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. Check your participation status using the provider search tool. 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). 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. 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. In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members. No fee schedules, basic unit, relative values or related listings are included in CPT. Be sure to check your email for periodic updates. The information you will be accessing is provided by another organization or vendor. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept". 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. CPT is a registered trademark of the American Medical Association. WebAetna Better Health of Maryland Medicaid Dental Provider Search. 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. 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. You start saving within 72 hours of joining a plan (no long waits before you , https://www.aetnadentaloffers.com/find-a-dentist, Health (1 days ago) WebAetna 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. Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider. LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). Participating Providers: To determine if prior authorization (PA) is required, enter LIBERTY makes certain language assistance services available to you at no cost. Links to various non-Aetna sites are provided for your convenience only. Enter Location The path to healthy starts here. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept". Health Insurance Plans | Aetna Aetna has one of the nation's largest dental networks, with more than 200,000 participating dental practices, making it easy to find a great dentist or specialist near you. 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 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. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. The ABA Medical Necessity Guidedoes not constitute medical advice. You are now being directed to the CVS Health site. Or they can help you find a provider. Find a Doctor :: State of Illinois - Aetna HMO | Aetna Health Plans Links to various non-Aetna sites are provided for your convenience only. Dental Providers: Register now for AetnaDental.com Medical Providers: Register for Aetna's Provider portal on Availity: Provider site; Please america; Search. . 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. Please note also that the ABA Medical Necessity Guidemay be updated and are, therefore, subject to change. 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. Applicable FARS/DFARS apply. Or they can help you find a provider. 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 online provider directory is updateddaily. 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. Copyright document.write(new Date().getFullYear()) Aetna Better Health of Illinois, All Right Reserved. License to sue 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. 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. Please note that providers listed in this directory may perform services that are not covered by your health plan. 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. Your Plan: Your Plan: Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Pediatric Dentists: provide dental care for children and young adults. 2. Members should discuss any Dental Clinical Policy Bulletin (DCPB) related to their coverage or condition with their treating provider. Please contact Eviti Connect at. Best Aetna Pediatric Dentists Near Me | Zocdoc Members should discuss any matters related to their coverage or condition with their treating provider. This list is updated nightly. 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. Disclaimer of Warranties and Liabilities. 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. Choose from the largest directory of in-person & video visit providers in the nation. Category: Health Detail Health. We update our provider directory nightly. 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. This search will use the five-tier subtype. You can further filter the search results by adding a specific dentist . You are now being directed to the CVS Health site. Special promotions including, but not limited to, additional months free are not available to California residents or on Fully Insured Plans. CPT only copyright 2015 American Medical Association. Others have four tiers, three tiers or two tiers. Exploration our provider manuals for find resources concerning Aetna policy guidelines that explain how to work with us. Used with express permission. 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. Aetna Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits and do not constitute dental advice. Find your plan listed below and click Find a Dentist. This Aetna provider directory includes all Aetna participating providers, including both medical providers and dental providers. Please note also that Dental Clinical Policy Bulletins (DCPBs) are regularly updated and are therefore subject to change. and you keep saving there is no maximum annual spending limit! 2023 DentalPlans.com, Inc. All Rights Reserved. #2020 . This information helps us provide information tailored to your Medicare eligibility, which is based on age. For Use by Doctors and Facilities only. 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. Provider Search is provided solely for the personal, non-commercial use of current and prospective Aetna members and providers. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. We welcome . By clicking on I accept, I acknowledge and accept that: Should the following terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button below labeled "I Accept". ALL inpatient confinements require PA and usually ALL services provided by non-participating providers require PA. PA requirement results are valid as of todays date only. If there is a discrepancy between a Clinical Policy Bulletin (CPB) and a member's plan of benefits, the benefits plan will govern. Others have four tiers, three tiers or two tiers. You are now being directed to the CVS Health site. Aetna Better Health of Maryland Medicaid Dental Provider Search. Find a Doctor, Dentist or Hospital | Aetna No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. 