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Cigna and Aetna also offer vision and dental insurance. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. You have been redirected to an Aetna International site. You may opt out at any time. Furthermore, you can find the "Troubleshooting Login Issues" section which can answer your unresolved problems and equip you with a . The Aetna Network The Aetna Choice network is large and comprehensive. At this time, Aetna offers Medicare, Medicaid, student health insurance and international insurance. If you do not intend to leave our site, close this message. 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 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. If you continue to use this website, you are consenting to our policy and for your web browser to receive cookies from our website. All Rights Reserved. This information helps us provide information tailored to your Medicare eligibility, which is based on age. Information is believed to be accurate as of the production date; however, it is subject to change. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. 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). Our website for federal employees has plan information, rates and resources. . 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). 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. Be sure to check your email for periodic updates. This information is neither an offer of coverage nor medical advice. Members in HMO and indemnity plans are not eligible for this benefit. Prescription drugs. Were more than just a health insurance company. 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. This information is neither an offer of coverage nor medical advice. 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. We give you a choice of plans along with extra cover options to tailor a plan thats just right for your business. Unlisted, unspecified and nonspecific codes should be avoided. Tools and services Businesses can purchase Aetna's employer plans and provide them to employees. And there's a broad network option, too. Medicare is the government-sponsored health care program for people 65 and over, as well as a few others who aren't yet 65. Our global medical insurance plans are designed to be flexible, convenient and comprehensive. 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 benefit may not be available through your plan. This website supports services for Aetna, Aetna Affiliates and Innovation Health. The Aetna International In-Touch Care and vHealth Service can also help you manage your physical health, by providing direct access to a team of Aetna International nurses and doctors. 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. No fee schedules, basic unit, relative values or related listings are included in CPT. In the event that a member disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision. Access self-service applications and websites. Plan information and claim forms You can access our plans by following the links below: Our members get choice, convenience and savings like coverage for exams and frames, a large network of providers, savings, perks and more. Talk to a doctor by phone or video chat- anywhere, anytime with telemedicine access. 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. Unlisted, unspecified and nonspecific codes should be avoided. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. For language services, please call the number on your member ID card and request an operator. You can access our plans by following the links below: Please read the terms and conditions of the Aetna International website, which may differ from the terms and conditions of www.interglobal.com/thailand. 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 is the brand name for products and services provided by Aetna Life Insurance Company and its affiliates. The information contained on this website and the products outlined here may not reflect product design or product availability in Arizona. This option allows you to review the documents on your own time and then submit your enrollment electronically. Treating providers are solely responsible for medical advice and treatment of members. 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. When billing, you must use the most appropriate code as of the effective date of the submission. Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider. We join the right medical professionals with the right technology, so members benefit from quality, personalized health care designed to help them reach their health ambitions. Medicare beneficiaries can also enroll in an Aetna MA plan through the Centers for Medicare & Medicaid Services (CMS) Medicare Online Enrollment Center at www.medicare.gov. Applicable FARS/DFARS apply. 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. Please note also that Clinical Policy Bulletins (CPBs) are regularly updated and are therefore subject to change. Mobile assistant app 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. Treating providers are solely responsible for dental advice and treatment of members. 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. Tackling polarised perceptions in corporate health and wellness. Please note also that the ABA Medical Necessity Guidemay be updated and are, therefore, subject to change. 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. Copyright 2015 by the American Society of Addiction Medicine. Click on "Claims," "CPT/HCPCS Coding Tool," "Clinical Policy Code Search. 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. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. Employers can select what to include in their Aetna policies, which may include medical, dental, health, disability and life coverages. So, log-in to your Health Hub today and discover how easy it is to improve, manage and balance your physical and mental well-being on your terms. Reprinted with permission. Members should discuss any matters related to their coverage or condition with their treating provider. 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 Dental coverage through work When you have an Aetna Dental plan, you know you're taking the right steps toward being healthy. LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). If your employees are coveredunder European, Asia Pacific, Middle East and Africa or Latin American and Caribbean based plans, start here: Employers on U.S./Canada based plans and WorldTraveler plans, start here: If your employees are coveredunder China based plans, start here: We use cookies to give you the best possible online experience. All Rights Reserved. The Open Enrollment Period for 2022 opens on November 1, 2021 and ends on January 15, 2022. Your first opportunity to enroll when you turn 65 is during your Initial Enrollment Period (IEP). . The information you will be accessing is provided by another organization or vendor. If there is a discrepancy between a Clinical Policy Bulletin (CPB) and a member's plan of benefits, the benefits plan will govern. You are now being directed to the CVS Health site. 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. 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. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Theyre just some of the perks of being an Aetna member. Medical necessity determinations in connection with coverage decisions are made on a case-by-case basis. Reprinted with permission. Access a life coach or help to navigate the complexities of managing a team overseas with Manager Assistance Services. 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 a registered trademark of the American Medical Association. You can access our plans by following the links below: Please read the terms and conditions of the Aetna International website, which may differ from the terms and conditions of www.interglobal.com/thailand. Visit the secure website, available through www.aetna.com, for more information. You may not be able to access certain secure sites and member pages on the Aetna International website unless you have previously registered for them or hold applicable policies. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. . 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. 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. While the Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. This search will use the five-tier subtype. In case of a conflict between your plan documents and this information, the plan documents will govern. We've implemented a new text-based virtual care solution delivered by 98point6 and text-enabled digital tools. The information you will be accessing is provided by another organization or vendor. Your benefits plan determines coverage. 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. 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). That's the period of seven-months around your 65th birthday - running from the three months before your birthday month . All Rights Reserved. Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates (Aetna). Youll have an AI chat buddy who listens, and tools and coaching that support you to overcome stress, depression and anxiety. 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 a registered trademark of the American Medical Association. CPT only copyright 2015 American Medical Association. 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. Most people who have dental insurance have it through an employer. 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 average employee at Aetna makes $61,847 per year. 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 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. 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.

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