aetna better health dental provider search

• 8 September 2023

Want to help transform health care? Adult day services, assisted living, home-delivered meals, home health agencies and home medical equipment providers. Orthodontists: correct the position of misaligned teeth and jaws, typically this is done with braces although treatments using other dental devices (such as retainers) are also utilized. Links to various non-Aetna sites are provided for your convenience only. Aetna Better Health is not responsible or liable for non-Aetna Better Health content accuracy or privacy practices of linked sites or for products or services described on these . Some subtypes have five tiers of coverage. Click here to request an office transfer. The HMO plan is ideal for employers in urban locations who want to offer simple, convenient care with fixed, predictable costs. 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. Please note also that the ABA Medical Necessity Guidemay be updated and are, therefore, subject to change. Health. 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. Prosthodontists: restore damaged teeth or replace missing ones, with procedures that include dental implants, bridges, crowns and dentures. 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. Avsis provides vision and dental claim and administrative services by agreement with 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. Plan from an employer Aetna Medicare plan, Individual health plan Aetna Medicaid plan ProPAT CPT Code Lookup : Aetna Better Health It provides benefits to members who qualify for Medicare and who receive full Medicaid benefits and/or assistance with Medicare premiums or Medicare Parts A & B cost sharing through one of the Medicare Savings Program (MSP) categories. Filter Type: All Symptom Treatment Nutrition Dental Services Aetna Medicaid New Jersey . You are now being directed to CVS caremark site. 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. 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. Copyright 2015 by the American Society of Addiction Medicine. While the Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. 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 can get dental care when you join Aetna Better Health of West Virginia. 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. 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. Participating Providers: To determine if prior authorization (PA) is required, enter Please note also that Dental Clinical Policy Bulletins (DCPBs) are regularly updated and are therefore subject to change. 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. 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. 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. 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. Please note that providers listed in this directory may perform services that are not covered by your health plan. Please be sure to add a 1 before your mobile number, ex: 19876543210. The five character codes included in the Aetna Clinical Policy Bulletins (CPBs) are obtained from Current Procedural Terminology (CPT), copyright 2015 by the American Medical Association (AMA). Dental Providers: Register now for AetnaDental.com Medical Providers: Register for Aetna's Provider portal on Availity: If you do not intend to leave our site, close this message. Do you want to continue? In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members. 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. Click here to find an in-network vision provider thats close to you. By clicking on I accept, I acknowledge and accept that: Licensee's use and interpretation of the American Society of Addiction Medicines ASAM Criteria for Addictive, Substance-Related, and Co-Occurring Conditions does not imply that the American Society of Addiction Medicine has either participated in or concurs with the disposition of a claim for benefits. Applicable FARS/DFARS apply. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. CPT is a registered trademark of the American Medical Association. Pharmacy, dental or vision providers? Links to various non-Aetna sites are provided for your convenience only. 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. Please confirm with the provider when you call them. Special promotions including, but not limited to, additional months free are not available to California residents or on Fully Insured Plans. You may also notify LIBERTY about provider directory updates by calling 888-703-6999. Please refer to your Evidence of Coverage prior to contacting a Specialist if you are unsure, or call Member Services. Endodontists: help heal infections of the soft tissue inside the tooth and are typically the dental specialist youd see if you need a root canal treatment. Each main plan type has more than one subtype. 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. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept". The term prior authorization (PA) means the utilization review process determines whether the requested service, procedure, prescription drug or medical device meets the companys clinical criteria for coverage. logo Aethna Better Health of West Virginia. Your Plan: Your Plan: Aetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. #2020-93661 (exp. Provider site; Please america; Search. 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?. Aetna Better Health - LIBERTY Dental Plan 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. Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider. Click here to find an in-network dental provider thats close to you.

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