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aetna better health dental provider search28 May aetna better health dental provider search

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. 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. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. Unlisted, unspecified and nonspecific codes should be avoided. Links to various non-Aetna sites are provided for your convenience only. If you have questions, visit our contact us page. Avsis provides vision and dental claim and administrative services by agreement with Aetna Inc. 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. The dental discounts are available through participating healthcare providers only. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. 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. Find your plan listed below and click Find a Dentist. 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. The NJFC Directory of Dentists Treating Children under the Age of 6. In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members. 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). Hospitals, long-term care facilities and skilled nursing facilities for rehabilitation, mental health facilities, Federally Qualified Health Centers and Rural Health Centers. 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 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. If there is a discrepancy between a Clinical Policy Bulletin (CPB) and a member's plan of benefits, the benefits plan will govern. You will receive the discount off the providers usual and customary fees when you pay. CPBs include references to standard HIPAA compliant code sets to assist with search functions and to facilitate billing and payment for covered 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. Dr. Shannitta Bridgers is a pediatric dentist at Highland Pediatric Dental in Fayetteville, SC. Copyright 2015 by the American Society of Addiction Medicine. You can also get the materials you need in a different language or format. 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. Some subtypes have five tiers of coverage. Search result definitions: NOTE: When selecting by CPT group, the results displayed include CPT codes where Links to various non-Aetna sites are provided for your convenience only. Best viewed in Microsoft Internet Explorer 6 and higher, resolution 1280x800. 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. 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. 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). 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. Use of any robot, spider or other intelligent agent to copy content from Provider Search, extract any portion of it or otherwise cause Provider Search to be burdened with unwarranted high access or transaction activity . 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). logo Aethna Better Health of West Virginia. AetnaDentalOffers.com is brought to you by DentalPlans.com. Meritain Health's Aetna DocFind site 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 member's benefit plan determines coverage. Please note also that the ABA Medical Necessity Guidemay be updated and are, therefore, subject to change. Please refer to your Summary Plan Description (SPD) for an outline of your plan's covered benefits . By providing us with your email address, you agree to receive email communications from Aetna until you opt out of further emails. Visit our Medicare page for more DSNP resources, including cost-share information. The ABA Medical Necessity Guidedoes not constitute medical advice. Used with express permission. 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). list of CPT or HCPCS codes to only those requiring PA, please check the box labelled Include only CPT or HCPCS codes where PA is required?. Filter Type: All Symptom Treatment Nutrition Dental Services Aetna Medicaid New Jersey . No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM. Each plan has its own provider network. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. 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. These directories of Louisianas network providers includes: Enter provider or facility name or select a specialty. For non-participating health care professionals. LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). Health Insurance Plans | Aetna #2020 . 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. Should the following terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button below labeled "I Accept". By submitting your information you are agreeing to receive communications from Aetna Dental Offers. Go to the American Medical Association Web site. Aetna's conclusion that a particular service or supply is medically necessary does not constitute a representation or warranty that this service or supply is covered (i.e., will be paid for by Aetna). Vision Provider Locator Click here for additional information regarding benefit coverage. Others have four tiers, three tiers or two tiers. 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. ", Provider/facility name OR specialty is required to continue. Network applications (behavioral health, dental, facility, and pharmacy) Practice changes and provider termination. No fee schedules, basic unit, relative values or related listings are included in CPT. It provides coverage for a wide range of dental services, including . Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. Please be sure to add a 1 before your mobile number, ex: 19876543210. Visit the secure website, available through www.aetna.com, for more information. CPT only Copyright 2022 American Medical Association. The AMA is a third party beneficiary to this Agreement. Aetna Better Health Providers Pa 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. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. 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. Health benefits and health insurance plans contain exclusions and limitations. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Need a new dental office home? Neither Aetna Inc. nor its subsidiaries are Guardian affiliates. When billing, you must use the most appropriate code as of the effective date of the submission. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept". Prosthodontists: restore damaged teeth or replace missing ones, with procedures that include dental implants, bridges, crowns and dentures. 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. In the event that a member disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision. Stay up-to-date with todays latest health care trends. 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. All Rights Reserved. Besides treating dental conditions, she educates her young patients on the importance of proper dental health and dispenses practical advice on maintaining dental hygiene. 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. Choose the type of plan you're interested in to search for health care providers that accept it. 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). All DSNP plans are required to have an approved Model of Care. Treating providers are solely responsible for medical advice and treatment of members. 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. Innovative benefits plans with options for medical, dental, vision, and pharmacy coverage. Treating providers are solely responsible for dental advice and treatment of members. Links to various non-Aetna sites are provided for your convenience only. 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. The HMO plan is ideal for employers in urban locations who want to offer simple, convenient care with fixed, predictable costs. 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. If your patient has primary Medicare coverage outside of Aetna Better Health Premier Plan, please call the Medicare plan for benefits and authorization requirements. 2/22). Learn more about our dental advantages. 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 . Please note also that Clinical Policy Bulletins (CPBs) are regularly updated and are therefore subject to change. All Rights Reserved. For more details see our Privacy Policy. 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. 2022 Dual Eligible Special Needs Plans (DSNPs) information, Required Centers for Medicare & Medicaid Services (CMS) training, Please be sure to add a 1 before your mobile number, ex: 19876543210, Precertification lists and CPT code search, OfficeLink Updates Newsletters Medicare Updates, Aetna Better Health of Virginia provider search page, Aetna Assure Premier Plus provider search page. Please note also that the ABA Medical Necessity Guidemay be updated and are, therefore, subject to change. A DSNP is a special type of Aetna Medicare Advantage Prescription Drug (MAPD) plan. Looking for a local dentist? Do you want to continue? DocFind - Aetna Aetna expressly reserves the right to revise these conclusions as clinical information changes, and welcomes further relevant information including correction of any factual error. A new version of our find a dentist tool is now available for Virginia members! 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. 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. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept". Each main plan type has more than one subtype. While the Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. 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. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. You are now being directed to the CVS Health site. 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.

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