aetna better health dental provider search

HMO Plan*; Open Access Plan; QCHP/CDHP Plan; For step-by-step instructions, click on a plan below. Explore Medicaid benefits and added services. Applicable FARS/DFARS apply. 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. 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. The Clinical Policy Bulletins (CPBs) express Aetna's determination of whether certain services or supplies are medically necessary, experimental and investigational, or cosmetic. This information helps us provide information tailored to your Medicare eligibility, which is based on age. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. 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). AetnaDentalOffers.com is brought to you by DentalPlans.com. Aetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. 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. Pediatric Dentists: provide dental care for children and young adults. 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. LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). 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. 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. Just call Member Services at 1-866-329-4701 (TTY: 711) to learn more about these services. Prosthodontists: restore damaged teeth or replace missing ones, with procedures that include dental implants, bridges, crowns and dentures. 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. 2. For more details see our Privacy Policy. Health (3 days ago) Webfor a provider. 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). No fee schedules, basic unit, relative values or related listings are included in CPT. 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 . information regarding PA submission or service partner requirements. We update our provider directory nightly.You can get a copy of the provider directory by mail. Reprinted with permission. (Just Now) WebAetna Better Health dental coverage is a part of Aetna Better Health's overall health insurance 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. Plan from an employer Aetna Medicare plan, Individual health plan Aetna Medicaid plan In case of a conflict between your plan documents and this information, the plan documents will govern. The DSNP network is in limited counties. If you are in Virginia, check your status by going to the Aetna Better Health of Virginia provider search page. The responsibility for the content of this product is with Aetna, Inc. and no endorsement by the AMA is intended or implied. 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. Medical necessity determinations in connection with coverage decisions are made on a case-by-case basis. 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. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. CPT only Copyright 2022 American Medical Association. CMS requires providers to take the Model of Care training course (PDF). and you keep saving there is no maximum annual spending limit! Periodontists: these dentists specialize in treating complex cases of gum disease, along with other infections or problems involving the tissues that support the teeth. When billing, you must use the most appropriate code as of the effective date of the submission. Log in to find doctors, dentists, hospitals and other providers that accept your plan. Disclaimer of Warranties and Liabilities. 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. Have an update for our Directory? Aetna Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits and do not constitute dental advice. Please be sure to add a 1 before your mobile number, ex: 19876543210. You are now being directed to the CVS Health site. 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. Filter Type: All Symptom Treatment Nutrition Dental Services Aetna Medicaid New Jersey . ", Provider/facility name OR specialty is required to continue. Your benefits plan determines coverage. You can all Member Services at 1-866-638-1232, TTY PA Relay 7-1-1 , TTY 711, for help finding a provider. #2020-93661 (exp. Important information for Provider Search users who live in California , Colorado , Connecticut , Delaware , Florida . 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. For language services, please call the number on your member ID card and request an operator. Go to the American Medical Association Web site. Neither Aetna Inc. nor its subsidiaries are Guardian affiliates. 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. Members should always contact the provider's office in advance to confirm availability. Links to various non-Aetna sites are provided for your convenience only. This information is neither an offer of coverage nor medical advice. Aetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. They also provide cosmetic services such as overlays and whitening treatments. Provider Search is provided solely for the personal, non-commercial use of current and prospective Aetna members and providers. SELECT A DIRECTORY. Just scroll down to "Find local care. 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. In-network coverage only (except emergency . To help us direct your question or comment to the correct area, please select a category below. Visit our Medicare page for more DSNP resources, including cost-share information. CPT is a registered trademark of the American Medical Association. 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. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. Find your plan listed below and click Find a Dentist. Members must select a primary care physician. Address, phone number, and practice changes. Please check before scheduling an appointment to make sure the provider is participating in the program. All Rights Reserved. Are you looking for free COVID-19 testing providers? Our directory PDF (or printed directory) is updated monthly.You can get a copy of the provider directory by mail. Unlisted, unspecified and nonspecific codes should be avoided. Copyright document.write(new Date().getFullYear()) Aetna Better Health of Illinois, All Right Reserved. 1. You can get dental care when you join Aetna Better Health of West Virginia. #2020 . 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. 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. If services are not covered by the Medicare plan, Aetna Better Health of Ohio may cover these services. NJ FIDE-SNP members will have one member ID card for both Medicare and Medicaid. Since there is no paperwork or reimbursement, you must pay for the service at the time its provided. No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM. 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. The American Medical Association (AMA) does not directly or indirectly practice medicine or dispense medical services. 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. Health benefits and health insurance plans contain exclusions and limitations. 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 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. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. . Treating providers are solely responsible for medical advice and treatment of members. 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. Links to various non-Aetna sites are provided for your convenience only. Aetna Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits and do not constitute dental advice. Join our team. Disclaimer of Warranties and Liabilities. up to six Current Procedural Terminology (CPT) or Healthcare Common Procedure Coding You may also notify LIBERTY about provider directory updates by calling 888-703-6999. A DSNP is a special type of Aetna Medicare Advantage Prescription Drug (MAPD) plan. Were a health care company thats building a healthier world. CPT only copyright 2015 American Medical Association. Please note also that Dental Clinical Policy Bulletins (DCPBs) are regularly updated and are therefore subject to change. 