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. Choose from the largest directory of in-person & video visit providers in the nation. Select a Plan * Select a Plan: 2. The Clinical Policy Bulletins (CPBs) express Aetna's determination of whether certain services or supplies are medically necessary, experimental and investigational, or cosmetic. Or they can help you find a provider. 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). Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider. Others have four tiers, three tiers or two tiers. 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. Hospitals, long-term care facilities and skilled nursing facilities for rehabilitation, mental health facilities, Federally Qualified Health Centers and Rural Health Centers. Medical necessity determinations in connection with coverage decisions are made on a case-by-case basis. Or they can help you find a provider. 2020 Avsis Incorporated. Treating providers are solely responsible for medical advice and treatment of members. Each main plan type has more than one subtype. Aetna Better Health Providers Pa Participating Providers: To determine if prior authorization (PA) is required, enter Depending on the members MSP eligibility, they may have a cost-share responsibility. General Dentists: provide all the services you need to maintain healthy teeth and gums. The member's benefit plan determines coverage. ALL inpatient confinements require PA and usually ALL services provided by non-participating providers require PA. PA requirement results are valid as of todays date only. Aetna Medicaid collaborates with providers to deliver care that meets cost and quality goals. 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. Health Insurance Plans | Aetna This Agreement will terminate upon notice if you violate its terms. 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. You are now being directed to CVS caremark site. If services are not covered by the Medicare plan, Aetna Better Health of Ohio may cover these services. 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. This Aetna provider directory includes all Aetna participating providers, including both medical providers and dental providers. In-network coverage only (except emergency . Plan from an employer Aetna Medicare plan, Individual health plan Aetna Medicaid plan Go to the American Medical Association Web site. Some subtypes have five tiers of coverage. ", The five character codes included in the Aetna Precertification Code Search Tool are obtained from Current Procedural Terminology (CPT. 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. Access2Care performs transportation management services on behalf of Aetna Better Health. For Use by Doctors and Facilities only. Health (8 days ago) AdHighly-reviewed Dentists who take your insurance and are ready to see you. Copyright document.write(new Date().getFullYear()) Aetna Better Health of Louisiana, All Rights Reserved. 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. In case of a conflict between your plan documents and this information, the plan documents will govern. HMO | Aetna Health Plans 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. 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. While the Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. Search results are not a guarantee of claim payment. Address, phone number, and practice changes. Aetna Provider Search - Small Business Benefits | Trustmark 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. In case of a conflict between your plan documents and this information, the plan documents will govern. All DSNP plans are required to have an approved Model of Care. LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). For enhanced adults benefit, visitDental Provider Searchto view your dental providers. Please confirm with the provider when you call them. Reprinted with permission. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. logo Aethna Better Health of West Virginia. Enter a zip code to search for dental care professionals in your area. Category: Health Detail Health. 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. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. and you keep saving there is no maximum annual spending limit! The information contained on this website and the products outlined here may not reflect product design or product availability in Arizona. 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. Please note also that Dental Clinical Policy Bulletins (DCPBs) are regularly updated and are therefore subject to change. The ABA Medical Necessity Guidedoes not constitute medical advice. Provider site; Please america; Search. Aetna expressly reserves the right to revise these conclusions as clinical information changes, and welcomes further relevant information including correction of any factual error. VisitVision Provider Searchto view your vision providers. This information is neither an offer of coverage nor medical advice. Treating providers are solely responsible for dental advice and treatment of members. Used with express permission. The member's benefit plan determines coverage. A new version of our find a dentist tool is now available for Virginia members! Links to various non-Aetna sites are provided for your convenience only. EXPIRED - CPT or HCPCS code entered is no longer valid for use by health plan providers. 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. 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. Dentists and dental office professionals, log in to Aetna Dental to handle claims, find forms, stay ahead of policy changes and more. 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. Just call Member Services at 1-866-329-4701 (TTY: 711) to learn more about these services. All Rights Reserved. Click on "Claims," "CPT/HCPCS Coding Tool," "Clinical Policy Code Search. Find a Doctor, Dentist or Hospital | Aetna Find a Provider | Aetna Medicaid Illinois LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). It is only a partial, general description of plan or program benefits and does not constitute a contract. Health. Meritain Health's Aetna DocFind site If there is a discrepancy between this policy and a member's plan of benefits, the benefits plan will govern. Request an Office Transfer. Unlisted, unspecified and nonspecific codes should be avoided. We update our provider directory nightly. Need a new dental office home? You'll find these doctors with the label "Quality Care," "Effective Care" or both in your search. ", Provider/facility name OR specialty is required to continue. Aetna Better Health. Please note also that Clinical Policy Bulletins (CPBs) are regularly updated and are therefore subject to change. The responsibility for the content of this product is with Aetna, Inc. and no endorsement by the AMA is intended or implied. The responsibility for the content of this product is with Aetna, Inc. and no endorsement by the AMA is intended or implied. . Find an Aetna Dentist in Your Area | Aetna Dentists Near Me By providing us with your email address, you agree to receive email communications from Aetna until you opt out of further emails. 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. We work with physicians to develop common platforms and goals, shifting the focus from episodes of care to making patient populations healthier. Directory of Dentists Treating Members with Intellectual . Please be sure to add a 1 before your mobile number, ex: 19876543210. Click here to find an in-network dental provider thats close to you. Find a Doctor :: State of Illinois - Aetna 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. CPT is a registered trademark of the American Medical Association. . Copyright document.write(new Date().getFullYear()) Aetna Better Health of Illinois, All Right Reserved. Find a Dentist. You can also get the materials you need in a different language or format. To help us direct your question or comment to the correct area, please select a category below. For language services, please call the number on your member ID card and request an operator. The responsibility for the content of Aetna Precertification Code Search Tool is with Aetna and no endorsement by the AMA is intended or should be implied. 