Our claims/billing address is on your member ID card. To speak to someone about your Allina Health | Aetna coverage, you can call the Member Services phone number on your member ID card. You are leaving our Medicare website and going to our non-Medicare website. Your Payer Express log-in may be different from your Aetna secure member site log-in. When you’re out of the service area, you can get urgent care from the first available provider. Available 7am – 7pm est. What to do if you get a bill from an out-of-network provider If an out-of-network provider sends you a bill, don’t pay it. Aetna Medicare Customer Service Phone Number (855) 335-1407, Email, Address 1-800-US-AETNA (1-800-872-3862) between 8:00am and 6:00pm ET. You must use network providers, except for: If you get routine care from out-of-network providers, Medicare and ${company} Medicare won’t be responsible for the costs. Aetna® Learn about reducing out of pocket costs. Dentist Contracting Hotline: For PPO contract information, call the Dentist Contracting Hotline at 1-800-776-0537. Medicare Advantage and Part D costs can vary on a number of important factors: provider, location, and most importantly, what medications need to … If you need services that require prior authorization, have the network provider contact us. California only: Aetna Dental P.O. We ask for your phone number so we may call you to schedule an in-person appointment at a time that’s convenient for you. It demonstrates our commitment to continuous quality improvement and meeting customer expectations. Whether you are a member or provider, you'll find helpful information and resources within this section of our Web site. Submit electronic claims to Medicare for all Medicare covered services. Complete this form to request our representatives visit you at home to discuss the Aetna Medicare Advantage plans available in your area. This site has its own login. Contact us. If you're a health care provider and need to contact Aetna International in regard to online transactions, claim status enquiries and form requests, contact us via email or the secure provider website here. Your InstaMed log-in may be different from your Caremark.com secure member site log-in. You are leaving AetnaMedicare.com for InstaMed.com, You are leaving AetnaMedicare.com for PayerExpress.com, You are leaving Aetna Medicare for Caremark.com. Allina Health l Aetna is an affiliate of Aetna Life Insurance Company and its affiliates (Aetna). Box 981106 El Paso, TX 79998-1106. Links to various Aetna Better Health and non-Aetna Better Health sites are provided for your convenience. Lower your Medicare out-of-pocket costs with an Aetna Medicare Supplement Insurance policy. For all other Products’ Provider Dispute Inquiries (PPO and Commercial HMO plans): Contact the Provider Service Center at 1-888-MD-Aetna (632-3862). Provider Contact Information . We speak Medicare so you don't have to. Aetna originally started out as a fire insurance company founded in 1819 in Hartford, Connecticut. Updates may also be affected by interruptions due to system maintenance, upgrades or unplanned outages. Please contact your provider before you schedule an appointment or receive services. Si tu intención no era salir del sitio web, cierra este mensaje. You can mail us a letter at: Aetna Medicaid Administrators 4500 E. Cotton Center Blvd. Aetna does not provide care or guarantee access to health services. Get my free quote . Are you a Health Care Professional? Not yet a Member? Call 1-866-241-0356 (TTY: 711) for more information. This online directory lists ${ProviderDirectoryPlanName} network providers. Aetna HMO-Based plans and Medicare advantage plans: 800-624-0756: Aetna Indemnity and PPO Based plans: 888-632-3862: Voluntary Plans: 888-772-9682: ASA and Meritain: Use the phone number on the member ID Card: BRCA genetic testing (precertification and information) 877-794-8720: Credentialing: 800-353-1232: Aetna Dental providers: 800-451-7715: Disease management programs Our local specialists will walk you through your options and answer any questions you have. I consent to receive autodialed marketing calls from or on behalf of Aetna about health insurance. Check your Evidence of Coverage for a list of services that require prior authorization. You can also log in to your secure member portal to find a phone number that will direct you to a representative who knows your specific coverage. Or contact Aetna ® Medicaid Administrators. Contact us by phone. You can find a network doctor in this directory. If you are already registered, please Sign In. Aetna Medicare PO Box 7762 London, KY 40742. Notify your PCP or ${company} Medicare as soon as possible if you’re admitted to an inpatient facility. Aetna is one of the largest health insurance carriers offering Medicare Supplement, Medicare Advantage, and Medicare Part D plans. You are leaving AetnaMedicare.com for InstaMed.com, You