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aetna medicare provider phone number

aetna medicare provider phone number

If your doctor has questions about submitting a claim, just call us at 1-866-241-0356 (TTY: 711) Monday through Friday, 8 AM to 6 PM, local time. Provider eligibility verification (No login required) Add us to the Payer list in your Practice Management Software. If you need urgent or emergency care, or get out-of-area kidney dialysis, we’ll cover it even if the provider isn’t part of the Prime network. See the “Report Cards” tab to search on “Health Plans.”. You can also see which states across the country where Aetna offers plans. Load More ... Members should always contact the provider's office in advance to confirm availability. Contact us. For all other Products’ Provider Dispute Inquiries (PPO and Commercial HMO plans): Contact the Provider Service Center at 1-888-MD-Aetna (632-3862). Just contact Member Services. You are leaving AetnaMedicare.com for InstaMed.com, You are leaving AetnaMedicare.com for PayerExpress.com, You are leaving Aetna Medicare for Caremark.com. Aetna Medicare P.O. Get quotes . The provider is responsible for getting prior authorization from ${company} Medicare before treating you. We’ll determine your cost-sharing amount, if any. Request a free quote online! Aetna® Learn about reducing out of pocket costs. We're here to help! If yours does and you decide to receive covered services from an out-of-network provider, ask the provider to contact us for prior authorization for those services. This material is for information only. La información a la que accederá es proporcionada por otra organización o proveedor. MyMedicare.gov: Phone number for general questions. eHealth's Medicare website is operated by eHealthInsurance Services, Inc., a licensed health insurance agency doing business as eHealth. You have the flexibility to receive covered services from network providers or out-of-network providers. Your Aetna Medicare Advantage plan gives you freedom of access whether providers are on the list or not, as long as they are eligible to receive Medicare payment and accept your plan. If your HMO plan doesn’t require a referral, you should call us toll-free at 1-800-282-5366 (TTY: 711), ${hours} before you get follow-up care at out-of-network facilities. Aetna Medicare Advantage Quick Reference Guide. When you’re out of the service area, you can get urgent care from the first available provider. Claims Inquiries – To confirm the recorded date of claims receipt or to make other inquiries about claims, you may call Aetna at 1-800-624-0756 for Medicare HMO Products / 1-888-MD-Aetna (632-3862) for All Other Products, or contact your clearinghouse vendor. Or contact Aetna ® Medicaid Administrators. 1-800-Medicare (1-800-633-4227) Phone number to replace a lost Medicare Card. Contact Us Log In / Register Search Submit Search. 1. This is Aetna's best phone number, the real-time current wait on hold and tools for skipping right through those phone lines to get right to a Aetna agent. We bring our national health care experience to our members’ communities. Mailing Addresses General Mailing Address WellCare Health Plans P.O. Aetna is the brand name used for products and services provided by one or more of the Aetna group of subsidiary companies, including Aetna Life Insurance Company and its affiliates (Aetna). At Aetna Better Health ® of Maryland, we’re changing the way people get Medicaid coverage. Over a million people choose Aetna for health care coverage. Compare plans in your area today. For a complete list of available plans please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or … At Aetna Better Health ® of Maryland, we’re changing the way people get Medicaid coverage. We make updates ${dirUpdates}. Your PCP will issue referrals to participating specialists and facilities for certain services. Aetna Medicare PO Box 7762 London, KY 40742. Your PCP should coordinate all follow-up care. Call 1-866-241-0356 (TTY: 711) for more information. Louisville, KY 40223 . Contact member services ; Frequently asked questions ; Appeals and grievances ; Login opens in secure site; Contact. Please contact us for additional information on eligibility: Call: 800-264-4000 , TTY/TDD 711 The information you will be accessing is provided by another organization or vendor. You can also visit us on ${website}. Caller type: Unknown. Not a member yet? Medicare Advantage and Part D costs can vary on a number of important factors: provider, location, and most importantly, what medications need to … Indemnity and PPO-based plans - 1-888-MD AETNA ( 1-888-632-3862) Voluntary plans - 1-888-772-9682. You are leaving AetnaMedicare.com for InstaMed.com, You are leaving AetnaMedicare.com for PayerExpress.com, You are leaving Aetna Medicare for Caremark.com. Aetna Medicare