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. Each main plan type has more than one subtype. Do you want to continue? The NJFC Directory of Dentists Treating Children under the Age of 6. 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. 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. list of CPT or HCPCS codes to only those requiring PA, please check the box labelled Include only CPT or HCPCS codes where PA is required?. Please correct the following errors and try again: Fill out the form below to find providers and healthcare facilities near you. 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. 2. 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. Disclaimer of Warranties and Liabilities. Request a medical application. Looking for a local dentist? You start saving within 72 hours of joining a plan (no long waits before you , https://www.aetnadentaloffers.com/find-a-dentist, Health (1 days ago) WebAetna Smart Compare is a designation we give to doctors in our network who have proven time and again that they provide high-quality, effective care. Aetna Better Health Dental The information you will be accessing is provided by another organization or vendor. While the Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. 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. 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). INVALID - CPT or HCPCS code entered was invalid, not found. Provider/Facility Name OR Specialty is required to continue, Please enter first and last name of Provider, or the name of the facility. In addition, coverage may be mandated by applicable legal requirements of a State or the Federal government. 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 international | International Medical Insurance Click here to find an in-network vision provider thats close to you. System (HCPCS) codes or a CPT group and select SEARCH. information regarding PA submission or service partner requirements. 1367 Walter Reed Rd, 103, Fayetteville, NC 28304. Provider Search is provided solely for the personal, non-commercial use of current and prospective Aetna members and providers. Aetna Better Health of Louisianais 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. Provider manuals | Manuals | Aetna Better Health of Pennsylvania 1. Did you find information that you think may need to be updated in our provider directories? 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. 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. You can also get the materials you need in a different language or format. 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. If you have questions, visit our contact us page. If you do not intend to leave our site, close this message. Health (9 days ago) WebProvider Search Find a Provider 1. Working with providers, our advanced care management techniques help increase quality, improve efficiency . Some plans exclude coverage for services or supplies that Aetna considers medically necessary. 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). Search result definitions: NOTE: When selecting by CPT group, the results displayed include CPT codes where Just call Member Services at 1-866-329-4701 (TTY: 711) to learn more about these services. 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. This information is neither an offer of coverage nor 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. CPT only Copyright 2022 American Medical Association. Oral and maxillofacial surgeons: focus on treating problems related to the hard and soft tissues of the face, mouth, and jaws. Find a Provider | Aetna Medicaid 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. SELECT A DIRECTORY. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. You are now being directed to CVS Caremark site. Best viewed in Microsoft Internet Explorer 6 and higher, resolution 1280x800. The information contained on this website and the products outlined here may not reflect product design or product availability in Arizona. Some subtypes have five tiers of coverage. A DSNP is a special type of Aetna Medicare Advantage Prescription Drug (MAPD) plan. Join our network, and together, we'll give patients access to the highest quality, safest and most effective health care. Special promotions including, but not limited to, additional months free are not available to California residents or on Fully Insured Plans. 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). Aetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM. The online provider directory is updateddaily. Avsis provides vision and dental claim and administrative services by agreement with Aetna Inc. You also can look for more than 25 other types of health care providers, including pharmacies, marriage counselors, urgent care centers, acupuncturists, drug and alcohol counselors, hospice care providers, dialysis centers, vision care providers, flu shot providers and physical therapists. Links to various Aetna Better Health and non-Aetna Better Health sites are provided for your convenience. Reprinted with permission. 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 that providers listed in this directory may perform services that are not covered by your health plan. 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. 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. 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. Of course you can use our directories to find doctors and hospitals that take your insurance. Find the information and resources you need to meet your clients' needs. If you are in Virginia, check your status by going to the Aetna Better Health of Virginia provider search page. Since there is no paperwork or reimbursement, you must pay for the service at the time its provided. For more details see our Privacy Policy. Aetna Smart Compare is a designation we give to doctors in our network who have proven time and again that they provide high-quality, effective care. Click here to let us know so we can fix it. Filter Type: All Symptom Treatment Nutrition Dental Services Aetna Medicaid New Jersey . Unlisted, unspecified and nonspecific codes should be avoided. If you are in New Jersey, check your status by going to the Aetna Assure Premier Plus provider search page. Medicaid your for low-income and working humans or families, their . Avsis provides vision and dental claim and administrative services by agreement with Aetna Inc. 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. Exception Detail, Svc Partner Detail - When the. This information is neither an offer of coverage nor medical advice. Members should discuss any matters related to their coverage or condition with their treating provider. Street Address: . 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'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 find a dentist tool includes a brief survey to help us improve this service. 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. Please note also that Dental Clinical Policy Bulletins (DCPBs) are regularly updated and are therefore subject to change. 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. NON-COV - CPT or HCPCS code entered is not a covered benefit by health plan. 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). Best Aetna Pediatric Dentists Near Me | Zocdoc DocFind, Aetna's online participating provider directory, allows you to locate physicians and other health care providers such as dentists, optometrists, hospitals and pharmacies. 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). This Agreement will terminate upon notice if you violate its terms. While the Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. 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.