aetna better health dental provider search

Join today and elevate your smile for less than you ever dreamed was possible. Please refer to your Summary Plan Description (SPD) for an outline of your plan's covered benefits . LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). The member's benefit plan determines coverage. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. For enhanced adults benefit, visit Dental Provider Search to view your dental providers. 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. NON-COV - CPT or HCPCS code entered is not a covered benefit by health plan. All Rights Reserved. Links to various non-Aetna sites are provided for your convenience only. 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. Members should discuss any matters related to their coverage or condition with their treating provider. Treating providers are solely responsible for medical advice and treatment of members. In the event that a member disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision. Join our team. Please correct the following errors and try again: Fill out the form below to find providers and healthcare facilities near you. Exception Detail, Svc Partner Detail - When the. We encourage you to check with your participating provider prior to beginning treatment. Do you want to continue? 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. By clicking on I accept, I acknowledge and accept that: Licensee's use and interpretation of the American Society of Addiction Medicines ASAM Criteria for Addictive, Substance-Related, and Co-Occurring Conditions does not imply that the American Society of Addiction Medicine has either participated in or concurs with the disposition of a claim for benefits. 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. Depending on the members MSP eligibility, they may have a cost-share responsibility. Click on "Claims," "CPT/HCPCS Coding Tool," "Clinical Policy Code Search. No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM. Category: Health Detail Health. Links to various non-Aetna sites are provided for your convenience only. Were a health care company thats building a healthier world. The American Medical Association (AMA) does not directly or indirectly practice medicine or dispense medical services. In-network coverage only (except emergency . 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. ", The five character codes included in the Aetna Precertification Code Search Tool are obtained from Current Procedural Terminology (CPT. Meritain Health's Aetna DocFind site Members must reside in a county where Aetna Medicare offers a DSNP. CPT only copyright 2015 American Medical Association. Want to help transform health care? Note not all Aetna dental plans and offers available in all markets. This Agreement will terminate upon notice if you violate its terms. Aetna Better Health Dental All rights reserved. Visit the secure website, available through www.aetna.com, for more information. Treating providers are solely responsible for medical advice and treatment of members. 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. All DSNP plans are required to have an approved Model of Care. AetnaDentalOffers.com is brought to you by DentalPlans.com. ProPAT CPT Code Lookup : Aetna Better Health Dental Benefits | Aetna Medicaid West Virginia / Dental Benefits The member's benefit plan determines coverage. No fee schedules, basic unit, relative values or related listings are included in CPT. Aetna Better Health of Maryland Medicaid Dental Provider Search. 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. 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. CPBs include references to standard HIPAA compliant code sets to assist with search functions and to facilitate billing and payment for covered services. Please note also that Dental Clinical Policy Bulletins (DCPBs) are regularly updated and are therefore subject to change. Special promotions including, but not limited to, additional months free are not available to California residents or on Fully Insured Plans. We work with physicians to develop common platforms and goals, shifting the focus from episodes of care to making patient populations healthier. Enter Location Request an Office Transfer. Please log in to your secure account to get what you need. For language services, please call the number on your member ID card and request an operator. For enhanced adults benefit, visitDental Provider Searchto view your dental providers. Treating providers are solely responsible for medical advice and treatment of members. 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). Innovative benefits plans with options for medical, dental, vision, and pharmacy coverage. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept". CPT is a registered trademark of the American Medical Association. Directory of Dentists Treating Members with Intellectual Disabilities Adult. Find the information and resources you need to meet your clients' needs. Unlisted, unspecified and nonspecific codes should be avoided. Find a Provider. The member's benefit plan determines coverage. 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. If you are in Virginia, check your status by going to the Aetna Better Health of Virginia provider search page. 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. 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. Please refer to your Evidence of Coverage prior to contacting a Specialist if you are unsure, or call Member Services. 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. Working with providers, our advanced care management techniques help increase quality, improve efficiency . Just scroll down to "Find local care. The AMA is a third party beneficiary to this Agreement. Find a Provider | Aetna Medicaid Illinois Please be sure to add a 1 before your mobile number, ex: 19876543210. When billing, you must use the most appropriate code as of the effective date of the submission. 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). 