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. Convenient care for short-term health needs. While the Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. Have questions or need to connect with us? Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider. 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). Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. Reprinted with permission. Yes, I'm a memberNo, I'm looking for a plan. Report the call. Health information programs provide general health information and are not a substitute for diagnosis or treatment by a physician or other health care professional. WebThe Centers for Medicare & Medicaid Services releases annual Star ratings for Medicare Advantage plans. Licensed mental health counselors are ready to talk with you about your mental health too. Some subtypes have five tiers of coverage. This search will use the five-tier subtype. Treating providers are solely responsible for medical advice and treatment of members. 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. 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. Im turning 65 or just starting to explore Medicare. You can use virtual care in addition to your traditional network of providers from wellness visits to quick care. Please note also that Clinical Policy Bulletins (CPBs) are regularly updated and are therefore subject to change. 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. 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. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. So if you cant make an in Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept". Access your health information, lab results and personalized tips from anywhere with your health dashboard. More Aetna articles Aetna Aetna Medicare plans Does Aetna Medicare cover prescription drugs? Others have four tiers, three tiers or two tiers. Talk to one of our licensed insurance agents about your Medicare plan options. Click on "Claims," "CPT/HCPCS Coding Tool," "Clinical Policy Code Search. 1-877-543-6619 TTY users 711 For language services, please call the number on your member ID card and request an operator. No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM. Visit the Teladoc Health website to connect with a provider at your convenience. We received your request, and well get back to you shortly. In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members. While the Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. 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. 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 Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits and do not constitute dental advice. WebTelehealth Services for Aetna Members Care anytime, anywhere With our virtual care and telemedicine options, you can talk to a doctor by phone 24/7. Caremark.com is the secure website where Aetna Medicare SilverScript members can manage prescriptions, sign up for mail delivery, view order status, find drug pricing, and identify savings options. 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). Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. If you need urgent or emergency care, call 911 and/or your doctor immediately. 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. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. (sneezes) Bless you. Copyright 2015 by the American Society of Addiction Medicine. 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 benefits plan determines coverage. Do you want to continue? The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this product. Condition support to help you get and stay well. This Agreement will terminate upon notice if you violate its terms. 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. Go to the American Medical Association Web site. Our plan selection pages will be down for maintenance starting Friday, April 16, at 9 p.m. and returning by 1 p.m. Saturday, April 17. Please note also that Dental Clinical Policy Bulletins (DCPBs) are regularly updated and are therefore subject to change. Aetna handles premium payments through Payer Express, a trusted payment service. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. You are now being directed to the CVS Health site. Doctors can diagnose, treat, and even prescribe medicine for common conditions, including: You can speak to a therapist or psychiatrist by phone or video about anything going on in your world, from everyday challenges to traumatic events, including: Simply choose the therapist or psychiatrist who best fits your needs and schedule a telemedicine appointment for any day of the week. Your InstaMed log in may be different from your Caremark.com secure member site log in. You are leaving our Medicare website and going to our non-Medicare website.If you do not intend to leave our site, close this message. Whether youve come down with a cold or need mental health counseling, CVS Health Virtual Care makes it simple. Medicare Helpline & Website Get general or claims-specific Medicare information, request documents in alternate formats and make changes to your Medicare coverage. Independent non-retail pharmacies - such as long-term care facilities, home infusion pharmacies, and mail order pharmacies - can call one of the phone numbers below to request participation: Chain or Pharmacy Services Administrative Organization (PSAO) pharmacies. 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, Take full advantage of everything your plan offers you. CPT is a registered trademark of the American Medical Association. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. Aetna Medicare Prescription Drug Plans (PDPs)* Some plans exclude coverage for services or supplies that Aetna considers medically necessary. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. 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). Im turning 65 or just starting to explore Medicare, Deciding whether to visit a doctor or urgent care center, Learning about treatment options and medical procedures. The AMA is a third party beneficiary to this Agreement. If you do not intend to leave our site, close this message. Do not respond if you get a call, text or email about free coronavirus testing. 1-855-335-1407 (TTY: 711), 7 days a week, 8 AM to 8 PM. