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. Please note also that Dental Clinical Policy Bulletins (DCPBs) are regularly updated and are therefore subject to change. LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). Achieve your health ambitions with improved health care. 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. No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM. Go to the American Medical Association Web site. Contact us. Providers are independent contractors and are not agents of Aetna. Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider. Links to various non-Aetna sites are provided for your convenience only. Discover how to balance your mental and physical health, whatever that looks like for you. 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. 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. New and revised codes are added to the CPBs as they are updated. This Agreement will terminate upon notice if you violate its terms. Our licensed agents will walk you through your options and answer any questions you have. 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. CPBs include references to standard HIPAA compliant code sets to assist with search functions and to facilitate billing and payment for covered services. Copyright 2001-[current-year] Aetna Inc. For everyones safety during the COVID-19 pandemic, our office is currently closed to in-person, walk-in traffic. This option allows you to review the documents on your own time and then submit your enrollment electronically. 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). Copyright 2001-[current-year] Aetna Inc. For everyones safety during the COVID-19 pandemic, our office is currently closed to in-person, walk-in traffic. An individual health plan is one that you purchase on your own, not through an employer. Copyright 2015 by the American Society of Addiction Medicine. 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. Aetna. Next, Body helps you take care of your physical well-being. 98point6 is not available in all Banner|Aetna plans offered through . Living & working abroad gives you access to Work-life support for help solving every day overseas challenges, such as sourcing local childcare and finding recommended local traders, no matter where you are in the world. 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). LoginAsk is here to help you access Aetna Employer Log In quickly and handle each specific case you encounter. Links to various non-Aetna sites are provided for your convenience only. 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. 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). To keep things simple, Aetna Well-being contains four easy-to-navigate categories: Mind, Body, Living and working abroad, and special member offers. Any use of CPT outside of Aetna Precertification Code Search Tool should refer to the most Current Procedural Terminology which contains the complete and most current listing of CPT codes and descriptive terms. All services deemed "never effective" are excluded from coverage. The Aetna International In-Touch Care and vHealth Service can also help you manage your physical health, by providing direct access to a team of Aetna International nurses and doctors. Enjoy discounts on wellness, convenient MinuteClinic visits, digital tools to manage your care and more. 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. You can also find out about and register for WorldAware, our crisis response partner who we work with to keep members and their families safe in today's changing global landscape. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept". This website supports services for Aetna, Aetna Affiliates and Innovation Health. Aetna Employer Log In will sometimes glitch and take you a long time to try different solutions. Health benefits and health insurance plans contain exclusions and limitations. Prescription drugs. 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). Currently, Aetna sells government-funded Medicare and Medicaid plans, as well as group health insurance, student health insurance through universities, and international insurance only. 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. If your plan is through an employer, your employer's contribution to premiums can also affect costs. Plan information and claim forms You can also buy an individual or family plan directly from Aetna, the health insurance marketplace or you can get several free quotes with SmartFinancial. Transforming health care, together. Unlisted, unspecified and nonspecific codes should be avoided. For European, Asia Pacific, Middle East and Africa or Latin American and Caribbean based plans, For U.S./Canada based plans and WorldTraveler plans. Treating providers are solely responsible for medical advice and treatment of members. 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. Mobile assistant app 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 expressly reserves the right to revise these conclusions as clinical information changes, and welcomes further relevant information including correction of any factual error. ", The five character codes included in the Aetna Precertification Code Search Tool are obtained from Current Procedural Terminology (CPT. This Agreement will terminate upon notice if you violate its terms. This means we can better serve people who depend on Aetna International and InterGlobal to meet their health and wellness needs. Health discounts Get a little help staying healthy with discounts on wellness products and services. Treating providers are solely responsible for medical advice and treatment of members. 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. 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 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). CPT only Copyright 2020 American Medical Association. 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. Step 1: After clicking on Find your provider, choose '2023 Medicare plans you through your employer . 415-294-5454 Menu Home Instant Quote Blog About Contact 415-294-5454 Life Insurance Ratings Aetna Life Insurance Company Written by Scott W Johnson Members should discuss any matters related to their coverage or condition with their treating provider.

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