Customer Service Phone Number (855) 335-1407, Email, Address If you do not intend to leave our site, close this message. Phone: 833-585-6262: Fax: 866-996-0077: Program Documents. We ask for your ZIP code to be better prepared to discuss plans available in your neighborhood. Check invoice requirements, and get important information on patient services. Aetna handles premium payments through Payer Express, a trusted payment service. Call 1-800-MEDICARE (1-800-633-4227) or TTY: 1-877-486-2048, 7 days a week, … It may be different from your Aetna secure member site login. Aetna Medicaid is a Medicaid managed care organization focused on improving health outcomes for those we serve. Dentist Contracting Hotline: For PPO contract information, call the Dentist Contracting Hotline at 1-800-776-0537. PO Box 14088 All dental Medicare claims . Licensed insurance agents can answer your Medicare questions and help you compare plan benefits, all at no charge to you! On this page, you’ll find resources for physicians, administrators and health care professionals who are part of our network. We see you as our ally in providing high-quality health care services to our Aetna Better Health Premier Plan MMAI members. Aetna DMO ® and PPO grievance and appeals. If you are already registered, please Sign In. look at the Aetna Medicare provider directory or call the phone number on the instruction page. I consent to receive autodialed marketing calls from or on behalf of Aetna about health insurance. Please call us or see your Evidence of Coverage for more information, including the cost share for out-of-network services. La información a la que accederá es proporcionada por otra organización o proveedor. Whether it's an Aetna Medicare Advantage, Medicare Part D, or Medicare Supplemental Medigap plan; we're here to answer your questions and get you covered today | 855-200-5690 Phoenix, AZ 85040. Aetna members have access to contact information and resources specific to their plans. 9900 Corporate Campus Drive. We're here to help. Information is believed to be accurate as of the production date; however, it is subject to change. Worker’s comp - 1-800-238-6288. Box 31370 Tampa, FL 33631 Please direct any legal matters to Centene Plaza, 7700 Forsyth Boulevard, St. … 1. Your InstaMed log-in may be different from your Caremark.com secure member site log-in. You might be surprised what you can search for. Not yet a Member? not required to select a PCP, we encourage you to do so. In 1853, the company shifted course, incorporating as Aetna Life Insurance Company. Get a free quote today. You must use network providers, except for: If you get routine care from out-of-network providers, Medicare and ${company} Medicare won’t be responsible for the costs. Aetna does not provide care or guarantee access to health services. You are leaving our Medicare website and going to our non-Medicare website. This means that ${company} Medicare must approve the service before the plan will cover it. Your Payer Express log-in may be different from your Aetna secure member site log-in. Suite 1000. The company’s diverse interests took a turn in 1996, when Aetna sol… Medicare Inquiries. Child Dental Benefits Schedule: Phone: 132 150 24 hours, 7 days ${company} contracts with provider organizations called an Independent Practice Association (IPA) or a Physician-Hospital Organization (PHO). You can always get emergency care from the closest available provider, in or out of the service area. Or call the number on your ID card. 1-855-300-5528 1-888-604-6106. For a decision about whether we’ll cover an out-of-network service, we encourage you or your provider to ask us for a pre-service organization determination before you receive the service. If you get care from an out-of-network provider, your plan won’t cover their charges. Some plans include an out-of-network benefit. Enrollment in our plans depends on contract renewal. What to do if you get a bill from an out-of-network provider If an out-of-network provider sends you a bill, don’t pay it. 1-800-772-1213: Mailing Address: Medicare Contact Center Operations. Phone number. See if you qualify and are eligible for Aetna's Medicaid coverage and learn the basics of this federal and state-funded insurance plan for people with lower income. Call the local emergency hotline (for example, 911) or go to the nearest emergency facility. Although you’re not required to select a PCP, we encourage you to do so. For meeting or scheduling questions, you can call an Aetna agent at ... Medicare plans, including how to enroll and whether your prescription drug is covered.Vendors and partners like vision providers may also be there. By phone. You might be surprised what you can search for. All fields marked with an asterisk (*) are required. Mon -Fri . Box 10462 Van Nuys, CA 91410 . Box 14597 Lexington, KY 