aetna better health dental provider search

If you do not intend to leave our site, close this message. 2020 Avsis Incorporated. 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. Helping you find the right doctor for you. HMO Plan*; Open Access Plan; QCHP/CDHP Plan; For step-by-step instructions, click on a plan below. NJ FIDE-SNP members will have one member ID card for both Medicare and Medicaid. For Use by Doctors and Facilities only. Applicable FARS/DFARS apply. The term precertification here means the utilization review process to determine whether the requested service, procedure, prescription drug or medical device meets the company's clinical criteria for coverage. The member's benefit plan determines coverage. For language services, please call the number on your member ID card and request an operator. logo Aethna Better Health of West Virginia. Want to help transform health care? 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. 2020 Guardian. 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. Aetna Better Health of Maryland Dental Provider Search - Avesis 2022 DSNP information - Aetna CPBs include references to standard HIPAA compliant code sets to assist with search functions and to facilitate billing and payment for covered services. For language services, please call the number on your member ID card and request an operator. 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. All DSNP plans are required to have an approved Model of Care. Click here to request an office transfer. To get started: 1. 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. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. 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. Stay up-to-date with todays latest health care trends. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. They also provide cosmetic services such as overlays and whitening treatments. Please correct the following errors and try again: Fill out the form below to find providers and healthcare facilities near you. Dental Savings Plans reduce the cost of dental care by 10%-60%, at thousands of participating dentists and dental specialists nationwide. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. Should the following terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button below labeled "I Accept". The ABA Medical Necessity Guidedoes not constitute medical advice. 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. 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. In addition, coverage may be mandated by applicable legal requirements of a State or the Federal government. 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. 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. Treating providers are solely responsible for medical advice and treatment of members. Click here to request an office transfer. Aetna Inc. and itsitsaffiliated 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 DSNP network is in limited counties. A new version of our find a dentist tool is now available for Illinois members! Please log in to your secure account to get what you need. SELECT A DIRECTORY. New and revised codes are added to the CPBs as they are updated. The responsibility for the content of this product is with Aetna, Inc. and no endorsement by the AMA is intended or implied. 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). and you keep saving there is no maximum annual spending limit! The HMO plan is ideal for employers in urban locations who want to offer simple, convenient care with fixed, predictable costs. 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. Since Dental Clinical Policy Bulletins (DCPBs) 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. Treating providers are solely responsible for medical advice and treatment of members. 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. 2. *Required Selections. Select a Plan * Select a Plan: 2. symbol is displayed for the code, place your cursor over the symbol to review additional Network applications (behavioral health, dental, facility, and pharmacy) Practice changes and provider termination. Looking for a local dentist? If you do not intend to leave our site, close this message. Log in to find doctors, dentists, hospitals and other providers that accept your plan. In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members. If you are in New Jersey, check your status by going to the Aetna Assure Premier Plus provider search page. You can get a copy of the provider directory by mail. LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). You start saving within 72 hours of joining a plan (no long waits before you qualify for discounted care!) Unlisted, unspecified and nonspecific codes should be avoided. 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 should discuss any matters related to their coverage or condition with their treating provider. 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). You can get dental care when you join Aetna Better Health of West Virginia. 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. 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 Better Health of Maryland Medicaid Dental Provider Search. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services.

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