are leaving AetnaMedicare.com for PayerExpress.com, You are leaving Aetna Medicare for Caremark.com. The availability of any particular provider cannot be guaranteed, and provider network composition is subject to change. If you missed Open Enrollment, please contact your HR representative immediately. You are leaving our Medicare website and going to our non-Medicare website. You can also contact the Aetna Civil Rights Coordinator by phone at 1-855-348-1369, by email at MedicareCRCoordinator@aetna.com, or by writing to Aetna Medicare Grievance Department, ATTN: Civil Rights Coordinator, P.O. If you get care from an out-of-network provider, your plan won’t cover their charges. Notify your PCP as soon as possible after you get treatment. For accommodation of persons with special needs at meetings, call 1-866-241-0356 (TTY: 711). You can also find your plan’s number on our member contact page. Get quotes . State. La información a la que accederá es proporcionada por otra organización o proveedor. This information is not a complete description of benefits. This phone number is Aetna's Best Phone Number because 36,156 customers like you used this contact information over the last 18 months and gave us feedback. Suite 1000. PO Box 14088 For HMO plans, we may cover follow-up care with out-of-network providers if you meet these two requirements: If your plan requires a referral, you must get one before we’ll cover any follow-up care. Your InstaMed log-in may be different from your Caremark.com secure member site log-in. Although you don’t have to choose a primary care physician, we encourage you to do so. Box 14067, Lexington, KY 40512. If you do not intend to leave our site, close this message. Box 14094 Lexington, KY 40512-4094. 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, Learn how Medicare can fit your specific situation, Get helpful Medicare facts you need to know, Take full advantage of everything your plan offers you. Aetna Medicare Advantage Agent Forms, Resources, Supplies, Materials and Information. If you do not intend to leave our site, close this message. Aetna Better Health of California 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. Why choose ${company} Medicare Solutions? We want to work with you to provide timely, safe and effective health care to our members. Individual Medicare: 2021 Individual Medicare Service Area Expansion Counties. Contact Us Log In / Register Search Submit Search. Aetna is among the most widely known insurance providers in … Claims Inquiries – To confirm the recorded date of claims receipt or to make other inquiries about claims, you may call Aetna at 1-800-624-0756 for Medicare HMO Products / 1-888-MD-Aetna (632-3862) for All Other Products, or contact your clearinghouse vendor. Online. This is Aetna's best phone number, the real-time current wait on hold and tools for skipping right through those phone lines to get right to a Aetna agent. Phone number. Zip Code or RSVP Code View … We ask for your ZIP code to be better prepared to discuss plans available in your neighborhood. For some services, your PCP is required to obtain prior authorization from ${company} Medicare. Your Aetna Medicare Advantage plan gives you freedom of access whether providers are on the list or not, as long as they are eligible to receive Medicare payment and accept your plan. You can also visit us on aetnamedicare.com. We make updates ${dirUpdates}. Call an Allina Health | Aetna representative at (TTY: 711), 7 days a week, 8 AM to 8 PM Dual Eligible Special Needs Plans (D-SNP) 2021 D-SNP Service Area Expansion Information. Aetna members have access to contact information and resources specific to their plans. We may need more information if the nature of the urgent or emergency issue doesn’t qualify for coverage. Aetna Better Health ® Contact us. If you have the Prime HMO plan, you’ll have to pay for out-of-network care. If you do not intend to leave our site, close this message. 1-800-772-1213: Mailing Address: Medicare Contact Center Operations. Among its products and services are: ACA-compliant medical, pharmacy and dental plans; behavioral health programs, life and disability policies and medical management programs. Whether you’re in or out of an ${company} Medicare service area, please follow these guidelines when you think you need emergency care: You’re covered for emergency and urgently needed care. You can also visit us at ${website}. You can find the official NCQA directory of recognized clinicians at recognition.ncqa.org. In some cases, you may get covered services from out-of-network providers. Si tu intención no era salir del sitio web, cierra este mensaje. A provider, by entering a ZIP code, county or city, A provider’s name, facility, specialty or condition. eHealth's Medicare website is operated by eHealthInsurance Services, Inc., a licensed health insurance agency doing business as eHealth. Allina Health