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. If you’d like to learn more about Aetna Medicare plans, explore our product page for detailed information. Confirm that they still participate in our network. You can mail us a letter at: Aetna Medicaid Administrators 4500 E. Cotton Center Blvd. Select a state below to update coverage details. You can always get emergency care from the closest available provider, in or out of the service area. For all other Products’ Provider Dispute Inquiries (PPO and Commercial HMO plans): Contact the Provider Service Center at 1-888-MD-Aetna (632-3862). Phone 1-800-MEDICARE (1-800-633-4227) For specific billing questions and questions about your claims, medical records, or expenses, log into MyMedicare.gov, or call us at 1-800-MEDICARE. We speak Medicare so you don't have to. You may go to any of these network providers. Notify your PCP or ${company} Medicare as soon as possible if you’re admitted to an inpatient facility. If you want Medicare to be able to give your personal information to someone other than you, you need to fill out an "Authorization to Disclose Personal Health Information." Why choose ${company} Medicare Solutions. I consent to receive autodialed marketing calls from or on behalf of Aetna about health insurance. Your PCP will issue referrals to participating specialists and facilities for certain services. 1-800-966-9470. Phone: 833-585-6262: Fax: 866-996-0077: Program Documents. 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. By phone. See the “Report Cards” tab to search on “Health Plans.”. You are leaving our Medicare website and going to our non-Medicare website. Aetna Medicare Advantage Quick Reference Guide. Box 14597 Lexington, KY 40512-4597. You can also find a list of pharmacies that offer Part B and Part D drugs in your pharmacy directory. You might be surprised what you can search for. Provider eligibility verification (No login required) Add us to the Payer list in your Practice Management Software. Use your Practice Management Software or our secure provider portal to seamlessly submit and track Medicare transactions. Are you a Health Care Professional? Please call us or see your Evidence of Coverage for more information, including the cost share for out-of-network services. Whether you are a member or provider, you'll find helpful information and resources within this section of our Web site. Phoenix, AZ 85040. Find a phone number. Aetna Medicare Customer Service Phone Number (855) 335-1407, Email, Address The provider is responsible for getting prior authorization from ${company} Medicare before treating you. You’re not required to choose a primary care physician (PCP). With the Prime PPO plan, we’ll pay for part of your out-of-network care, but you may pay more out of pocket. HMO plan members must use providers in their network service area for urgent care, unless these providers aren’t available. You have the flexibility to receive covered services from network providers or out-of-network providers. In 1853, the company shifted course, incorporating as Aetna Life Insurance Company. If you’ve been going to one network provider, you don’t have to continue to go to that same provider. Our claims/billing address is on your member ID card. Child Dental Benefits Schedule: Phone: 132 150 24 hours, 7 days Indemnity and PPO-based plans - 1-888-MD AETNA ( 1-888-632-3862) Voluntary plans - 1-888-772-9682. Provider Contact Information . A licensed Medicare agent will give a presentation on available plans in your area and answer questions online. If you do not intend to leave our site, close this message. It may be different from your Aetna secure member site login. We bring our national health care experience to our members’ communities. Or contact Aetna ® Medicaid Administrators. Corporate Office . Allina Health l Aetna is an affiliate of Aetna Life Insurance Company and its affiliates (Aetna). PO Box 14088 You don’t need a referral to visit network providers to receive covered services. Policy forms issued in Idaho include: GR-9/GR-9N, GR-23, GR-29/GR-29N. 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. Among its products and services are: ACA-compliant medical, pharmacy and dental plans; behavioral health programs, life and disability policies and medical management programs. We invite you to register and learn more about what the secure web portal can offer you. Get a free quote today. All dental Medicare claims . Aetna Dental P.O. For meeting or scheduling questions, you can call an Aetna agent at ... Medicare plans, including how to enroll and whether your prescription drug is covered.Vendors and partners like vision providers may also be there. We bring our national health care experience to our members’ communities. You can also find your plan’s number on our member contact page. You can also visit us at ${website}. 1-800-966-9470. Speak with an Aetna ® Member Services advocate between Monday and Friday, 8 AM to 6 PM, local time. Get my free quote . On this page, you’ll find resources for physicians, administrators and health care professionals who are part of our network. Medicare Advantage and Part D costs can vary on a number of important factors: provider, location, and most importantly, what medications need to … Compare plans in your area today. Aetna Inc. 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. We may need more information if the nature of the urgent or emergency issue doesn’t qualify for coverage. Aetna DMO ® and PPO grievance and appeals. Aetna is a private insurance company contracted with Medicare to provide Medicare beneficiaries with other types of Medicare coverage. Out-of-network/non-contracted providers are under no obligation to treat ${company} Medicare members, except in emergency situations. Plan features and availability may vary by service area. Aetna handles premium payments through InstaMed, a trusted payment service. An IPA/PHO is an association of independent providers. Contact Aetna Medicare customer service. Aetna is among the most widely known insurance providers in … In a secured environment, you can review your claims or authorizations, validate member eligibility or submit requests. Aetna® Learn about reducing out of pocket costs. It may be different from your Aetna secure member site login. Dentist Contracting Hotline: For PPO contract information, call the Dentist Contracting Hotline at 1-800-776-0537. At Aetna Better Health ® of Maryland, we’re changing the way people get Medicaid coverage. In some cases, you may get covered services from out-of-network providers. Caller name: Said It Was Aetna Medicare. Listen to an on-demand phone presentation or view an online video. Welcome . Information is believed to be accurate as of the production date; however, it is subject to change. Some plans include an out-of-network benefit. Menu Home; Become a member; For members; For providers; Health & wellness ; Providers Click the link for information on COVID-19. If you need services that require prior authorization, have the network provider contact us. This applies whether you were treated inside or outside your ${company} Medicare service area. We see you as our ally in providing high-quality health care services to our Aetna Better Health Premier Plan MMAI members. For some plans, you may have to choose one of our network providers to be your primary care physician (PCP). This means that ${company} Medicare must approve the service before the plan will cover it. 