Members must reside in a county where Aetna Medicare offers a DSNP. Plan from an employer Aetna Medicare plan, Individual health plan Aetna Medicaid plan If there is a discrepancy between a Clinical Policy Bulletin (CPB) and a member's plan of benefits, the benefits plan will govern. Please be sure to add a 1 before your mobile number, ex: 19876543210. CPBs include references to standard HIPAA compliant code sets to assist with search functions and to facilitate billing and payment for covered services. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. Our directory PDF (or printed directory) is updated monthly.You can get a copy of the provider directory by mail. Learn about your health plan or find coverage for you and your family. 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 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). Dental Savings Plans reduce the cost of dental care by 10%-60%, at thousands of participating dentists and dental specialists nationwide. Do you want to continue? Medical necessity determinations in connection with coverage decisions are made on a case-by-case basis. Your plan may only provide benefits if you obtain a referral from your General Dentist prior to receiving treatment from a Specialist. Links to various non-Aetna sites are provided for your convenience only. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept". 2023 LIBERTY Dental Plan, All Rights Reserved. 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. Members should discuss any Dental Clinical Policy Bulletin (DCPB) related to their coverage or condition with their treating provider. Of course you can use our directories to find doctors and hospitals that take your insurance. Request an Office Transfer. 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. Illinois State Dental Plans | Member Information - DentaQuest CPT is a registered trademark of the American Medical Association. 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). Find the information and resources you need to meet your clients' needs. 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. The responsibility for the content of this product is with Aetna, Inc. and no endorsement by the AMA is intended or implied. DocFind - Aetna Links to various non-Aetna sites are provided for your convenience only. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. The American Medical Association (AMA) does not directly or indirectly practice medicine or dispense medical services. Health benefits and health insurance plans contain exclusions and limitations. Please log in to your secure account to get what you need. A DSNP is a special type of Aetna Medicare Advantage Prescription Drug (MAPD) plan. If you wish to make a standing request to receive all materials in a language other than English or in an alternate format, you can call Aetna Better Health ofLouisiana Member Services at 1-855-242-0802, TTY 711, 24 hours a day, 7 days a week. 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. Aetna Better Health of Maryland Dental Provider Search. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. The responsibility for the content of this product is with Aetna, Inc. and no endorsement by the AMA is intended or implied. 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. You are now being directed to CVS Caremark site. 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). LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). For language services, please call the number on your member ID card and request an operator. 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". The ABA Medical Necessity Guidedoes not constitute medical advice. 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. Working with providers, our advanced care management techniques help increase quality, improve efficiency . Provider manuals | Manuals | Aetna Better Health of Pennsylvania All rights reserved | Email: [emailprotected], North country health care university flagstaff. Find a Provider. Treating providers are solely responsible for medical advice and treatment of members. No fee schedules, basic unit, relative values or related listings are included in CPT. We're sorry but Provider Locator doesn't work properly without JavaScript enabled. Aetna Better Health of Maryland Dental Provider Search - Avesis Members should always contact the provider's office in advance to confirm availability. 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.

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