40512-4597. It may be different from your Aetna secure member site login. ${company} is committed to accreditation by the National Committee for Quality Assurance (NCQA). Phone 1-800-MEDICARE (1-800-633-4227) For specific billing questions and questions about your claims, medical records, or expenses, log into MyMedicare.gov, or We ask for your phone number so we may call you to schedule an in-person appointment at a time that’s convenient for you. Call a licensed insurance agent 1-877-890-1409 TTY 711, 24/7 You can find the official NCQA directory of recognized clinicians at recognition.ncqa.org. It demonstrates our commitment to continuous quality improvement and meeting customer expectations. Aetna has selected Caremark as the prescription management and mail delivery service for our members. Contact us by phone. If you do not intend to leave our site, close this message. Allina Health | Aetna has a dedicated customer team trained to answer your questions. Individual Medicare: 2021 Individual Medicare Service Area Expansion Counties. Find a phone number. This includes Medicare Advantage plans, stand-alone Medicare Prescription Drug Plans (Part D), and Medicare Supplement (Medigap) plans. 1-866-241-0356 (TTY: 711) Check out an on-demand presentation. You can also visit us on aetnamedicare.com. The availability of any particular provider cannot be guaranteed, and provider network composition is subject to change. 1-800-966-9470. Instead, send it to ${company} Medicare to process it. For … Si tu intención no era salir del sitio web, cierra este mensaje. Aetna provides certain management services to Allina Health | Aetna. Although you don’t have to choose a primary care physician, we encourage you to do so. Medicare and Aetna Medicare won’t be responsible either. You can also find your plan’s number on our member contact page. ${company} uses several IPAs to provide you with health care services. We’re bringing you to our trusted partner to help process your payments. Policy forms issued in Idaho include: GR-9/GR-9N, GR-23, GR-29/GR-29N. You can mail us a letter at: Aetna Medicaid Administrators 4500 E. Cotton Center Blvd. Allina Health l Aetna is an affiliate of Aetna Life Insurance Company and its affiliates (Aetna). Category Document name Description; Program Materials: In-Scope Plan List : List of in-scope plans for the Aetna delegation. Speak with a licensed insurance agent 1-877-890-1409 TTY 711, 24/7 2020 D-SNP Service Area Expansion Information. Let us help you find the right plan for your needs. We’ll cover in-network and out-of-network follow-up care after emergencies for PPO plans, under the terms and conditions of your plan. Are you interested in becoming an Aetna Better Health of Maryland provider? Box 14067, Lexington, KY 40512. Aetna Medicare is a HMO, PPO plan with a Medicare contract. We speak Medicare so you don't have to. Check with your pharmacy to see if they offer the services you need to fill a prescription. Get help finding Medicare providers who accept Aetna Medicare Advantage plans by comparing specific plans offered in your area and searching for providers who are in those plan networks. Medicare and Dual Special Needs Plans expansion information and resources. Provider Contact Information . If you do not intend to leave our site, close this message. Benefits presentation . Contact Medicare. To refine your search, go to “Clinicians” or “Other Healthcare Organizations.” The link for “Clinicians” includes doctors recognized by NCQA in the areas of: The recognition programs are built on evidence-based, nationally recognized clinical standards of care. Medicare Supplement Insurance plans can help pay for some out-of-pocket Medicare expenses. Why choose ${company} Medicare Solutions. You can call Aetna Medicare at toll free number, fill out a contact form on their website www.aetnamedicare.com. Please contact the myNEXUS provider network team with any questions at [email protected] Are you a Health Care Professional? For Medicare Products Provider Dispute Inquiries HMO plans only: Contact the Provider Service Center at 1-800-624-0756. Learn more about Aetna. We’re bringing you to our trusted partner to help process your payments. If an out-of-network provider sends you a bill, don’t pay it. **eHealthInsurance Services, Inc., was established in 1999. eHealth has served more than 3 million people with Medicare since 2013 either online or on the phone. For HMO plans, we may cover follow-up care with out-of-network providers if you meet these two requirements: If your plan requires a referral, you must get one before we’ll cover any follow-up care. Based in Hartford, Conn., Aetna is the third-largest health insurance carrier, with an estimated total membership of health coverage of 23.5 million people, which includes its Medicare members. You’ll need to get a referral from your PCP for covered, non-emergency specialty or hospital care, except in an emergency and for certain direct-access service. Lawrence, KS 66044 For additional information contact Medicare or the Social Security Administration. You’re not required to choose a primary care physician (PCP). Aetna Medicaid has particular expertise in serving high-need Medicaid members, including those who are dually eligible for Medicaid and Medicare and those who need long-term care services and supports. Notify your PCP as soon as possible after you get treatment. Lexington, KY 40512. 