In case of a conflict between your plan documents and this information, the plan documents will govern. Our official Aetna customer service Twitter representatives are here to help, listen and learn from you. 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). (you might need to provide some information to confirm your identity) date of birth social security number health insurance policy number member number ( Aetna member number ) your billing information (if the question is about a bill). 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). If you are the policyholder, the last two digits in your number might be 00, while others on the policy might have numbers ending with numeric characters like 01,02, etc. And if the accident/insurance event occurs, the insurance company will cover all or a portion of the costs. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. But, it is also a quick reference that tells you how much you may have to pay. Question: How To Read Your Health Insurance Card, Quick Answer: How To Read My Health Insurance Card, Quick Answer: Does Health Insurance Card Count As Id, Quick Answer: Can You Use Expired Health Insurance Id Card, Quick Answer: Can You Use Health Insurance Card As Id, How To Access Your Aetna Health Insurance Card Online, Quick Answer: How To Check My Health Benefits Id Card, Quick Answer: Can Health Card Be Used As Photo Id, Question: How To Get My Veterans Health Id Card. Employers can also locate the company's group number on Check out our post for advice on how to contact your insurance provider. See Also: Aetna insurance card policy number Show details If there is a discrepancy between a Clinical Policy Bulletin (CPB) and a member's plan of benefits, the benefits plan will govern. 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. Links to various non-Aetna sites are provided for your convenience only. If youre wondering where to find your group number on your insurance card, that answer is that it usually will show on the front of your card. 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. The member should call that number to activate the card and then try to pay again. 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 Go to the American Medical Association Web site. Each employer choses a package for their employees based on price, or types of coverage. What is subscriber number on insurance card Aetna? INSURANCE. In this case, members may utilize their plans Rx BIN and PCN numbers to access pharmacy benefits while they wait for their new health plan ID cards. Aetna Inc. 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. An automated telephone system will answer your call. Example: W123456789. 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. 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). 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). If there is a discrepancy between a Clinical Policy Bulletin (CPB) and a member's plan of benefits, the benefits plan will govern. Members can go to www.Aetna.com and Log into your account. Our voice prompt service offers a choice of options for everyday questions. What is subscriber number on insurance card Aetna? Whats the subscriber name on an insurance card? 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. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. 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. Your Medicare group number should be on your insurance card for your Medicare Advantage, Medicare Supplement or Part D plan. 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. They do not have access to member accounts but they can provide Aetna Member Services contact information. Not all insurance cards have a group plan number. Is my policy number my account number? You may get a discount if you use a NAP doctor. Medical necessity determinations in connection with coverage decisions are made on a case-by-case basis. 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. All Rights Reserved. Check the back of your card first, as it is not usually on the front! 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). How long does it take to get an insurance check from a car accident with a lawyer? In the event that a member disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision. For your convenience, we recommend that you add your Member Services number to your phone contacts. 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. How much for a tooth extraction without insurance? For general inquiries, reach our corporate headquarters at 1-888-US-AETNA (1-800-872-3862) (TTY: 711). 1-800-US-AETNA (1-800-872-3862) (TTY: 711) between 8:00 AM and 6:00 PM ET. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. View digital copy or choose to print out a replacement copy. Note: Download the Aetna Mobile App for faster, easier access to your Member ID Card. 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). If its not there, you may need to call the customer service number, but you also just might not have one if youre not receiving your coverage through your employer. If you purchased your insurance through the health exchange you might not have a group number. Different Insurance Cards There are several sorts of insurance cards used in a variety of situations, and this article will help you locate the necessary insurance information. This search will use the five-tier subtype. This information is neither an offer of coverage nor medical advice. If its not there, you may need to call the customer service number, but you also just might not have one if youre not receiving your coverage through your employer. These numbers are located on the front of your member ID card, immediately to the left of the eligible members name. Medicare has also chastised Aetna for nearly $12 million in Medicare overpayments in 2007 and 2009. 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. CPT only Copyright 2022 American Medical Association. For example, on CDPHP ID cards, the group number is located on In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members. This is the phone number for the Corporate Contact Center. Member ID/Policy Number. In most cases, your number will appear on your ID card. Where Can I Find My Aetna Insurance Cards Policy Number? What policy number is shown on an Aetna insurance card? WebFor general inquiries, reach our corporate headquarters at 1-888-US-AETNA ( 1-800-872-3862) (TTY: 711). 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. Do you want to continue? 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). Webnumber is listed on the back of your Aetna ID card. The group number on the insurance card identifies the employer that purchased a particular health insurance plan. 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. It is only a partial, general description of plan or program benefits and does not constitute a contract. And if the accident/insurance event occurs, the insurance company will cover all or a portion of the costs. Primary care networks (PCNs) are clusters of practitioners that collaborate to concentrate patient treatment locally. Here are some measures to take if you believe your insurance provider is acting in bad faith: Contact an attorney specializing in long-term. VUBlueVision Plus. Each employer that buys a health plan for its employees also has a number. If you do not intend to leave our site, close this message. full name (first and last name) address/zip code/email/etc. The AMA disclaims responsibility for any consequences or liability attributable or related to any use, nonuse or interpretation of information contained in Aetna Precertification Code Search Tool. It offers coverage for wind and hail in the legislatively defined, Independent Agents are fully unaffiliated with a parent firm. Your Medicare group number must appear on your Medicare Advantage, Medicare Supplement, or Part D insurance card. CPT is a registered trademark of the American Medical Association. 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 Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider. 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. The member should call that number to activate the card and then to. Use a NAP doctor Agents are fully unaffiliated with a lawyer use a NAP doctor on check out our for! Address/Zip code/email/etc company will cover all or a portion of the American medical Association eligible members name employer a! Card, immediately to the left of the costs of practitioners that to. Provider is acting in bad faith: contact an attorney specializing in long-term to pay of... Caps or other limits fully unaffiliated with a parent firm PM ET specializing in long-term are... Everyday questions Log into your account cards have a group number on the front of your member ID.... 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