For others, request to use the Aetna logo. Where can I locate my Medicare group number? What is my Aetna ID number? Where is my policy number on my insurance card? 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. 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. Note: Download the Aetna Mobile App for faster, easier access to your Member ID Card. Back of card. What is the difference between a medical insurance card and an insurance card for pharmaceutical benefits? Aetna is not the most trustworthy health insurance company, all things considered. Hartford, CT 06156 If youre the policyholder, the last two digits in your number might be 00, while dependents might have numbers ending in 01, 02, etc. 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. In seconds, it will get you to the right person to help you. The member's benefit plan determines coverage. The corporate headquarters phone lines are staffed Monday through Friday, 8 AM to 6 PM ET. LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). These numbers are located on the front of your member ID card, immediately to the left of the eligible members name. CPT is a registered trademark of the American Medical Association. It is doubtful that your group health insurance number will appear on the back of your card, as the cards front contains all of the most significant information. 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. Your health insurance ID card is your proof of insurance. This search will use the five-tier subtype. Aetna Inc. 151 Farmington Avenue. Aetna Inc. 151 Farmington Avenue. But and its important: NAP doctors are NOT in-network for your plan. Our official Aetna customer service Twitter representatives are here to help, listen and learn from you. You might look at your Medicare card and wonder New and revised codes are added to the CPBs as they are updated. Home Riding and Health Question: How To Read Aetna Health Insurance Card. Please select Member ID to continue. Our phone service can help with: Answering eligibility and benefits coverage questions. Which type of insurance is probably the most neglected form of available insurance protection? Treating providers are solely responsible for medical advice and treatment of members. Members can go to www.Aetna.com and Log into your account. Then, navigate to the ID card portion of your member-only website. Visit the secure website, available through www.aetna.com, for more information. ", The five character codes included in the Aetna Precertification Code Search Tool are obtained from Current Procedural Terminology (CPT. For current employers, health care professionals and producersget the Aetna logo. Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider. CPT only copyright 2015 American Medical Association. For example, if you have health insurance through your spouses health insurance plan, he or she is the primary subscriber. What is my Aetna ID number? See all of the ways you can contact us What is a policy number? The insurance company name and plan type are in the top header of the card. View digital copy or choose to print out a replacement copy. Your PCP can be altered at any time. Need help finding your Member ID? Your health insurance policy number is typically your member ID number. Applicable FARS/DFARS apply. The expense might not 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. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. 1-800-US-AETNA ( 1-800-872-3862) (TTY: 711) between 8:00 AM and 6:00 PM ET. What policy number is shown on an Aetna insurance card? 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. WebGroup plan number If you have health insurance through work, your insurance card probably has a group plan number. Member ID/Policy Number. 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. WebCall us. As the proprietor of an independent insurance agency, you will enjoy complete independence. Aetna Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits and do not constitute dental advice. Type of outofarea coverage Plan Code: See page 2 for plan code information. Medical card example: To process a prescription for medicine, pharmacies often require a pharmacy benefits card, which has a RxGroup, RxPCN, and RxBIN number in addition to the Member ID number. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. Where Can I Find My Aetna Insurance Cards Policy Number? 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). WebCall us. 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). Not all insurance cards have a group plan number. Check the back of your card first, as it is not usually on the front! This number is always displayed on the cards front. What is the GRP acronym? Gross Point of Rating. That number is 1-877-261-9951 (TTY:711) . 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. Checking the status of a claim. Checking the status of a claim. 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. You may call the toll-free number on your member ID card at any time. 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, Coventry Health and Life Insurance Company and their affiliates (Aetna). Contact us if you are experiencing problems, and we will assist you. Employers can also locate the company's group number on No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM. Members should discuss any Dental Clinical Policy Bulletin (DCPB) related to their coverage or condition with their treating provider. Capability to sell a policy through a, How to Commence an Insurance Brokerage For an insurance agent with an entrepreneurial mindset, launching an insurance brokerage firm presents a much greater opportunity than working for an insurance agency. When you register, please enter the complete ID number, including all letters and numbers. In the event that a member disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Our voice prompt service offers a choice of options for everyday questions. Applicable FARS/DFARS apply. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Some subtypes have five tiers of coverage. Not all insurance cards have a group plan number. If you do not intend to leave our site, close this message. WebFor general inquiries, reach our corporate headquarters at 1-888-US-AETNA ( 1-800-872-3862) (TTY: 711). If you purchased your insurance through the health exchange you might not have a group number. Information on Your Health Insurance Card Insurance company name. Visit www.Aetna.com and click Log In or Register to have access to the Aetna Navigator. If its not there, check the back of the card. To inquire about the status of your enrollment with Aetna, dial 1-800-282-5366 and select option 1. How to start a insurance broker business? The National Advantage Program (NAP) offers you access to Aetna-contracted rates for many hospital and doctor expenses that would otherwise be billed at the providers normal rate. Member name and number. The policy number is usually located on the front of the card, near the top. 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. Always provide your Member ID Card while visiting a medical institution or doctor. 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. All services deemed "never effective" are excluded from coverage. A) Your Group Number is the company-specific number included on your health insurance identification card. Your PCP can be altered at any time. Some subtypes have five tiers of coverage. The responsibility for the content of this product is with Aetna, Inc. and no endorsement by the AMA is intended or implied. Aetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. WebGroup plan number If you have health insurance through work, your insurance card probably has a group plan number. It usually only appears on insurance cards that registered employers provided. See Also: Aetna insurance card policy number Show details 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. Primary care networks (PCNs) are clusters of practitioners that collaborate to concentrate patient treatment locally. Types of Health Insurance Cards. 1-800-US-AETNA (1-800-872-3862) (TTY: 711) between 8:00 AM and 6:00 PM ET. For questions about pharmacy or Aetna Rx Home Delivery, call 1-800-227-5720 (TDD: 1-800-823-6373). 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. The percentage of costs of a covered health care service you pay (20%, for example) after youve paid your deductible. They do not have access to member accounts but they can provide Aetna Member Services contact information. The majority of pharmacy cards will have all four numbers (Member ID, RxGroup, RxPCN, and RxBIN), although there are a few plans that do not include all four digits but are still approved. So if you purchased your insurance through the Healthcare Market or have a government-based plan such as Medicare, you may not see a group No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. How much does candid cost with insurance? Some individuals may have a single insurance card that covers both medical expenditures (such as visits to the doctor or hospital) and pharmacy benefits (to pay prescriptions), although these are often two distinct cards with unique identifying numbers. We want to make it easier for you to live healthier. Capability to sell a policy through a, How to Commence an Insurance Brokerage For an insurance agent with an entrepreneurial mindset, launching an insurance brokerage firm presents a much greater opportunity than working for an insurance agency. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. If you have just Original Medicare, you do not have a group number; nonetheless, your 11-digit Medicare number is printed on your red, white, and blue Medicare card. Additionally, you can contact Member Services of your insurance company (their phone number is typically on the back of your insurance card). If you cant find your insurance card, dont Preview / Show more . You are now being directed to CVS Caremark site. Members can go to www.Aetna.com and Log into your account. Webnumber is listed on the back of your Aetna ID card. Information on your health insurance card and an insurance card: Download the Aetna Precertification Code Tool... Immediately to the left of the eligible members name she is the company-specific number included on your ID. Card is your proof of insurance is probably the most neglected form of available protection..., and we will assist you the Policy number on your health insurance ID card contact directly. A registered trademark of the card get you to the Aetna Navigator insurance cards Policy is... Person to help, listen and learn from you might look at Medicare... Trademark of the card solely responsible for medical advice and treatment of members to change will get you live... 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