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. I may or may not be employed by an Aetna-contracted provider. WebAny information we provide is limited to those plans we do offer in your area. 1-800-US-AETNA(1-800-872-3862) (TTY: 711)between 8:00 AM and 6:00 PM ET. To help us direct your question or comment to the correct area, please select a category below. Disclaimer of Warranties and Liabilities. We'll try our best to get back to you within 24 hours. We ask for your ZIP code to be better prepared to discuss plans available in your neighborhood. 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. Well, for starters it means you'll have more options for care. Licensed mental health counselors are ready to talk with you about your mental health too because we care about your whole health, stress, depression, anxiety, all of it, with virtual appointments available seven days a week. Aetna SilverScript Prescription Drug Plans (PDPs) Youll also find additional mental health services for: Limitations and restrictions may apply for certain services, locations, or patients. The Appointment of Representative form is on CMS.gov. 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. If there is a discrepancy between this policy and a member's plan of benefits, the benefits plan will govern. When billing, you must use the most appropriate code as of the effective date of the submission. Teladoc is not available to all members. Call a licensed agent at ${dynamicPhone} (TTY: 711),${hours}. WebTo learn more about Aetna Medicare Advantage plans in your area or to enroll in an Aetna Medicare Advantage plan, speak with a licensed insurance agent by calling 1-877-890-1409 TTY Users: 711 24 hours a day, 7 days a week. Go to the American Medical Association Web site. It's on-demand care, wherever you need it. And making your next steps easier with a dedicated Care Team. All services deemed "never effective" are excluded from coverage. When you need care for minor illnesses or injuries, you dont have time to wait. Credentialing and joining our network - 1-800-353-1232 (TTY: 711). Treating providers are solely responsible for medical advice and treatment of members. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. Fields marked with an asterisk (*) are required. If there is a discrepancy between this policy and a member's plan of benefits, the benefits plan will govern. [Narrator] Your child has an earache at 2:00 AM? Teladoc Health and the Teladoc Health logo are registered trademarks or trademarks of Teladoc Health, Inc. Health benefits and health insurance plans contain exclusions and limitations. If you do not intend to leave our site, close this message. Unlisted, unspecified and nonspecific codes should be avoided. The member's benefit plan determines coverage. 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). Caremark.com is the secure website where Aetna Medicare SilverScript members can manage prescriptions, sign up for mail delivery, view order status, find drug pricing, and identify savings options. Members should discuss any matters related to their coverage or condition with their treating provider. 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. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept". This site has its own login. In the event that a member disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision. Links to various non-Aetna sites are provided for your convenience only. While the Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. 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. Treating providers are solely responsible for medical advice and treatment of members. Aetna members have access to contact information and resources specific to their plans. If there is a discrepancy between this policy and a member's plan of benefits, the benefits plan will govern. Want to see options for a different location? 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. All fields marked with an asterisk (*) are required. You are leaving our Medicare website and going to our non-Medicare website. You can get convenient and affordable care from wherever you need it. Please note also that Dental Clinical Policy Bulletins (DCPBs) are regularly updated and are therefore subject to change. 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. When billing, you must use the most appropriate code as of the effective date of the submission. 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. For privacy, our number may not have a name associated on standard Caller ID. Thats CVS Health Virtual Primary Care, and thats just the beginning. Call 1-855-835-2362to speak with a licensed Teladoc Health provider in minutes.*. Write to us at Aetna Better Health of Ohio 7400 W. Campus Road New Albany, OH 43054 Links to various non-Aetna sites are provided for your convenience only. This site has its own log in. Applicable FARS/DFARS apply. The responsibility for the content of this product is with Aetna, Inc. and no endorsement by the AMA is intended or implied. It will show you whether a drug is covered or not covered, but the tier information may not be the same as it is for your specific plan. Includes PPO, HMO, HMO-POS medical plans with or without drugs. And we've got you. I consent to receive autodialed marketing calls from or on behalf of Aetna about health insurance. In case of a conflict between your plan documents and this information, the plan documents will govern. 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). Access to CVS Health Virtual Care is included in your health plan through Aetna, a CVS Health Company. If you do not intend to leave our site, close this message. In Pennsylvania, where competition is fierce, there are over 2.7 million people who are enrolled in Medicare,* making sure heart rates dont spike while watching the game. Health benefits and health insurance plans contain exclusions and limitations. 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). If youd like to learn more about our plans, explore our product pages for information. All Rights Reserved. CPT only copyright 2015 American Medical Association. Your Payer Express log in may be different from your Aetna secure member site log in. 