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. Please enable it to continue. Treating providers are solely responsible for medical advice and treatment of members. The responsibility for the content of this product is with Aetna, Inc. and no endorsement by the AMA is intended or implied. Please note also that Clinical Policy Bulletins (CPBs) are regularly updated and are therefore subject to change. Special promotions including, but not limited to, additional months free are not available to California residents or on Fully Insured Plans. Provider Search is provided solely for the personal, non-commercial use of current and prospective Aetna members and providers. We welcome . Used with express permission. If services are not covered by the Medicare plan, Aetna Better Health of Ohio may cover these services. Log in to find doctors, dentists, hospitals and other providers that accept your plan. You are now being directed to the CVS Health site. 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. In case of a conflict between your plan documents and this information, the plan documents will govern. 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. Contact Us - Health Care Providers - Aetna 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. Medical necessity determinations in connection with coverage decisions are made on a case-by-case basis. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept". 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 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). All Rights Reserved. It is only a partial, general description of plan or program benefits and does not constitute a contract. 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. In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. Need a new dental office home? Find a Doctor :: State of Illinois - Aetna Aetna Better Health - LIBERTY Dental Plan Pharmacy, dental or vision providers? This Agreement will terminate upon notice if you violate its terms. Besides treating dental conditions, she educates her young patients on the importance of proper dental health and dispenses practical advice on maintaining dental hygiene. 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. 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. Links to various Aetna Better Health and non-Aetna Better Health sites are provided for your convenience. Find your plan listed below and click Find a Dentist. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. 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. Copyright document.write(new Date().getFullYear()) Aetna Better Health of Louisiana, All Rights Reserved. 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. Health benefits and health insurance plans contain exclusions and limitations. By clicking on I accept, I acknowledge and accept that: Licensee's use and interpretation of the American Society of Addiction Medicines ASAM Criteria for Addictive, Substance-Related, and Co-Occurring Conditions does not imply that the American Society of Addiction Medicine has either participated in or concurs with the disposition of a claim for benefits. The American Medical Association (AMA) does not directly or indirectly practice medicine or dispense medical services. You are now being directed to the CVS Health site. 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. Periodontists: these dentists specialize in treating complex cases of gum disease, along with other infections or problems involving the tissues that support the teeth. You are now being directed to CVS Caremark site. Click here to let us know so we can fix it. You'll find these doctors with the label "Quality Care," "Effective Care" or both in your search. SELECT A DIRECTORY. 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. The HMO plan is ideal for employers in urban locations who want to offer simple, convenient care with fixed, predictable costs. Aetna international | International Medical Insurance 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. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Helping you find the right doctor for you. Youd likely go to an oral surgeon if you have an impacted wisdom tooth or need another type of other complicated extraction. If you are in New Jersey, check your status by going to the Aetna Assure Premier Plus provider search page. Oncology treatment plans must be submitted to NantHealth via their web portal, Eviti Connect, which will expedite clinical review of any chemotherapy, radiation therapy, or supportive medications that require prior-authorization. You may opt out at any time. Providers may not balance bill members who do not have cost-share responsibility (including QMB-only). Dr. Shannitta Bridgers is a pediatric dentist at Highland Pediatric Dental in Fayetteville, SC. Vision Provider Locator 1999- Aetna Better Health of Maryland Dental Provider Search - Avesis Some subtypes have five tiers of coverage. Please consult with the respective plan detail page for additional plan terms. Or they can help you find a provider. 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 call Aetna Better Health of Louisiana Member Services at 1-855-242-0802, TTY 711, 24 hours a day, 7 days a week. 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. 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. Each main plan type has more than one subtype. 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. You are now being directed to CVS Caremark site. Provider Directory Aetna Better Health of Pennsylvania. From there, you can search for providers and specialists, like dentists, eye doctors, therapists, dermatologists and more. In the event that a member disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision. PA requirements are both Yes and No, as specified on the PA List. Participating Providers: To determine if prior authorization (PA) is required, enter Be sure to check your email for periodic updates. Aetna Better Health of Maryland Medicaid Dental Provider Search - Avesis Please note that providers listed in this directory may perform services that are not covered by your health plan. 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).