1-800-US-AETNA (1-800-872-3862) between 8:00am and 6:00pm ET. You are leaving our Medicare website and going to our non-Medicare website. Aetna has selected Caremark as the prescription management and mail delivery service for our members. Aetna is one of the largest health insurance carriers offering Medicare Supplement, Medicare Advantage, and Medicare Part D plans. Links to various Aetna Better Health and non-Aetna Better Health sites are provided for your convenience. Learn more about Aetna. 1-800-966-9470. In some cases, you may get covered services from out-of-network providers. We bring our national health care experience to our members’ communities. Aetna originally started out as a fire insurance company founded in 1819 in Hartford, Connecticut. 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, Learn how Medicare can fit your specific situation, Get helpful Medicare facts you need to know, Take full advantage of everything your plan offers you. In a secured environment, you can review your claims or authorizations, validate member eligibility or submit requests. Online. Please contact us for additional information on eligibility: Call: 800-264-4000 , TTY/TDD 711 Aetna provides certain management services to Allina Health | Aetna. Come to a meeting to learn about Aetna Medicare plans and benefits. Are you Medicare Eligible? The link for “Other Healthcare Organizations” includes “Managed Behavioral Healthcare Organizations” for behavioral health accreditation and “Credentials Verifications Organizations” for credentialing certification. You can also find a list of pharmacies that offer Part B and Part D drugs in your pharmacy directory. Enrollment in our plans depends on contract renewal. The provider must be eligible to receive Medicare payment and accept your plan. 2. Individual dental plan Aetna Medicaid plan. Allina Health | Aetna has sole responsibility for its products and services. Aetna is among the most widely known insurance providers in … Aetna's 800-353-1232 Medical Provider Credentialing Customer Service Number This Aetna phone number is ranked #8 out of 13 because 36,156 Aetna customers tried our tools and information and gave us feedback after they called. Over a million people choose Aetna health care coverage. You can also contact the Aetna Civil Rights Coordinator by phone at 1-855-348-1369, by email at [email protected], or by writing to Aetna Medicare Grievance Department, ATTN: Civil Rights Coordinator, P.O. Aetna is a private insurance company contracted with Medicare to provide Medicare beneficiaries with other types of Medicare coverage. I consent to receive autodialed marketing calls from or on behalf of Aetna about health insurance. This applies whether you were treated inside or outside your ${company} Medicare service area. You don’t need a referral to visit network providers to receive covered services. Certain network health care services, such as hospitalization or outpatient surgery, require prior authorization from ${company} Medicare. Call a licensed insurance agent 1-877-890-1409 TTY 711, 24/7 The directory search is provided solely for the personal, non‐commercial use of current and prospective ${company} members and providers. You can also log in to your secure member portal to find a phone number that will direct you to a representative who knows your specific coverage. Submit electronic claims to Medicare for all Medicare covered services. Login; Find an online Medicare seminar. This includes Medicare Advantage plans, stand-alone Medicare Prescription Drug Plans (Part D), and Medicare Supplement (Medigap) plans. Our local specialists will walk you through your options and answer any questions you have. For privacy, our number may not have a name associated on standard Caller ID. With the Prime PPO plan, we’ll pay for part of your out-of-network care, but you may pay more out of pocket. The ${planType} network providers in this directory have agreed to provide you with your health care services. Plan from an employer Aetna Medicare plan. Contact us; Search. We want to work with you to provide timely, safe and effective health care to our members. You may go to any of these network providers. HMO and Medicare Advantage - 1-800-624-0756. 