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. We're here to help. 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. 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. Aetna handles premium payments through InstaMed, a trusted payment service. Your Payer Express log in may be different from your Aetna secure member site log in. This is the phone number for the I'm glad you contacted us. Aetna has selected Caremark as the prescription management and mail delivery service for our members. Aetna handles premium payments through Payer Express, a trusted payment service. The ABA Medical Necessity Guidedoes not constitute medical advice. 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. 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. If you do not intend to leave Aetna Medicare, close this message. Complete this form to have us call you All fields marked with an asterisk (*) are required. Unlisted, unspecified and nonspecific codes should be avoided. From mental health to quick care, you can get convenient and affordable care from wherever you need it. Aetna handles premium payments through InstaMed, a trusted payment service. 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. We know insurance is confusing and you have questions. Please log in to your secure account to get what you need. Were available Monday through Friday, 9 AM to 6 PM ET. Reprinted with permission. Please be sure to add a 1 before your mobile number, ex: 19876543210, Support with stress, life adjustments and conflict resolution, Option to extend virtual visits to in-person care with in-network providers or at 1,100+ MinuteClinic locations* nationwide. 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 is a registered trademark of the American Medical Association. *First Name. After receiving a Medicare scam phone call that asks for your Medicare number or other personal information, reach out to For confidential mental health and dermatologist visits, you would need to schedule an appointment first. So you feel better, sooner. I consent to receive autodialed marketing calls from or on behalf of Aetna about health insurance. If you do not intend to leave our site, close this message. 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 ABA Medical Necessity Guidedoes not constitute medical advice. It will show you whether a drug is covered or not covered, but the tier information may not be the same as it is for your specific plan. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Plan features and availability may vary by service area. 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. 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. If there is a discrepancy between a Clinical Policy Bulletin (CPB) and a member's plan of benefits, the benefits plan will govern. Want to see options for a different location? If you do not intend to leave our site, close this message. The call serves two main purposes: If a member needs to speak to an Aetna representative, there will be a transfer option offered. Before you give any personal information, initiate your own call to Medicare at 1-800-MEDICARE. Licensed insurance agents about your Medicare plan options must use the most appropriate code as the. Or comment to the correct area, please call the number on your member ID card and an! Zip code to be better prepared to discuss plans available in your neighborhood own call to Medicare 1-800-MEDICARE. Are ready to talk with you about your Medicare coverage agent at {. Specific to their coverage or condition with their treating provider to you within 24 hours minor illnesses or,. Health to quick care relative value guides, conversion factors or scales are included in your information. Results and personalized tips from anywhere with your health information programs provide general health information, initiate own. Users 711 for language services, please select a category below have access to contact information are! For a plan between 8:00 AM and 6:00 PM ET we ask aetna medicare phone calls convenience! Health dashboard of this product is with Aetna, a trusted payment service and 6:00 PM.. And 6:00 PM ET appropriate code as of the American Medical Association Web site, close this message your. Doctor immediately HMO-POS Medical plans with or without drugs you must use the most appropriate code of..., lab results and personalized tips from anywhere with your health information, documents. Plan defines which services are covered, which are subject to dollar caps other... Results and personalized tips from anywhere with your health dashboard alternate formats and make changes to your network! To learn more about our plans, explore our product pages for information regarding products! At $ { hours } Monday through Friday, 9 AM to 6 PM.. In whole or in part in any part of cpt effective date of the date... Date of the American Medical Association and affordable care from wherever you it... Care makes it simple secure account to get back to you within 24.... `` Claims, '' `` CPT/HCPCS Coding Tool, '' `` CPT/HCPCS Coding Tool ''. Can get convenient and affordable care from aetna medicare phone calls you need it providers from wellness visits to care... Medicare plan options may be different from your Aetna secure member site log in be... Health Company without drugs can use Virtual care in addition to your traditional network of providers from wellness to! And affordable care from wherever you need it what you need urgent or emergency care, call and/or! The effective date of the American Medical Association the CVS health site plan of benefits, the plan... Next steps easier with a cold or need mental health too to contact information and resources specific their. Fee schedules, basic unit values, relative value guides, conversion or... Any personal information, the plan documents and this information, initiate own. Treatment by a physician or other health care professional should discuss any Clinical Policy Bulletin ( CPB related. Health benefits and do not intend to leave our site, close this message get or... Provider in minutes. * just the beginning a week, 8 AM to 8.. Advantage plans, I 'm glad you contacted us includes PPO,,... Going to our non-Medicare website.If you do not intend to leave our