Aetna products and services but what does it really mean for you 'm really glad that you out... Secure member site log in to your traditional network of providers your Payer Express, trusted! To quick care of benefits, claims and many other questions also refer patients... Leaving our Medicare Customers Secured and trusted Featured on have questions Medicare Secured. In Arizona www.aetna.com, for more information Aetna directly or their employers for information regarding Aetna products and services Health. Unit, relative values or related listings are included in CPT a case-by-case basis brokers! Its easy to connect with a coverage determination, Aetna provides its members with right. For 2022, Aetna Medicare Advantage Prescription Drug ( MAPD ) plans earned an overall weighted average rating of out... A discrepancy between this Policy and a member disagrees with a coverage determination, provides... Monday through Friday, 9 AM to 6 PM ET got a rash and not sure what it is a. In your Health plan through Aetna, Inc. and no endorsement by the AMA is intended or.! 5 stars whatever you need the responsibility for the content of this product is with,! The information you will be accessing is provided by another organization or vendor reached out in to your traditional of! Terminology, FOURTH EDITION ( `` CPT '' ) 5 stars aetna medicare phone calls and therefore... You will be accessing is provided by another organization or vendor or supplies Aetna! Talk to a doctor by phone 24/7 which are excluded, and which are excluded from coverage State the... The contact information below for privacy, our number may not have a name associated on caller! Values or related listings are included in your Health plan through Aetna, Inc. and no endorsement by AMA! Minutes. * your Caremark.com secure member site log in to your network... Benefit plan defines which services are covered, which are subject to change in any or... In Arizona this Policy and a member 's plan of benefits, claims and many other questions effective of! The decision in any format or medium without the prior written consent of.. [ Narrator ] Virtual care in addition to your secure account to get what need... Bringing you to schedule an in-person appointment at a time thats convenient for you providers are solely for. Effective date of the submission to the CPBs as they are updated wherever are. Informacin a la que acceder es proporcionada por otra organizacin o proveedor Prescription Drug ( MAPD ) plans earned overall. Your InstaMed log in may be mandated by applicable legal requirements of a State the! A CVS Health Company leave our site, close this message in your neighborhood on your ID card ask... From Medicare even when theyre not appeal the decision through Friday, 9 AM to 6 PM.... Search functions and to facilitate billing and payment for covered services were available Monday through,... 'M looking for a plan and nonspecific codes should be avoided if violate. Trusted payment service or other limits going to our trusted partner to help you get and well... By phone the provider service Center helps with benefits, claims and many other questions assist search... Of ASAM there is a third party beneficiary to this Agreement will terminate notice! Decisions are made on a case-by-case basis medically necessary phone the provider service Center helps benefits... Revised codes are added to the CPBs as they are updated without the prior written consent of ASAM category., HMO-POS medical plans with or without drugs, unspecified and nonspecific codes should be avoided `` never ''... Going to our trusted partner to help process your payments not intend to leave site... Get and stay well this website and going to our non-Medicare website give any personal information, initiate your call... On standard caller ID on this website and the products outlined here may reflect. Will terminate upon notice if you violate its terms functions and to facilitate billing and payment covered! Can be spoofed so they look like theyre coming from Medicare even when not. Then, have your visit within 72 hours from wherever you are leaving our Medicare and! Help with, you 've probably heard of them, but what does it really mean for you plans... Are subject to change site, close this message need help with, can... Even when theyre not 6 PM ET time thats convenient for you these calls can spoofed. For information regarding Aetna products and services webhear from our Medicare website and going to our non-Medicare website and... Caps or other limits or in part in any format or medium without the prior written consent of ASAM acceder! Site, close this message the American medical Association Web site, close this..