Copyright document.write(new Date().getFullYear()) Aetna Better Health of Illinois, All Right Reserved. EXPIRED - CPT or HCPCS code entered is no longer valid for use by health plan providers. Have an update for our Directory? 2022 Dual Eligible Special Needs Plans (DSNPs) information, Required Centers for Medicare & Medicaid Services (CMS) training, Please be sure to add a 1 before your mobile number, ex: 19876543210, Precertification lists and CPT code search, OfficeLink Updates Newsletters Medicare Updates, Aetna Better Health of Virginia provider search page, Aetna Assure Premier Plus provider search page. The online provider directory is updateddaily. Or they can help you find a provider. Applicable FARS/DFARS apply. This Agreement will terminate upon notice if you violate its terms. Avsis provides vision and dental claim and administrative services by agreement with Aetna Inc. This information helps us provide information tailored to your Medicare eligibility, which is based on age. 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. Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider. 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. Enter Location Need a new dental office home? No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM. Your benefits plan determines coverage. Exception Detail, Svc Partner Detail - When the. Members must choose a PCP* to guide their treatment and coordinate all specialist care which all takes place in a quality network to keep costs in check. The path to healthy starts here. Aetna expressly reserves the right to revise these conclusions as clinical information changes, and welcomes further relevant information including correction of any factual error. 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. Special promotions including, but not limited to, additional months free are not available to California residents or on Fully Insured Plans. The HMO plan is ideal for employers in urban locations who want to offer simple, convenient care with fixed, predictable costs. We're sorry but Provider Locator doesn't work properly without JavaScript enabled. Links to various non-Aetna sites are provided for your convenience only. 2023 DentalPlans.com, Inc. All Rights Reserved. Click here to let us know so we can fix it. Dental Providers: Register now for AetnaDental.com Medical Providers: Register for Aetna's Provider portal on Availity: Special promotions including, but not limited to, additional months free are not available to California residents or on Fully Insured Plans. Health benefits and health insurance plans contain exclusions and limitations. #2020 . No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. All provider information contained on this website is subject to change. In case of a conflict between your plan documents and this information, the plan documents will govern. (Just Now) WebAetna Better Health dental coverage is a part of Aetna Better Health's overall health insurance plan. You can all Member Services at 1-866-638-1232, TTY PA Relay 7-1-1 , TTY 711, for help finding a provider. It is only a partial, general description of plan or program benefits and does not constitute a contract. Copyright 2015 by the American Society of Addiction Medicine. 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). Aetna offers health insurance, as well as dental, vision and other plans, to meet the needs of individuals and families, employers, health care providers and insurance agents/brokers. As a LIBERTY enrollee (including enrollees with disabilities), you have full and equal access to covered services as required under the federal Americans with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. Health (3 days ago) Webfor a provider. Do you want to continue? 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. 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. Aetna Better Health 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 . 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. Links to various Aetna Better Health and non-Aetna Better Health sites are provided for your convenience. If you are in New Jersey, check your status by going to the Aetna Assure Premier Plus provider search page. AetnaDentalOffers.com is brought to you by DentalPlans.com. 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. You can further filter the search results by adding a specific dentists name and/or the type of dental specialist you wish to see. Request an Office Transfer. Access2Care performs transportation management services on behalf of Aetna Better Health. Treating providers are solely responsible for dental advice and treatment of members. Search result definitions: NOTE: When selecting by CPT group, the results displayed include CPT codes where Please feel free tocontact us to provide any new information. The member's benefit plan determines coverage. If services are not covered by the Medicare plan, Aetna Better Health of Ohio may cover these services. Pharmacy prior auth phone number: 1-855-221-5656. Each main plan type has more than one subtype. Exploration our provider manuals for find resources concerning Aetna policy guidelines that explain how to work with us. Please be sure to add a 1 before your mobile number, ex: 19876543210. You are now being directed to CVS caremark site. 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. 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. There is no obligation to enroll. Others have four tiers, three tiers or two tiers. In-network coverage only (except emergency . Street Address: . Aetna Dentists Near Me. Applicable FARS/DFARS apply. 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. The five character codes included in the Aetna Medicaid PA Requirement Search Tool are obtained from Current Procedural Terminology (CPT), by the American Medical Association (AMA).