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. Join our network, and together, we'll give patients access to the highest quality, safest and most effective health care. A new version of our find a dentist tool is now available for Illinois 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. Provider site; Please america; Search. Learn more about our dental advantages. Please log in to your secure account to get what you need. Health (8 days ago) AdHighly-reviewed Dentists who take your insurance and are ready to see you. The NJFC Directory of Dentists Treating Children under the Age of 6, Directory of Dentists Treating Members with Intellectual Disabilities Adult, Directory of Dentists Treating Members with Intellectual Disabilities Child, Directory of Dentists Treating NJFC in Long Term Care Facilities. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. 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. Please note that providers listed in this directory may perform services that are not covered by your health plan. Primary Care Providers, specialists, mental health providers, Qualified Family Planning Providers (QFFPs), dentists and vision care providers. Aetna Medicaid collaborates with providers to deliver care that meets cost and quality goals. Search result definitions: NOTE: When selecting by CPT group, the results displayed include CPT codes where Each main plan type has more than one subtype. Pharmacy, dental or vision providers? Note not all Aetna dental plans and offers available in all markets. Aetna 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. Individual dental plan. In the event that a member disagrees with a coverage determination, member may be eligible for the right to an internal appeal and/or an independent external appeal in accordance with applicable federal or state law. 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. Select a Plan * Select a Plan: 2. Links to various non-Aetna sites are provided for your convenience only. 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. 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. Find your plan listed below and click Find a Dentist. Working with providers, our advanced care management techniques help increase quality, improve efficiency . The online provider directory is updateddaily. While the Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. You can further filter the search results by adding a specific dentists name and/or the type of dental specialist you wish to see. It is only a partial, general description of plan or program benefits and does not constitute a contract. Applicable FARS/DFARS apply. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. 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. System (HCPCS) codes or a CPT group and select SEARCH. Of course you can use our directories to find doctors and hospitals that take your insurance. Best viewed in Microsoft Internet Explorer 6 and higher, resolution 1280x800. 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 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. Access2Care performs transportation management services on behalf of Aetna Better Health. 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). Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider. Participating Providers: To determine if prior authorization (PA) is required, enter Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept". 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). Provider Directory Aetna Better Health of Pennsylvania. 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. 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. Dental Savings Plans reduce the cost of dental care by 10%-60%, at thousands of participating dentists and dental specialists nationwide. Click here to let us know so we can fix it. 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. No fee schedules, basic unit, relative values or related listings are included in CPT. If you are in Virginia, check your status by going to the Aetna Better Health of Virginia provider search page. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. 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. 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. The American Medical Association (AMA) does not directly or indirectly practice medicine or dispense medical services. Your benefits plan determines coverage. . ALL inpatient confinements require PA and usually ALL services provided . Unlisted, unspecified and nonspecific codes should be avoided. Please refer to your Evidence of Coverage prior to contacting a Specialist if you are unsure, or call Member Services. 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. Visit the secure website, available through www.aetna.com, for more information. symbol is displayed for the code, place your cursor over the symbol to review additional You are now being directed to CVS Caremark site. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. 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. . Request an Office Transfer. Please contact Eviti Connect at. Reprinted with permission. Click here to find an in-network pharmacy provider thats close to you. This search will use the five-tier subtype. In addition, coverage may be mandated by applicable legal requirements of a State or the Federal government. While the Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. Youll find these doctors with the label Quality Care, Effective , https://www.aetna.com/individuals-families/find-a-doctor.html, North country health care university flagstaff, Jps health network schedule appointments, Health care information system examples, 2021 health-improve.org. Health (9 days ago) WebProvider Search Find a Provider 1. 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. While the Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. Learn about your health plan or find coverage for you and your family. Links to various non-Aetna sites are provided for your convenience only. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Please note also that Clinical Policy Bulletins (CPBs) are regularly updated and are therefore subject to change. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/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. 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). The ABA Medical Necessity Guidedoes not constitute medical advice. Others have four tiers, three tiers or two tiers. Check your participation status using the provider search tool. 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. Find a Dentist. Please refer to your Summary Plan Description (SPD) for an outline of your plan's covered benefits . However, applicable state mandates will take precedence with respect to fully insured plans and self-funded non-ERISA (e.g., government, school boards, church) plans. Besides treating dental conditions, she educates her young patients on the importance of proper dental health and dispenses practical advice on maintaining dental hygiene. 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. It is only a partial, general description of plan or program benefits and does not constitute a contract. 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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