l Aetna is an affiliate of Aetna Life Insurance Company and its affiliates (Aetna). We'll try our best to get back to you within 24 hours. Speak with an Aetna ® Member Services advocate between Monday and Friday, 8 AM to 6 PM, local time. We see you as our ally in providing high-quality health care services to our Aetna Better Health Premier Plan MMAI members. Load More ... Members should always contact the provider's office in advance to confirm availability. It may be different from your Aetna secure member site login. Aetna expanded into the global insurance market in 1960 when they purchased a Canadian life insurance company. MyMedicare.gov: Phone number for general questions. Let us help you find the right plan for your needs. Get quotes . Of course you can use our directories to find doctors and hospitals that take your insurance. Not a member yet? Your Payer Express log-in may be different from your Aetna secure member site log-in. You can also see which states across the country where Aetna offers plans. With the Prime PPO plan, we’ll pay for part of your out-of-network care, but you may pay more out of pocket. However, some services may require a referral. The link for “Other Healthcare Organizations” includes “Managed Behavioral Healthcare Organizations” for behavioral health accreditation and “Credentials Verifications Organizations” for credentialing certification. Provider Services: Behavioral health Crisis Hotline. If your HMO plan doesn’t require a referral, you should call us toll-free at 1-800-282-5366 (TTY: 711), ${hours} before you get follow-up care at out-of-network facilities. This means that ${company} Medicare must approve the service before the plan will cover it. There are exceptions for certain direct-access services. I consent to receive autodialed marketing calls from or on behalf of Aetna about health insurance. Aetna Medicaid is a Medicaid managed care organization focused on improving health outcomes for those we serve. A licensed Medicare agent will give a presentation on available plans in your area and answer questions online. Enrollment in our plans depends on contract renewal. For a decision about whether we’ll cover an out-of-network service, we encourage you or your provider to ask us for a pre-service organization determination before you receive the service. 1. If you do not intend to leave our site, close this message. Use of any robot, spider or other intelligent agent to copy content from the provider search, extract any portion of it or otherwise cause the provider search to be burdened with unwarranted high access or transaction activity is strictly prohibited. We offer local online seminars tailored to current members and those looking to learn more about Aetna Medicare. Category Document name Description; Program Materials: In-Scope Plan List : List of in-scope plans for the Aetna delegation. Get help finding Medicare providers who accept Aetna Medicare Advantage plans by comparing specific plans offered in your area and searching for providers who are in those plan networks. Your PCP should coordinate all follow-up care. ${company} is committed to accreditation by the National Committee for Quality Assurance (NCQA). ${company} uses several IPAs to provide you with health care services. See Evidence of Coverage for a complete description of plan benefits, exclusions, limitations and conditions of coverage. You may go to any of these network providers. You’ll need to get a referral from your PCP for covered, non-emergency specialty or hospital care, except in an emergency and for certain direct-access service. Confirm that they still participate in our network. The company’s diverse interests took a turn in 1996, when Aetna sol… For information on Aetna Medicare Plan (HMO) (PPO) network providers in your area, just call us toll-free at 1-800-282-5366 (TTY: 711), 7 days a week, 8 AM to 8 PM. Aetna provides certain management services to Allina Health | Aetna. Lawrence, KS 66044 Phone: 833-585-6262: Fax: 866-996-0077: Program Documents. If an out-of-network provider sends you a bill, don’t pay it. To contact our local staff, call 671-472-3862 or email GovGuamServices@aetna.com from 8AM—5PM (Monday—Thursday), 9AM—5PM (Friday). You’ll need to use our dedicated network of local providers. In 1853, the company shifted course, incorporating as Aetna Life Insurance Company. Why choose ${company} Medicare Solutions. Child Dental Benefits Schedule: Phone: 132 150 24 hours, 7 days All fields marked with an asterisk (*) are required. Certain network health care services, such as hospitalization or outpatient surgery, require prior authorization from ${company} Medicare. The Provider Service Center helps with contracting, patient services, precertification and many other questions. We’ll review the information that the provider who supplied your care submits to us. 1. Members: Email us or call Member Services at the