aetna better health dental provider search
The DSNP network is in limited counties. Aetna Better Health of Maryland Dental Provider Search. Listing Websites about Aetna Better Health Dental Provider. This information is neither an offer of coverage nor medical advice. Enter a zip code to search for dental care professionals in your area. The Clinical Policy Bulletins (CPBs) express Aetna's determination of whether certain services or supplies are medically necessary, experimental and investigational, or cosmetic. Please log in to your secure account to get what you need. 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. 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). Aetna Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits and do not constitute dental advice. 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. CPT is a registered trademark of the American Medical Association. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept". Important information for Provider Search users who live in California , Colorado , Connecticut , Delaware , Florida . Disclaimer of Warranties and Liabilities. You, your employees and agents are authorized to use CPT only as contained in Aetna Precertification Code Search Tool solely for your own personal use in directly participating in health care programs administered by Aetna, Inc. You acknowledge that AMA holds all copyright, trademark and other rights in CPT. For enhanced adults benefit, visit Dental Provider Search to view your dental providers. Innovative benefits plans with options for medical, dental, vision, and pharmacy coverage. For more details see our Privacy Policy. 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. Request a medical application. Directory of Dentists Treating Members with Intellectual Disabilities Adult. Each plan has its own provider network. You can further filter the search results by adding a specific dentists name and/or the type of dental specialist you wish to see. 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. When billing, you must use the most appropriate code as of the effective date of the submission. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. Some subtypes have five tiers of coverage. 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. Looking for a local dentist? The online provider directory is updateddaily. 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. Are you looking for free COVID-19 testing providers? If you are in New Jersey, check your status by going to the Aetna Assure Premier Plus provider search page. 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. Exception Detail, Svc Partner Detail - When the. Log in to find doctors, dentists, hospitals and other providers that accept your plan. Neither Aetna Inc. nor its subsidiaries are Guardian affiliates. You will receive the discount off the providers usual and customary fees when you pay. Stay up-to-date with todays latest health care trends. The member's benefit plan determines coverage. HMO Plan*; Open Access Plan; QCHP/CDHP Plan; For step-by-step instructions, click on a plan below. This information is neither an offer of coverage nor medical advice. Copyright 2015 by the American Society of Addiction Medicine. Check your participation status using the provider search tool. Learn about Aetna Smart Compare. 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. Some subtypes have five tiers of coverage. Health (8 days ago) AdHighly-reviewed Dentists who take your insurance and are ready to see you. VisitVision Provider Searchto view your vision providers. Click on "Claims," "CPT/HCPCS Coding Tool," "Clinical Policy Code Search. Treating providers are solely responsible for medical advice and treatment of members. Please note also that Clinical Policy Bulletins (CPBs) are regularly updated and are therefore subject to change. Aetna Dentists Near Me. CPT only Copyright 2022 American Medical Association. 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. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. 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). 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. CPBs include references to standard HIPAA compliant code sets to assist with search functions and to facilitate billing and payment for covered services. The dental discounts are available through participating healthcare providers only. . All Rights Reserved. The member's benefit plan determines coverage. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. For language services, please call the number on your member ID card and request an operator. Search results are not a guarantee of claim payment. Filter Type: All Symptom Treatment Nutrition Dental Services Aetna Medicaid New Jersey . 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. Each main plan type has more than one subtype. Click here to find an in-network pharmacy provider thats close to you. Special promotions including, but not limited to, additional months free are not available to California residents or on Fully Insured Plans. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Links to various non-Aetna sites are provided for your convenience only. 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). This Aetna provider directory includes all Aetna participating providers, including both medical providers and dental providers. . 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. We encourage you to check with your participating provider prior to beginning treatment. 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 American Medical Association (AMA) does not directly or indirectly practice medicine or dispense medical services. 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). The ABA Medical Necessity Guidedoes not constitute medical advice. While the Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. New and revised codes are added to the CPBs as they are updated. 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. Please review the plan benefit coverage documentation under the link below. 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. Treating providers are solely responsible for dental advice and treatment of members. All services deemed "never effective" are excluded from coverage.
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