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). You can also get the materials you need in a different language or format. Health (3 days ago) Webfor a provider. Provider/Facility Name OR Specialty is required to continue, Please enter first and last name of Provider, or the name of the facility. 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. 2023 LIBERTY Dental Plan, All Rights Reserved. CPT only copyright 2015 American Medical Association. You'll find these doctors with the label "Quality Care," "Effective Care" or both in your search. Aetna Provider Search - Small Business Benefits | Trustmark All Rights Reserved. Find a Dentist. 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. Your plan may only provide benefits if you obtain a referral from your General Dentist prior to receiving treatment from a Specialist. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. 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. Virginia State Dental Plans | Member Information - DentaQuest The responsibility for the content of Aetna Precertification Code Search Tool is with Aetna and no endorsement by the AMA is intended or should be implied. Click here to request an office transfer. Request an Office Transfer. Aetna Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits and do not constitute dental advice. Besides treating dental conditions, she educates her young patients on the importance of proper dental health and dispenses practical advice on maintaining dental hygiene. For enhanced adults benefit, visit Dental Provider Search to view your dental providers. Thanks! If you have questions, visit our contact us page. All Rights Reserved. You may opt out at any time. CPBs include references to standard HIPAA compliant code sets to assist with search functions and to facilitate billing and payment for covered services. Find an Aetna Dentist in Your Area | Aetna Dentists Near Me For non-participating health care professionals. Click here for additional information regarding benefit coverage. CMS requires providers to take the Model of Care training course (PDF). CPT is a registered trademark of the American Medical Association. Find a Doctor, Dentist or Hospital | Aetna Some subtypes have five tiers of coverage. Let Customer Service know the providers you called. CPT is a registered trademark of the American Medical Association. 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. For children and other Medicaid members, dental providers are available through MCNA. 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. Just call Member Services at 1-866-329-4701 (TTY: 711) to learn more about these services. Links to various non-Aetna sites are provided for your convenience only. Experience and expertise to help our customers and members navigate the complex global health care landscape. License to sue 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. For more details see our Privacy Policy. These directories of Louisianas network providers includes: Enter provider or facility name or select a specialty. CPT only copyright 2015 American Medical Association. Are you looking for free COVID-19 testing providers? Members should discuss any matters related to their coverage or condition with their treating provider. 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. Geographic Search. Just scroll down to "Find local care. All services deemed "never effective" are excluded from coverage. No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM. 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. Important information for Provider Search users who live in California , Colorado , Connecticut , Delaware , Florida . Provider manuals | Manuals | Aetna Better Health of Pennsylvania Aetna expressly reserves the right to revise these conclusions as clinical information changes, and welcomes further relevant information including correction of any factual error. Find a Provider | Aetna Medicaid Medicaid your for low-income and working humans or families, their . Neither Aetna Inc. nor its subsidiaries are Guardian affiliates. If there is a discrepancy between this policy and a member's plan of benefits, the benefits plan will govern. For enhanced adults benefit, visitDental Provider Searchto view your dental providers. There is no obligation to enroll. Treating providers are solely responsible for medical advice and treatment of members. Aetna Better Health - LIBERTY Dental Plan If there is a discrepancy between a Clinical Policy Bulletin (CPB) and a member's plan of benefits, the benefits plan will govern. LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). Helping you find the right doctor for you. Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider. Go to the American Medical Association Web site. Innovative benefits plans with options for medical, dental, vision, and pharmacy 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. Prosthodontists: restore damaged teeth or replace missing ones, with procedures that include dental implants, bridges, crowns and dentures. If you are in New Jersey, check your status by going to the Aetna Assure Premier Plus provider search page. 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. Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider. The American Medical Association (AMA) does not directly or indirectly practice medicine or dispense medical services. Future changes to CPT or Healthcare Common Procedure Coding System (HCPCS) codes that require PA will be communicated by Aetna Better Health Premier Plan in writing and on the homepage of Aetna Better Healths secure web portal. Aetna Better Health. If you are in New Jersey, check your status by going to the Aetna Assure Premier Plus provider search page. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept".
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