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. Please log in to your secure account to get what you need. ", The five character codes included in the Aetna Precertification Code Search Tool are obtained from Current Procedural Terminology (CPT. Choose the type of plan you're interested in to search for health care providers that accept it. WebAetna Better Health of Maryland Medicaid Dental Provider Search. The member's benefit plan determines coverage. Please note also that Dental Clinical Policy Bulletins (DCPBs) are regularly updated and are therefore subject to change. In case of a conflict between your plan documents and this information, the plan documents will govern. Future changes to CPT or Healthcare Common Procedure Coding System (HCPCS) codes that require PA will be communicated by Aetna Better Health Premier Plan in writing and on the homepage of Aetna Better Healths secure web portal. Visit our Medicare page for more DSNP resources, including cost-share information. The responsibility for the content of this product is with Aetna, Inc. and no endorsement by the AMA is intended or implied. Provider/Facility Name OR Specialty is required to continue, Please enter first and last name of Provider, or the name of the facility. Aetna Better Health of Maryland Dental Provider Search. Explore our savings, quality care and wellness solutions to craft the perfect plan for your business. Please refer to your Evidence of Coverage prior to contacting a Specialist if you are unsure, or call Member Services. We encourage you to check with your participating provider prior to beginning treatment. 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). Aetna expressly reserves the right to revise these conclusions as clinical information changes, and welcomes further relevant information including correction of any factual error. 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. Any use of CPT outside of Aetna Clinical Policy Bulletins (CPBs) should refer to the most current Current Procedural Terminology which contains the complete and most current listing of CPT codes and descriptive terms. Prior Authorization may be required. To see if your doctor is in our network, click a plan link below. Guardian is a registered trademark of The Guardian Life Insurance Company of America, New York, NY. Links to various non-Aetna sites are provided for your convenience only. In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members. 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. 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 Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. 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. Were a health care company thats building a healthier world. 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. CPT only Copyright 2022 American Medical Association. Visit the secure website, available through www.aetna.com, for more information. 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. Please log in to your secure account to get what you need. Provider Directory Aetna Better Health of Pennsylvania. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. 1. 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. Go to the American Medical Association Web site. 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. Your plan may only provide benefits if you obtain a referral from your General Dentist prior to receiving treatment from a Specialist. The member's benefit plan determines coverage. Click here to request an office transfer. Should the following terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button below labeled "I Accept". While the Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. 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. If you do not intend to leave our site, close this message. SELECT A DIRECTORY. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. The information contained on this website and the products outlined here may not reflect product design or product availability in Arizona. Please contact Eviti Connect at. When billing, you must use the most appropriate code as of the effective date of the submission. The Clinical Policy Bulletins (CPBs) express Aetna's determination of whether certain services or supplies are medically necessary, experimental and investigational, or cosmetic. Individual dental plan. logo Aethna Better Health of West Virginia. Benefit coverage may vary by plan or may be subject to special conditions. 2020 Avsis Incorporated. Just call Member Services at 1-866-329-4701 (TTY: 711) to learn more about these services. This information is neither an offer of coverage nor medical advice. No fee schedules, basic unit, relative values or related listings are included in CPT. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. 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. Health (9 days ago) WebProvider Search Find a Provider 1. *Required Selections. Just call Member Services at 1-866-329-4701 (TTY: 711) to learn more about these services. HMO Plan*; Open Access Plan; QCHP/CDHP Plan; For step-by-step instructions, click on a plan below. In case of a conflict between your plan documents and this information, the plan documents will govern. Members should discuss any Dental Clinical Policy Bulletin (DCPB) related to their coverage or condition with their treating provider. In the event that a member disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision. 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. You may also notify LIBERTY about provider directory updates by calling 888-703-6999. Unlisted, unspecified and nonspecific codes should be avoided. While the Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. Our find a dentist tool includes a brief survey to help us improve this service. Learn about Aetna Smart Compare. Medicaid your for low-income and working humans or families, their . Check your participation status using the provider search tool. 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. 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. Disclaimer of Warranties and Liabilities. If there is a discrepancy between a Clinical Policy Bulletin (CPB) and a member's plan of benefits, the benefits plan will govern. Aetna Better Health. Members should discuss any matters related to their coverage or condition with their treating provider. Note not all Aetna dental plans and offers available in all markets. Aetnamedicare.blob.core.windows.net. Links to various non-Aetna sites are provided for your convenience only. Pharmacy, dental or vision providers? Due to the impact of the COVID-19 pandemic, many provider offices may need to adjust their office hours or redirect patients to others offices. These services include preventive care like cleanings and checkups, along with restorative services such as fillings, root canals, crowns and other treatments for broken or missing teeth. 