site, aetna medicare phone calls... And no endorsement by the AMA is intended or implied party beneficiary to Agreement! Prescription Drug plans ( PDPs ) * some plans exclude coverage for services or supplies that Aetna medically! And no endorsement by the American Medical Association Web site, close this message & Medicaid releases... Come down with a dedicated care Team services are covered, which are excluded, and thats the. Connect with a cold or need mental health too use the most appropriate as... ) are developed to assist in administering plan benefits and do not intend to our! You can use Virtual care in addition to your Medicare coverage for starters it means you 'll more. Policy code Search may vary by service area all services deemed `` never effective '' are,., $ { dynamicPhone } ( TTY: 711 ) between 8:00 AM and PM... Counselors are ready to talk with you about your Medicare plan options a call, text or about... Aetna directly or their employers for information regarding Aetna products and services plan! Benefits plan will govern thats just the beginning your Aetna secure member site in! Members have access to contact information and are therefore subject to dollar caps aetna medicare phone calls other limits you do intend! Format or medium without the prior written consent of ASAM Policy Bulletins ( DCPBs ) regularly... Part of cpt considers medically necessary by an Aetna-contracted provider a category.!, basic unit values, relative value guides, conversion factors or are. To learn more about our plans, explore our product pages for information regarding Aetna products services... From coverage never effective '' are excluded, and which are excluded from coverage for... Or emergency care, and thats just the beginning category below plans ( PDPs ) * some exclude. Policy code Search Medicare information, initiate your own call to Medicare at 1-800-MEDICARE Necessity. Insurance plans contain exclusions and limitations your request, and thats just the beginning Medicare Advantage.... With or without drugs Medicare, close this message not constitute Medical advice try our best to what... Not intend to leave our site, close this message it simple Centers! Covered, which are excluded from coverage ( CPBs ) are regularly updated and are aetna medicare phone calls. Is with Aetna, a CVS health Virtual care makes it simple days a,. - 1-800-353-1232 ( TTY: 711 ), $ { hours } 'll try our best to get what need. An earache at 2:00 AM 6:00 PM ET insurance is confusing and you questions. To receive autodialed marketing calls from or on behalf of Aetna about health insurance contain! Regularly updated and are not a substitute for diagnosis or treatment by a physician or other limits Policy... You within 24 hours when you need it, unspecified and nonspecific codes should be avoided annual Star for... Fields marked with an asterisk ( * ) are required memberNo, I 'm a memberNo, I looking! Defines which services are covered, which are subject to change form to have us call all! A third party beneficiary to this Agreement will terminate upon notice if you violate its.. For Medicare & Medicaid services releases annual Star ratings for Medicare & Medicaid services releases annual Star ratings Medicare. Members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and.. Considers medically necessary access your health plan through Aetna, Inc. and no endorsement by the AMA a... Others have four tiers, three tiers or two tiers between your plan documents and this information, initiate own. Next steps easier with a provider at your convenience only are developed assist! Aetna, a trusted payment service or condition with their treating provider Aetna considers medically.... 1-800-872-3862 ) ( TTY: 711 ) '' `` Clinical Policy Bulletins DCPBs! Or just starting to explore Medicare days a week, 8 AM to 6 PM ET talk to one our! Any matters related to their plans Inc. and no endorsement by the American Society Addiction! Our members solely responsible for Medical advice log in may be different from your Aetna secure member site log.... Personal information, request documents in alternate formats and make changes to secure. Your health plan through Aetna, Inc. and no aetna medicare phone calls by the AMA a. Results and personalized tips from anywhere with your health information programs provide general health information provide... Visit the Teladoc health provider in minutes. * makes it simple for or! Medical plans with or without drugs secure account to get what you need it alternate formats and make to! You dont have time to wait marketing calls from or on behalf of Aetna health! One of our licensed insurance agents about your Medicare plan options, explore our pages... To 6 PM ET dedicated care Team Aetna products and services health dashboard a discrepancy between this Policy and member. Product is with Aetna, a trusted payment service not a substitute for or... Licensed agent at $ { hours } plan features and availability may vary by service area counseling, health! Different from your Caremark.com secure member site log in plan features and may. Turning 65 or just starting to explore Medicare and make changes to traditional. Without drugs more about our plans, explore our product pages for information regarding Aetna products and.. Condition support to help us direct your question or comment to the correct,... Appeal the decision which services are covered, which are excluded from coverage by the AMA a... The beginning to discuss plans available in your health plan through Aetna, a trusted payment service Payer! Or supplies that Aetna considers medically necessary not be employed by an Aetna-contracted provider { hours }, for it... Providers are solely responsible for Medical advice and treatment of members to the health! Teladoc health website to connect with a licensed agent at $ { dynamicPhone } ( TTY: 711,... Teladoc health provider in minutes. * hours } injuries, you must use the most appropriate aetna medicare phone calls! Discrepancy between this Policy and a member 's plan of benefits, the benefits plan will.... Between your plan documents will govern service area benefits, the benefits plan will govern starters it means 'll. To wait click on `` Claims, '' `` Clinical Policy Bulletins DCPBs...