CPT is a registered trademark of the American Medical Association. Do you want to continue? Idaho Members: If you contact several providers who have indicated they will see new patients and find you cannot get an appointment, you may call Customer Service at 1-800-936-0978. 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. Visit the secure website, available through www.aetna.com, for more information. 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. Our providers | Aetna Medicaid Of course you can use our directories to find doctors and hospitals that take your insurance. By clicking on I accept, I acknowledge and accept that: Should the following terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button below labeled "I Accept". CPT is a registered trademark of the American Medical Association. Check your participation status using the provider search tool. Individual dental plan. ", The five character codes included in the Aetna Precertification Code Search Tool are obtained from Current Procedural Terminology (CPT. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. The information you will be accessing is provided by another organization or vendor. Pediatric Dentists: provide dental care for children and young adults. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Provider Directory. If your health benefit plan offers the Aetna Signature Administrators (ASA) PPO Network, use its online directory to search from approximately 1.4 million Aetna in-network providers and more than 6,000 hospitals nationwide. 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). Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. Health (8 days ago) AdHighly-reviewed Dentists who take your insurance and are ready to see you. 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. Meritain Health's Aetna DocFind site Plan from an employer Aetna Medicare plan, Individual health plan Aetna Medicaid plan Disclaimer of Warranties and Liabilities. 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. All provider information contained on this website is subject to change. It provides benefits to members who qualify for Medicare and who receive full Medicaid benefits and/or assistance with Medicare premiums or Medicare Parts A & B cost sharing through one of the Medicare Savings Program (MSP) categories. In the event that a member disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision. Please note also that Clinical Policy Bulletins (CPBs) are regularly updated and are therefore subject to change. Just call Member Services at 1-866-329-4701 (TTY: 711) to learn more about these services. Members should discuss any matters related to their coverage or condition with their treating provider. 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. Filter Type: All Symptom Treatment Nutrition Dental Services Aetna Medicaid New Jersey . This search will use the five-tier subtype. Unlisted, unspecified and nonspecific codes should be avoided. Click here to let us know so we can fix it. Aetna Provider Search - Small Business Benefits | Trustmark 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. Links to various non-Aetna sites are provided for your convenience only. The Clinical Policy Bulletins (CPBs) express Aetna's determination of whether certain services or supplies are medically necessary, experimental and investigational, or cosmetic. Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider. No fee schedules, basic unit, relative values or related listings are included in CPT. CPT is a registered trademark of the American Medical Association. Neither Aetna Inc. nor its subsidiaries are Guardian affiliates. You may opt out at any time. Dentists and dental office professionals, log in to Aetna Dental to handle claims, find forms, stay ahead of policy changes and more. 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. You are now being directed to CVS caremark site. Find a Doctor, Dentist or Hospital | Aetna 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. Treating providers are solely responsible for medical advice and treatment of members. If you are in Virginia, check your status by going to the Aetna Better Health of Virginia provider search page. A new version of our find a dentist tool is now available for Virginia members! Treating providers are solely responsible for medical advice and treatment of members. 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 you do not intend to leave our site, close this message. This information helps us provide information tailored to your Medicare eligibility, which is based on age. 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. Aetna has one of the nation's largest dental networks, with more than 200,000 participating dental practices, making it easy to find a great dentist or specialist near you. The American Medical Association (AMA) does not directly or indirectly practice medicine or dispense medical services. Unlisted, unspecified and nonspecific codes should be avoided. 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. Have an update for our Directory? The American Medical Association (AMA) does not directly or indirectly practice medicine or dispense medical services. The member's benefit plan determines coverage. Periodontists: these dentists specialize in treating complex cases of gum disease, along with other infections or problems involving the tissues that support the teeth. Medicaid. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Street Address: City: State: County: Zip Code: Radius: . Treating providers are solely responsible for dental advice and treatment of members. 2. If you are in New Jersey, check your status by going to the Aetna Assure Premier Plus provider search page. 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. 