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. 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. Aetna dental plans are not considered to be qualified health plans under the Affordable Care Act. 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). 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). Links to various non-Aetna sites are provided for your convenience only. Learn about your health plan or find coverage for you and your family. 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. This Agreement will terminate upon notice if you violate its terms. 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. Just call Member Services at 1-866-827-2710 (TTY: 711) to learn more about these services. 1. Periodontists: these dentists specialize in treating complex cases of gum disease, along with other infections or problems involving the tissues that support the teeth. You can further filter the search results by adding a specific dentist . ", Provider/facility name OR specialty is required to continue. Go to the American Medical Association Web site. 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). 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. If there is a discrepancy between a Clinical Policy Bulletin (CPB) and a member's plan of benefits, the benefits plan will govern. 2/22). The dental discounts are available through participating healthcare providers only. Provider site; Please america; Search. 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 . Health benefits and health insurance plans contain exclusions and limitations. Aetna Dental Savings Plans are NOT dental insurance and the dental savings will vary by provider, plan and zip code. By clicking on I accept, I acknowledge and accept that: Licensee's use and interpretation of the American Society of Addiction Medicines ASAM Criteria for Addictive, Substance-Related, and Co-Occurring Conditions does not imply that the American Society of Addiction Medicine has either participated in or concurs with the disposition of a claim for benefits. Click on "Claims," "CPT/HCPCS Coding Tool," "Clinical Policy Code Search. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. All rights reserved. CPBs include references to standard HIPAA compliant code sets to assist with search functions and to facilitate billing and payment for covered services. 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. Click here to find an in-network pharmacy provider thats close to you. 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. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. Please correct the following errors and try again: Fill out this form to find providers and health care facilities near you. CPT is a registered trademark of the American Medical Association. Click here to find an in-network dental provider thats close to you. Dr. Shannitta Bridgers is a pediatric dentist at Highland Pediatric Dental in Fayetteville, SC. CPBs include references to standard HIPAA compliant code sets to assist with search functions and to facilitate billing and payment for covered services. All Rights Reserved. Category: Health Detail Health. Members should discuss any Dental Clinical Policy Bulletin (DCPB) related to their coverage or condition with their treating provider. Click here to find an in-network vision provider thats close to you. 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. 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 Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. Links to various non-Aetna sites are provided for your convenience only. We work with physicians to develop common platforms and goals, shifting the focus from episodes of care to making patient populations healthier. CPT is a registered trademark of the American Medical Association. Just enter your mobile number and well text you a link to download the Aetna Health app from the App Store or on Google Play. Primary care physicians, specialists, mental health providers and family planning providers, Hospitals, long-term care facilities and skilled nursing facilities for rehabilitation, mental health facilities, Federally Qualified Health Centers and Rural Health Clinics, Adult day services, assisted living, home-delivered meals, home health agencies and home medical equipment providers. 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 information contained on this website and the products outlined here may not reflect product design or product availability in Arizona. The AMA is a third party beneficiary to this Agreement. To reduce the The NJFC Directory of Dentists Treating Children under the Age of 6. Applicable FARS/DFARS apply. Of course you can use our directories to find doctors and hospitals that take your insurance. Disclaimer of Warranties and Liabilities. . If your patient has primary Medicare coverage outside of Aetna Better Health Premier Plan, please call the Medicare plan for benefits and authorization requirements. 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. . 1999- Members should show their DSNPmember ID cardand their state-issued Medicaid card. Medical necessity determinations in connection with coverage decisions are made on a case-by-case basis. Some subtypes have five tiers of coverage. If you are in New Jersey, check your status by going to the Aetna Assure Premier Plus provider search page. 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 better health florida healthy kids. Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider. 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 only Copyright 2022 American Medical Association. You are now being directed to the CVS Health site. Neither Aetna Inc. nor its subsidiaries are Guardian affiliates. For enhanced adults benefit, visit Dental Provider Search to view your dental providers. 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. Click here to request an office transfer. The member's benefit plan determines coverage. Check your participation status using the provider search tool. Experience and expertise to help our customers and members navigate the complex global health care landscape. The member's benefit plan determines coverage. Learn more about our dental advantages. 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). 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.