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. Copyright document.write(new Date().getFullYear()) Aetna Better Health of Louisiana, All Rights Reserved. Medicaid. Links to various non-Aetna sites are provided for your convenience only. Please note also that the ABA Medical Necessity Guidemay be updated and are, therefore, subject to change. You can all Member Services at 1-866-638-1232, TTY PA Relay 7-1-1 , TTY 711, for help finding a provider. Enter a zip code to search for dental care professionals in your area. In-network coverage only (except emergency . All DSNP plans are required to have an approved Model of Care. Use of any robot, spider or other intelligent agent to copy content from Provider Search, extract any portion of it or otherwise cause Provider Search to be burdened with unwarranted high access or transaction activity . Pharmacy prior auth phone number: 1-855-221-5656. You can narrow your Aetna provider search by filtering provider characteristics, geographic location and best matched . 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. Applicable FARS/DFARS apply. Tools and resources that create a more personalized and convenient . Links to various non-Aetna sites are provided for your convenience only. 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. Find a Provider | Aetna Medicaid Want to help transform health care? You can get a copy of the provider directory by mail. 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. 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. 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. * Enter Provider ID : * Enter NPI : *Provider Type : Select a Provider Type Medical (Includes Behavioral Health) Dental Facilities. For children and other Medicaid members, dental providers are available through MCNA. symbol is displayed for the code, place your cursor over the symbol to review additional 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. When billing, you must use the most appropriate code as of the effective date of the submission. Applicable FARS/DFARS apply. It provides coverage for a wide range of dental services, including . Visit the secure website, available through www.aetna.com, for more information. 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. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. It is only a partial, general description of plan or program benefits and does not constitute a contract. DocFind, Aetna's online participating provider directory, allows you to locate physicians and other health care providers such as dentists, optometrists, hospitals and pharmacies. #2020 . Innovative benefits plans with options for medical, dental, vision, and pharmacy coverage. Links to various non-Aetna sites are provided for your convenience only. Find the information and resources you need to meet your clients' needs. Applicable FARS/DFARS apply. Individual dental plan. The online provider directory is updateddaily. 2/22). Aetna Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits and do not constitute dental advice. Treating providers are solely responsible for medical advice and treatment of members. Or they can help you find a provider. Members should discuss any matters related to their coverage or condition with their treating provider. It is only a partial, general description of plan or program benefits and does not constitute a contract. You will receive the discount off the providers usual and customary fees when you pay. Aetna Better Health - LIBERTY Dental Plan The five character codes included in the Aetna Medicaid PA Requirement Search Tool are obtained from Current Procedural Terminology (CPT), by the American Medical Association (AMA).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. VisitPharmacy Provider Search to view all your pharmacy providers. This information is neither an offer of coverage nor medical advice. CMS requires providers to take the Model of Care training course (PDF). *Search by : Provider ID (PIN) NPI. 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. 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. 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. CPT only Copyright 2022 American Medical Association. 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. Enter Location 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. Aetna Better Health of Maryland Dental Provider Search. Enter a zip code to search for dental care professionals in your area. Health (3 days ago) Webfor a provider. 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. Geographic Search. and you keep saving there is no maximum annual spending limit! 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. If there is a discrepancy between this policy and a member's plan of benefits, the benefits plan will govern. In addition, coverage may be mandated by applicable legal requirements of a State or the Federal government. Of course you can use our directories to find doctors and hospitals that take your insurance. Links to various Aetna Better Health and non-Aetna Better Health sites are provided for your convenience. Aetna Better Health of Maryland Dental Provider Search - Avesis 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. While the Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. Aetna Better Health. Aetna Inc. and its affiliated 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. By providing us with your email address, you agree to receive email communications from Aetna until you opt out of further emails. Access2Care performs transportation management services on behalf of Aetna Better Health. No fee schedules, basic unit, relative values or related listings are included in CPT. In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members. For enhanced adults benefit, visitDental Provider Searchto view your dental providers. To help us direct your question or comment to the correct area, please select a category below. Prior Authorization may be required. SELECT A DIRECTORY. Please refer to your Summary Plan Description (SPD) for an outline of your plan's covered benefits .
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