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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. Disclaimer of Warranties and Liabilities. In-network coverage only (except emergency . 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). Need a new dental office home? Best viewed in Microsoft Internet Explorer 6 and higher, resolution 1280x800. Hospitals, long-term care facilities and skilled nursing facilities for rehabilitation, mental health facilities, Federally Qualified Health Centers and Rural Health Centers. The information you will be accessing is provided by another organization or vendor. Network applications (behavioral health, dental, facility, and pharmacy) Practice changes and provider termination. Aetna offers health insurance, as well as dental, vision and other plans, to meet the needs of individuals and families, employers, health care providers and insurance agents/brokers. 2020 Guardian. Each main plan type has more than one subtype. If you do not intend to leave our site, close this message. The five character codes included in the Aetna Medicaid PA Requirement Search Tool are obtained from Current Procedural Terminology (CPT), by the American Medical Association (AMA).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. You can also get the materials you need in a different language or format. Check your participation status using the provider search tool. 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. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. Aetna Better Health of Louisianais 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 sites. If you wish to make a standing request to receive all materials in a language other than English or in an alternate format, you can call Aetna Better Health ofLouisiana Member Services at 1-855-242-0802, TTY 711, 24 hours a day, 7 days a week. While the Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). Copyright document.write(new Date().getFullYear()) Aetna Better Health of Illinois, All Right Reserved. 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. If you are in Virginia, check your status by going to the Aetna Better Health of Virginia provider search page. NON-COV - CPT or HCPCS code entered is not a covered benefit by health plan. Our find a dentist tool includes a brief survey to help us improve this service. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. The information you will be accessing is provided by another organization or vendor. 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 benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Aetna Dentists Near Me. If there is a discrepancy between a Clinical Policy Bulletin (CPB) and a member's plan of benefits, the benefits plan will govern. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. 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. Find a Doctor, Dentist or Hospital | Aetna Unlisted, unspecified and nonspecific codes should be avoided. The responsibility for the content of this product is with Aetna, Inc. and no endorsement by the AMA is intended or implied. We update our provider directory nightly. Should the following terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button below labeled "I Accept". 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. The path to healthy starts here. The term precertification here means the utilization review process to determine whether the requested service, procedure, prescription drug or medical device meets the company's clinical criteria for coverage. 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. Just call Member Services at 1-866-329-4701 (TTY: 711) to learn more about these services. 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. By submitting your information you are agreeing to receive communications from Aetna Dental Offers. Applicable FARS/DFARS apply. 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. Members should always contact the provider's office in advance to confirm availability. Provider Directory Aetna Better Health of Pennsylvania. If there is a discrepancy between this policy and a member's plan of benefits, the benefits plan will govern. . Youll find these doctors with the label Quality Care, Effective , https://www.aetna.com/individuals-families/find-a-doctor.html, North country health care university flagstaff, Jps health network schedule appointments, Health care information system examples, 2021 health-improve.org. Medicaid. 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 services deemed "never effective" are excluded from coverage. Periodontists: these dentists specialize in treating complex cases of gum disease, along with other infections or problems involving the tissues that support the teeth. Of course you can use our directories to find doctors and hospitals that take your insurance. 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. Aetna Better Health Dental Members should discuss any matters related to their coverage or condition with their treating provider. Treating providers are solely responsible for medical advice and treatment of members. 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 member's benefit plan determines coverage. If you have questions, visit our contact us page. 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. In case of a conflict between your plan documents and this information, the plan documents will govern. You can narrow your Aetna provider search by filtering provider characteristics, geographic location and best matched . Street Address: City: State: County: Zip Code: Radius: . 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. Do you want to continue? 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 . The member's benefit plan determines coverage. Please correct the following errors and try again: Fill out the form below to find providers and healthcare facilities near you. To help us direct your question or comment to the correct area, please select a category below. Did you find information that you think may need to be updated in our provider directories? Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. You can also get the materials you need in a different language or format. CPT only Copyright 2022 American Medical Association. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. 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. SELECT A DIRECTORY. You start saving within 72 hours of joining a plan (no long waits before you qualify for discounted care!) logo Aethna Better Health of West Virginia. Should the following terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button below labeled "I Accept". The online provider directory is updateddaily. Aetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. No fee schedules, basic unit, relative values or related listings are included in CPT. VisitVision Provider Searchto view your vision providers. If you are in New Jersey, check your status by going to the Aetna Assure Premier Plus provider search page. Please contact Access2Care for benefit information by calling 1-866-252-5634 or visit www.Access2Care.net. Select a Plan * Select a Plan: 2. 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. 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. Innovative benefits plans with options for medical, dental, vision, and pharmacy coverage. Select a Plan * Select a Plan: 2. Aetna Inc. and itsaffiliated 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. 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. Since there is no paperwork or reimbursement, you must pay for the service at the time its provided. Aetna expressly reserves the right to revise these conclusions as clinical information changes, and welcomes further relevant information including correction of any factual error. Benefit coverage may vary by plan or may be subject to special conditions. DocFind - Aetna Please log in to your secure account to get what you need. CPT is a registered trademark of the American Medical Association. Listing Websites about Aetna Better Health Dental Provider. 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?. Prosthodontists: restore damaged teeth or replace missing ones, with procedures that include dental implants, bridges, crowns and dentures. 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). Some subtypes have five tiers of coverage. Treating providers are solely responsible for medical advice and treatment of members. Learn about your health plan or find coverage for you and your family. . Members should discuss any Dental Clinical Policy Bulletin (DCPB) related to their coverage or condition with their treating provider. 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. Explore our savings, quality care and wellness solutions to craft the perfect plan for your business. Aetna Inc. and its affiliated 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. For non-participating health care professionals. If you do not intend to leave our site, close this message. 2. Filter Type: All Symptom Treatment Nutrition Dental Services Aetna Medicaid New Jersey . Used with express permission. It is only a partial, general description of plan or program benefits and does not constitute a contract. Aetnamedicare.blob.core.windows.net. Applicable FARS/DFARS apply. CMS requires providers to take the Model of Care training course (PDF). 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.