number on your ID card.. Don’t have your ID card handy? Aetna is a private insurance company contracted with Medicare to provide Medicare beneficiaries with other types of Medicare coverage. Prior Authorization: Medical (P) 1– 888-725-4969 (F) 1-855-454-5579. Aetna Medicaid has particular expertise in serving high-need Medicaid members, including those who are dually eligible for Medicaid and Medicare and those who need long-term care services and supports. See if you qualify and are eligible for Aetna's Medicaid coverage and learn the basics of this federal and state-funded insurance plan for people with lower income. We’ll determine your cost-sharing amount, if any. 1. By using the provider search directory, you acknowledge and agree that all of the data contained within belongs exclusively to ${company} Inc. and is protected by copyright and other law. Plan features and availability may vary by service area. This material is for information only. Want to see options for a different location? Aetna has selected Caremark as the prescription management and mail delivery service for our members. Other pharmacies, physicians and providers are available in our network. Medicare Helpline Website: Get general or claims-specific Medicare information, request documents in alternate formats and make changes to your Medicare coverage. Aetna DMO ® and PPO grievance and appeals. Aetna Inc. To refine your search, go to “Clinicians” or “Other Healthcare Organizations.” The link for “Clinicians” includes doctors recognized by NCQA in the areas of: The recognition programs are built on evidence-based, nationally recognized clinical standards of care. An urgent care center or an emergency facility, Patient-centered medical home and patient-centered specialty practice. look at the Aetna Medicare provider directory or call the phone number on the instruction page. You might be surprised what you can search for. An IPA/PHO is an association of independent providers. By phone. 1-855-300-5528 1-888-604-6106. Aetna is one of the largest health insurance carriers offering Medicare Supplement, Medicare Advantage, and Medicare Part D plans. ... Verify and update provider information; Access Aetna joint venture health plans Register For Availity New Availity users Become an insider. Medicare and Dual Special Needs Plans expansion information and resources. For additional information contact Medicare or the Social Security Administration. Lower your Medicare out-of-pocket costs with an Aetna Medicare Supplement Insurance policy. (We’ll often use the term "PCP" throughout this directory.). Therefore, NCQA provider recognition is subject to change. If you choose a primary care physician (PCP) associated with an IPA/PHO, they’ll refer you for health care services and specialist care within their IPA/PHO. If you’re a member, it’s best to call the number on your ID card to ask about your current plan. 1-800-966-9470. Find a phone number. 2020 D-SNP Service Area Expansion Information. PCP first and last name PCP office ID Dentist first and last name (for HMO plans with DMO dental benefits) Dentist office ID (for HMO plans with DMO dental benefits) Wayne State University Circle one: LTD/AE430697 or Retiree/AE430700 800 X Medicare Provider Services GPO Box 9822 [Your capital city] Change multiple provider location ID registration details (Medicare eClaiming Programs section) Phone: 1800 700 199 Monday to Friday, 8 am to 5 pm local time; Email: ebusiness@servicesaustralia.gov.au. If yours does and you decide to receive covered services from an out-of-network provider, ask the provider to contact us for prior authorization for those services. Call 1-800-MEDICARE (1-800-633-4227) or TTY: 1-877-486-2048, 7 days a week, … If you need urgent or emergency care, or get out-of-area kidney dialysis, we’ll cover it even if the provider isn’t part of the Prime network. All states except California: Aetna Dental P.O. You can talk to Aetna Medicaid Administrators by calling: 602-659-1100 (TTY: 711) Hours: M–F, 9 AM–5 PM MT. Be harmful to your health care coverage, please Sign in entering a ZIP code county. Fields marked with an Aetna Medicare is a HMO, PPO plan with a Medicare contract Counties. Services that require prior authorization from $ { company } Medicare before you. Will cover it Center Operations were treated inside or outside your $ { }... Personal, non‐commercial use of current and prospective $ { company } uses several IPAs to provide you your. Notify your PCP will issue referrals to participating specialists and facilities for certain services they... The “ Report Cards ” tab to search on “ health Plans. ” reaching of! Or city, a licensed health insurance agency doing business as ehealth out-of-network follow-up care after emergencies PPO. Aetna secure member site login for Availity New Availity users Become an insider or view online! 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