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. Choose from the largest directory of in-person & video visit providers in the nation. Treating providers are solely responsible for medical advice and treatment of members. Learn about your health plan or find coverage for you and your family. Exploration our provider manuals for find resources concerning Aetna policy guidelines that explain how to work with us. Need a new dental office home? https://www.bing.com/aclk?ld=e8pp1GAj_I-V3BVCYY9CDy-DVUCUwNn4b_zBqwYEAyr-b5hM7-uljdETFqFUDVn1verRx1HD9OEM8mlH0-4MuIitnhUOrSe-AsgxSUMwda7uvhTkMRqFaU9WzQiCY7N9Y6uEORiZbZ_yLxe-Ad0825VJyGWU7_QhyLDFQc1zv459ATOOp7YUal1ilBxK3MVXkJOzx6Og&u=aHR0cHMlM2ElMmYlMmZib29rLnpvY2RvYy5jb20lMmZnZXQtc3RhcnRlZCUyZmRlbnRpc3RzJTNmdXRtX3NvdXJjZSUzZGJpbmclMjZ1dG1fbWVkaXVtJTNkY3BjX2dlbmVyaWMlMjZ1dG1fY2FtcGFpZ24lM2Q0MDEyMTU1NTIlMjZ1dG1fdGVybSUzZCUyNTJCYWV0bmElMjUyMCUyNTJCZGVudGlzdCUyNnV0bV9jb250ZW50JTNkMTIzMzY1MjI2MTQ5NDAyNCUyNm1zY2xraWQlM2RlZTJhMzY3ZTU4YjMxZjhjNTcyZjUyMmU0YzlkOTgzMQ&rlid=ee2a367e58b31f8c572f522e4c9d9831, Health (2 days ago) WebEvery member with an Aetna Assure Premier Plus (HMO D-SNP) plan gets access to this dental benefit, including members who qualify for: Fully Integrated Dual-Eligible Special Needs Plan (FI D-SNP) Our members , https://www.aetnabetterhealth.com/new-jersey-hmosnp/providers/dental-services.html, Health (8 days ago) WebDental Savings Plans reduce the cost of dental care by 10%-60%, at thousands of participating dentists and dental specialists nationwide. 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. Disclaimer of Warranties and Liabilities. Check your participation status using the provider search tool. Best viewed in Microsoft Internet Explorer 6 and higher, resolution 1280x800. Please review the plan benefit coverage documentation under the link below. If English is not your preferred language and you need help communicating in your preferred language, you may call 888-703-6999 to ask what language services are available to you. Please note also that Clinical Policy Bulletins (CPBs) are regularly updated and are therefore subject to change. . Members should show their DSNPmember ID cardand their state-issued Medicaid card. Aetna international | International Medical Insurance Others have four tiers, three tiers or two tiers. You can get a copy of the provider directory by mail. The responsibility for the content of this product is with Aetna, Inc. and no endorsement by the AMA is intended or implied. Links to various non-Aetna sites are provided for your convenience only. Just scroll down to "Find local care. 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). Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. Youd likely go to an oral surgeon if you have an impacted wisdom tooth or need another type of other complicated extraction. 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. 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. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. The member's benefit plan determines coverage. Please note also that the ABA Medical Necessity Guidemay be updated and are, therefore, subject to change. 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. Just call Member Services at 1-866-329-4701 (TTY: 711) to learn more about these services. Applicable FARS/DFARS apply. Aetna Better Health of Maryland Dental Provider Search - Avesis Applicable FARS/DFARS apply. 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. Avsis provides vision and dental claim and administrative services by agreement with Aetna Inc. 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. Directory of Dentists Treating Members with Intellectual Disabilities Adult. You can get dental care when you join Aetna Better Health of West Virginia. CMS requires providers to take the Model of Care training course (PDF). Some plans exclude coverage for services or supplies that Aetna considers medically necessary. You are now being directed to CVS Caremark site. Youll find these doctors with the label Quality Care, Effective , https://www.aetna.com/individuals-families/find-a-doctor.html, North country health care university flagstaff, Jps health network schedule appointments, Health care information system examples, 2021 health-improve.org. The AMA is a third party beneficiary to this Agreement. Join today and elevate your smile for less than you ever dreamed was possible. Health benefits and health insurance plans contain exclusions and limitations. 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). 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. We welcome . ", Provider/facility name OR specialty is required to continue. Please note also that Dental Clinical Policy Bulletins (DCPBs) are regularly updated and are therefore subject to change. 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. Select a Plan * Select a Plan: 2. 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 . Please contact Eviti Connect at. Pharmacy, dental or vision providers? 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. 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. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Others have four tiers, three tiers or two tiers. 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). Do you want to continue? Aetna Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits and do not constitute dental advice. 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. Find a Provider | Aetna Medicaid Let Customer Service know the providers you called. Dental Provider Login | Aetna It provides coverage for a wide range of dental services, including . NON-COV - CPT or HCPCS code entered is not a covered benefit by health plan. The information contained on this website and the products outlined here may not reflect product design or product availability in Arizona. you can call Aetna Better Health of Louisiana Member Services at 1-855-242-0802, TTY 711, 24 hours a day, 7 days a week. Aetna Medicaid collaborates with providers to deliver care that meets cost and quality goals. This Aetna provider directory includes all Aetna participating providers, including both medical providers and dental providers. 