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 Come to a meeting to learn about Aetna Medicare plans and benefits. Please contact the myNEXUS provider network team with any questions at provider_network@myNEXUScare.com. Box 10462 Van Nuys, CA 91410 . Providers are asked to remind their Medicaid patients to respond to any mail from Louisiana Medicaid in the timeline provided in the letter. Members who get “Extra Help” are not required to fill prescriptions at preferred network pharmacies in order to get Low Income Subsidy (LIS) copays. 1-800-772-1213: Mailing Address: Medicare Contact Center Operations. Mailing Addresses General Mailing Address WellCare Health Plans P.O. Enrollment in our plans depends on contract renewal. 1-800-966-9470. Please contact your provider before you schedule an appointment or receive services. If you do not intend to leave our site, close this message. Therefore, NCQA provider recognition is subject to change. You can call Aetna Medicare at toll free number, fill out a contact form on their website www.aetnamedicare.com. The provider must be eligible to receive Medicare payment and accept your plan. 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. California only: Aetna Dental P.O. This site has its own login. The company’s diverse interests took a turn in 1996, when Aetna sol… For information on ${ProviderDirectoryPlanName} network providers in your area, just call us toll-free at 1-800-282-5366 (TTY: 711), ${hours}. Although you’re not required to select a PCP, we encourage you to do so. 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. Medicare and Aetna Medicare won’t be responsible either. This includes Medicare Advantage plans, stand-alone Medicare Prescription Drug Plans (Part D), and Medicare Supplement (Medigap) plans. Resources Aetna Provider Phone Number; Aetna Credentialing: Customer Service Department 800-353-1232 (Medical and Behavioral Health) 800-451-7715 (Dental) 2. Why choose ${company} Medicare Solutions? For … We make updates ${dirUpdates}. Medicare Inquiries. You may have to select a product or plan name to complete the search. 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. At Aetna Better Health ® of Maryland, we’re changing the way people get Medicaid coverage. Allina Health | Aetna has sole responsibility for its products and services. eHealth's Medicare website is operated by eHealthInsurance Services, Inc., a licensed health insurance agency doing business as eHealth. Easily explore and compare your Medicare Supplement Insurance plan options. Call a licensed insurance agent 1-877-890-1409 TTY 711, 24/7 If your doctor has questions about submitting a claim, just call us at 1-866-241-0356 (TTY: 711) Monday through Friday, 8 AM to 6 PM, local time. The availability of any particular provider cannot be guaranteed, and provider network composition is subject to change. Phone 1-800-MEDICARE (1-800-633-4227) For specific billing questions and questions about your claims, medical records, or expenses, log into MyMedicare.gov, or The Provider Service Center helps with contracting, patient services, precertification and many other questions. Aetna Better Health ® Contact us. For Medicare Products Provider Dispute Inquiries HMO plans only: Contact the Provider Service Center at 1-800-624-0756. If you have the Prime HMO plan, you’ll have to pay for out-of-network care. By mail. You can find the official NCQA directory of recognized clinicians at recognition.ncqa.org. 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. All states except California: Aetna Dental P.O. The information you will be accessing is provided by another organization or vendor. 1-800-US-AETNA (1-800-872-3862) between 8:00am and 6:00pm ET. If you missed Open Enrollment, please contact your HR representative immediately. Box 31370 Tampa, FL 33631 Please direct any legal matters to Centene Plaza, 7700 Forsyth Boulevard, St. … Lexington, KY 40512. Aetna Medicaid is a Medicaid managed care organization focused on improving health outcomes for those we serve. 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. Box 14067, Lexington, KY 40512. 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. 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 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 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. 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. Contact us. Check with your pharmacy to see if they offer the services you need to fill a prescription. Of course you can use our directories to find doctors and hospitals that take your insurance. Aetna handles premium payments through InstaMed, a trusted payment service. Aetna provides certain management services to Allina Health | Aetna. Aetna members have access to contact information and resources specific to their plans. Updates may also be affected by interruptions due to system maintenance, upgrades or unplanned outages. Prior Authorization: Medical (P) 1– 888-725-4969 (F) 1-855-454-5579. Aetna Medicare PO Box 7762 London, KY 40742. Aetna has selected Caremark as the prescription management and mail delivery service for our members. There are exceptions for certain direct-access services. Send us an email by filling out our contact form. Individual dental plan Aetna Medicaid plan. The directory search is provided solely for the personal, non‐commercial use of current and prospective ${company} members and providers. We see you as our ally in providing high-quality health care services to our Aetna Better Health Premier Plan MMAI members. Contact us by phone. The provider search tool only lists in-network providers. On this page, you’ll find resources for physicians, administrators and health care professionals who are part of our network. Aetna is one of the largest health insurance carriers offering Medicare Supplement, Medicare Advantage, and Medicare Part D plans. Box 14094 Lexington, KY 40512-4094. You can also see which states across the country where Aetna offers plans. 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. Online. 2020 D-SNP Service Area Expansion Information. Medicare Helpline Website: Get general or claims-specific Medicare information, request documents in alternate formats and make changes to your Medicare coverage. To find the right Aetna Medicare Supplement Insurance plan for you, request a free quote below or call 1-800-966-9470. 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