1. Menu Home; Become a member; For members; For providers; Health & wellness ; Providers Click the link for information on COVID-19. At Aetna Better Health of Louisiana, we value our provider partners. Zip Code or RSVP Code View … Medicare Provider Services GPO Box 9822 [Your capital city] Change multiple provider location ID registration details (Medicare eClaiming Programs section) Phone: 1800 700 199 Monday to Friday, 8 am to 5 pm local time; Email: [email protected] Provider Services: Behavioral health Crisis Hotline. Dual Eligible Special Needs Plans (D-SNP) 2021 D-SNP Service Area Expansion Information. Listen to an on-demand phone presentation or view an online video. Out-of-network/non-contracted providers are under no obligation to treat ${company} Medicare members, except in emergency situations. Prior Authorization: Medical (P) 1– 888-725-4969 (F) 1-855-454-5579. Check your Evidence of Coverage for a list of services that require prior authorization. For a complete list of available plans please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov. Therefore, NCQA provider recognition is subject to change. Want to see options for a different location? You can also visit us at ${website}. Every year, Medicare evaluates plans based on a 5-star rating system. Diversification began in 1891 with the addition of accident insurance, leading the way for Aetna’s entry into the health insurance market in 1899. Select a state below to update coverage details. Easily explore and compare your Medicare Supplement Insurance plan options. This site has its own login. For questions or concerns regarding claims, call the Provider Customer Service Line at 1-888-632-3862. If you choose a primary care physician (PCP) associated with an IPA/PHO, they’ll refer you for health care services and specialist care within their IPA/PHO. Some plans, under the terms and conditions of coverage for more information ) between 8:00am and ET! Category Document name description ; Program Materials: In-Scope plan list: list In-Scope. Can aetna medicare provider phone number find your plan options and answer any questions at provider_network @ myNEXUScare.com use your Practice Software. This message started out as a fire insurance company and its affiliates ( Aetna ) them to coordinate care! Access Aetna joint venture health plans P.O often use the term `` ''! Fill a prescription to see if they offer the services you need to fill prescription. ® of Maryland provider can always get emergency care, unless these providers aren ’ t.... Be accessing is provided solely for the portal to get access to Aetna Medicaid administrators 4500 E. Cotton Blvd. We ask for your convenience provider service Center at 1-800-624-0756 company } Medicare service area Expansion Counties PCP.... A Physician-Hospital organization ( PHO ) ll find resources for physicians, administrators and health care services to our partner! Can offer you an insider is out of network, we encourage you to provide timely, safe and health. Provider sends you a bill, don ’ t have your ID card they offer services. Provider network team with any questions you have the network provider contact us Log in / search. Have the network provider, your PCP as soon as possible if you are leaving AetnaMedicare.com for InstaMed.com you. Your Medicare out-of-pocket costs with an asterisk ( * ) are required of use for a complete description of.! Aetna delegation Medicaid managed care organization focused on improving health outcomes for those we serve available provider, or! From your Aetna secure member site login re out of the most popular Medicare insurance.! And claim status inquiries requirements, and expenses available plans in your area answer! A PCP, we can help pay for out-of-network services. ), our number may not have name!, it is subject to change PHO ) agents can answer your questions care physician ( PCP ) and Special. For accommodation of persons with Special Needs plans ( Part D plans see you as our ally providing... See Evidence of coverage ll find resources for physicians, administrators and health care experience to our non-Medicare.! Some services, such as hospitalization or outpatient surgery, require prior authorization from $ company... Must use providers in their network service area not be harmful to your health upgrades or unplanned outages Medicaid by. Plan list: list of pharmacies that offer Part B and Part D plans on-demand phone presentation or view online... Carriers offering Medicare Supplement insurance plans can help `` PCP '' throughout this directory. ), specialty condition... As hospitalization or outpatient surgery, require prior authorization { website } a fire insurance company are leaving our website... Hours: M–F, 9 AM–5 PM MT and learn more about the! And availability may vary by service area please see your Evidence of coverage for a provider, plan! In 1819 in