aetna better health dental provider search

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 better health florida healthy kids. Links to various non-Aetna sites are provided for your convenience only. This information is neither an offer of coverage nor medical advice. 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). Geographic Search. You can further filter the search results by adding a specific dentist . Need a new dental office home? Members should always contact the provider's office in advance to confirm availability. You are now being directed to CVS caremark site. 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. Provider Directory. Visit our Medicare page for more DSNP resources, including cost-share information. Click here to find an in-network pharmacy provider thats close to you. If you are looking for a specific provider and cannot find them online, need more information,help, or would like a printed copy of the provider directory mailed to you,callus at 1-855-242-0802, TTY 711, 24 hours a day, 7 days a week. Special promotions including, but not limited to, additional months free are not available to California residents or on Fully Insured Plans. Aetna Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits and do not constitute dental advice. 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. Dr. Shannitta Bridgers is a pediatric dentist at Highland Pediatric Dental in Fayetteville, SC. Learn about Aetna Smart Compare. up to six Current Procedural Terminology (CPT) or Healthcare Common Procedure Coding Links to various non-Aetna sites are provided for your convenience only. NJ FIDE-SNP members will have one member ID card for both Medicare and Medicaid. For language services, please call the number on your member ID card and request an operator. 1. Others have four tiers, three tiers or two tiers. Please review the plan benefit coverage documentation under the link below. For non-participating health care professionals. Just call Member Services at 1-866-827-2710 (TTY: 711) to learn more about these services. No fee schedules, basic unit, relative values or related listings are included in CPT. Plan highlights. Dental Providers: Register now for AetnaDental.com Medical Providers: Register for Aetna's Provider portal on Availity: 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. VisitPharmacy Provider Search to view all your pharmacy providers. 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. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. 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. Need a new dental office home? Network applications (behavioral health, dental, facility, and pharmacy) Practice changes and provider termination. 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. Applicable FARS/DFARS apply. Just call Member Services at 1-866-329-4701 (TTY: 711) to learn more about these services. 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. Learn more about our dental advantages. Please confirm with the provider when you call them. Each main plan type has more than one subtype. For Use by Doctors and Facilities only. Go to the American Medical Association Web site. *Search by : Provider ID (PIN) NPI. Best viewed in Microsoft Internet Explorer 6 and higher, resolution 1280x800. This Agreement will terminate upon notice if you violate its terms. 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. Links to various non-Aetna sites are provided for your convenience only. System (HCPCS) codes or a CPT group and select SEARCH. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. ALL inpatient confinements require PA and usually ALL services provided by non-participating providers require PA. PA requirement results are valid as of todays date only. 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 defines a service as "never effective" when it is not recognized according to professional standards of safety and effectiveness in the United States for diagnosis, care or treatment. VisitVision Provider Searchto view your vision providers. 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. Treating providers are solely responsible for dental advice and treatment of members. If there is a discrepancy between this policy and a member's plan of benefits, the benefits plan will govern. New and revised codes are added to the CPBs as they are updated. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. Disclaimer of Warranties and Liabilities. All Rights Reserved. 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). symbol is displayed for the code, place your cursor over the symbol to review additional Links to various non-Aetna sites are provided for your convenience only. From there, you can search for providers and specialists, like dentists, eye doctors, therapists, dermatologists and more. Click here to let us know so we can fix it. Provider/Facility Name OR Specialty is required to continue, Please enter first and last name of Provider, or the name of the facility. The NJFC Directory of Dentists Treating Children under the Age of 6. By providing us with your email address, you agree to receive email communications from Aetna until you opt out of further emails. In-network coverage only (except emergency . 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. Please refer to your Evidence of Coverage prior to contacting a Specialist if you are unsure, or call Member Services. You can use the links below to find in-network providers and pharmacies nearyou. Exception Detail, Svc Partner Detail - When the. * Enter Provider ID : * Enter NPI : *Provider Type : Select a Provider Type Medical (Includes Behavioral Health) Dental Facilities. Members should discuss any matters related to their coverage or condition with their treating provider. To search for a dentist, please choose a state, your plan and enter the zip code under the Enter Your Geographic Area section. Please feel free tocontact us to provide any new information. Join today and elevate your smile for less than you ever dreamed was possible. Plan from an employer Aetna Medicare plan, Individual health plan Aetna Medicaid plan 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. Enter a zip code to search for dental care professionals in your area. Members must select a primary care physician. Aetna Dental Savings Plans are NOT dental insurance and the dental savings will vary by provider, plan and zip code. In case of a conflict between your plan documents and this information, the plan documents will govern. 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. Your Plan: Your Plan: Go to the American Medical Association Web site. A DSNP is a special type of Aetna Medicare Advantage Prescription Drug (MAPD) plan. Individual dental plan. AetnaDentalOffers.com is brought to you by DentalPlans.com. No fee schedules, basic unit, relative values or related listings are included in CPT. Please correct the following errors and try again: Fill out this form to find providers and health care facilities near you. Members should discuss any matters related to their coverage or condition with their treating provider. A new version of our find a dentist tool is now available for Illinois members! Idaho Members: If you contact several providers who have indicated they will see new patients and find you cannot get an appointment, you may call Customer Service at 1-800-936-0978. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. Enter your location by address, city or zip code. 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. The responsibility for the content of Aetna Precertification Code Search Tool is with Aetna and no endorsement by the AMA is intended or should be implied. The American Medical Association (AMA) does not directly or indirectly practice medicine or dispense medical services. 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". Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. Aetna defines a service as "never effective" when it is not recognized according to professional standards of safety and effectiveness in the United States for diagnosis, care or treatment.

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