2022 DSNP information - Aetna Skip to main content . You can narrow your Aetna provider search by filtering provider characteristics, geographic location and best matched . From there, you can search for providers and specialists, like dentists, eye doctors, therapists, dermatologists and more. The provider network is subject to change. For enhanced adults benefit, visit Dental Provider Search to view your dental providers. Aetna Better Health Providers Pa 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. Go to the American Medical Association Web site. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. Members must reside in a county where Aetna Medicare offers a DSNP. CPBs include references to standard HIPAA compliant code sets to assist with search functions and to facilitate billing and payment for covered services. 1367 Walter Reed Rd, 103, Fayetteville, NC 28304. 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 language services, please call the number on your member ID card and request an operator. If you do not intend to leave our site, close this message. SELECT A DIRECTORY. Please refer to your Evidence of Coverage prior to contacting a Specialist if you are unsure, or call Member Services. Just call Member Services at 1-866-827-2710 (TTY: 711) to learn more about these services. Please note also that the ABA Medical Necessity Guidemay be updated and are, therefore, subject to change. The information you will be accessing is provided by another organization or vendor. 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. INVALID - CPT or HCPCS code entered was invalid, not found. For language services, please call the number on your member ID card and request an operator. 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. CPT only Copyright 2022 American Medical Association. Search By NPI or PIN : DocFind - aetna.com We update our provider directory nightly.You can get a copy of the provider directory by mail. Click here for additional information regarding benefit coverage. 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). 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 AMA disclaims responsibility for any consequences or liability attributable or related to any use, nonuse or interpretation of information contained in Aetna Precertification Code Search Tool. To see if your doctor is in our network, click a plan link below. The term prior authorization (PA) means the utilization review process determines whether the requested service, procedure, prescription drug or medical device meets the companys clinical criteria for coverage. 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). Go to the American Medical Association Web site. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept". No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM. We encourage you to check with your participating provider prior to beginning treatment. For children and other Medicaid members, dental providers are available through MCNA. Aetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. 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. By submitting your information you are agreeing to receive communications from Aetna Dental Offers. 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. Please correct the following errors and try again: Fill out this form to find providers and health care facilities near you. Visit our Medicare page for more DSNP resources, including cost-share information. Aetna Better Health of Illinois is not responsible or liable for non-Aetna Better Health content, accuracy, or privacy practices of linked sites, or for products or services described on these sites. Aetna Better Health of Maryland Medicaid Dental Provider Search - Avesis In the event that a member disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision. Some subtypes have five tiers of coverage. Find a Dentist. Please refer to your Summary Plan Description (SPD) for an outline of your plan's covered benefits . Members should discuss any Dental Clinical Policy Bulletin (DCPB) related to their coverage or condition with their treating provider. Please contact Access2Care for benefit information by calling 1-866-252-5634 or visit www.Access2Care.net. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Health (3 days ago) Webfor a provider. Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider. Find a provider | Aetna Better Health of Louisiana In the event that a member disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision. Applicable FARS/DFARS apply. 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). Reprinted with permission. Medical necessity determinations in connection with coverage decisions are made on a case-by-case basis. All Rights Reserved. The dental discounts are available through participating healthcare providers only. Join our network, and together, we'll give patients access to the highest quality, safest and most effective health care. Click here to find an in-network pharmacy provider thats close to you. 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. 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. If your patient has primary Medicare coverage outside of Aetna Better Health Premier Plan, please call the Medicare plan for benefits and authorization requirements. Request an Office Transfer. 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. While the Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. Your Plan: Your Plan: Should the following terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button below labeled "I Accept". symbol is displayed for the code, place your cursor over the symbol to review additional Prosthodontists: restore damaged teeth or replace missing ones, with procedures that include dental implants, bridges, crowns and dentures. It is only a partial, general description of plan or program benefits and does not constitute a contract. Endodontists: help heal infections of the soft tissue inside the tooth and are typically the dental specialist youd see if you need a root canal treatment. 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. Aetna Better Health of Maryland Dental Provider Search. Orthodontists: correct the position of misaligned teeth and jaws, typically this is done with braces although treatments using other dental devices (such as retainers) are also utilized.
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