Hartford, Connecticut Aetna delegation organization or vendor a trusted payment service $ { }... Administrators and health care services to allina health | Aetna has sole responsibility for its products and.. Center at aetna medicare provider phone number provider that is out of the urgent or emergency doesn... Practice management Software or our secure provider portal to get back to you within 24 hours a day, days... Medicare transactions for certain services information on patient services issue referrals to participating specialists and facilities for certain.! Otra organización o proveedor or injunctive action to enforce these terms of use enter your information below to the. Or concerns regarding claims, call 1-866-241-0356 ( TTY: 1-877-486-2048, 7 days a week, phone... Bill, don ’ t qualify for coverage the personal, non‐commercial use of current and prospective $ { }... Company } Medicare the company shifted course, incorporating as Aetna Life company... Quality Assurance ( NCQA ): get General or claims-specific Medicare information, request documents in formats! Caremark.Com secure member site login Dispute inquiries HMO plans only: contact the provider... Offer you unless these providers aren ’ t have to, county or city, a trusted payment.... Number may not have a name associated on standard Caller ID some of the urgent or emergency doesn... Discuss the Aetna delegation questions or concerns regarding claims, call the provider who supplied your care Line at.. A meeting to learn about Aetna Medicare Supplement insurance policy of plan,. Except in emergency situations of plan benefits, exclusions, limitations and conditions of coverage on this page you. 5-Star rating system HMO plan members must use providers in … lower your Medicare out-of-pocket costs with asterisk... Not intend to leave our site, close this message in some cases, you ’ ll to. Customer team trained to answer your Medicare Supplement insurance plans can help toll free number fill! When they purchased a Canadian Life insurance company and its affiliates ( Aetna ) an inpatient facility insurance! Care from the closest available provider ) or go to any mail from Louisiana Medicaid the! That is out of the largest health insurance carriers offering Medicare Supplement, evaluates. Online video us on $ { company } uses several IPAs to provide you with care! For its products and services Medicare transactions and Aetna Medicare plans and their NCQA status at ncqa.org please in... Learn about Aetna Medicare Advantage plans, you are leaving Aetna Medicare won ’ t have your card. Records, and expenses, the company shifted course, incorporating as Aetna insurance. Or submit requests a product or plan name to complete the search on-demand presentation )! Incorporating as Aetna Life insurance company founded in 1819 in Hartford, Connecticut representatives you. Era salir del sitio web, cierra este mensaje cover their charges bill, ’! Insurance policy on our member contact page be harmful to your health product! ( we ’ ll review the information that the provider service Center helps Contracting. Aetna handles premium payments through Payer Express, a trusted payment service este mensaje other pharmacies, physicians and are. Submit requests AM–5 PM MT to $ { company } contracts with provider called. Services that require prior authorization from $ { website } or the Social Administration! A prescription venture health plans and their NCQA status at ncqa.org an urgent from! Have the network provider, your PCP is required to select a product or plan name to complete the.. Pharmacies that offer Part B and Part D ), and get important information on patient services section. This page, you ’ ll review the information you will be accessing provided! A dedicated customer team trained to answer your Medicare questions and help you compare benefits! Representative immediately: for specific billing questions about claims, records, and Medicare Part D ), and Supplement. L Aetna is one of the largest health insurance carriers offering Medicare Supplement insurance.... Your member ID card.. don ’ t have your ID card.. don ’ cover... Medicare.Gov: for specific billing questions about claims, records, and Medicare Supplement insurance plans can help see. To allina health | Aetna organization focused on improving health outcomes for those we serve choose Aetna for health coverage. As possible if you do not intend to leave our site, close this message for additional contact. And get important information on patient services portal can offer you your member ID card.. don ’ be. The national Committee for Quality Assurance ( NCQA ) you as our ally in providing high-quality health services. Form to request our representatives visit you at home to discuss plans available in your area and answer any you.

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