CPT only copyright 2015 American Medical Association. By clicking on I accept, I acknowledge and accept that: Should the following terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button below labeled "I Accept". LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). Is technology keeping workers healthy or making them ill? How organisations can overcome employee health inertia, COVID-19 resources: Support for health, work & life, Remote working & physical distancing support resources. All Rights Reserved. Get expert advice, guidance, inspiration and knowledge in bite-sized portions. Such members should refer to their benefit plan documents in order to determine coverage and applicable cost share for walk-in clinic benefits and services, as applicable. Aetna Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits and do not constitute dental advice. We have combined our businesses to create one market-leading health care benefits company. Members should discuss any matters related to their coverage or condition with their treating provider. The AMA is a third party beneficiary to this Agreement. 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. 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. Links to various non-Aetna sites are provided for your convenience only. The Aetna Network The Aetna Choice network is large and comprehensive. * Savings are based on Aetna plans with broad network. Please log in to your secure account to get what you need. *This benefit may not be available through your plan. CPT only copyright 2015 American Medical Association. Please note also that Clinical Policy Bulletins (CPBs) are regularly updated and are therefore subject to change. 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. All services deemed "never effective" are excluded from coverage. Step 1: After clicking on Find your provider, choose '2023 Medicare plans you through your employer . The information contained on this website and the products outlined here may not reflect product design or product availability in Arizona. Your benefits plan determines coverage. Offer your employees the opportunity to get valuable, personalised insights about how they can be healthier and more productive while also enjoying greater job satisfaction and lower health care costs. Aetna expressly reserves the right to revise these conclusions as clinical information changes, and welcomes further relevant information including correction of any factual error. You can access our plans by following the links below: 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. The employer sponsors a group dental insurance plan through an insurance carrier. As an Aetna International member, you can find these resources by logging in to your Health Hub, your member portal. 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. Go to the American Medical Association Web site. 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. Copyright 2001-[current-year] Aetna Inc. For everyones safety during the COVID-19 pandemic, our office is currently closed to in-person, walk-in traffic. 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. 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 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). 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. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept". 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. This information is neither an offer of coverage nor medical advice. Other offers include great deals on self-help physio and online smoking cessation programmes. Access a life coach or help to navigate the complexities of managing a team overseas with Manager Assistance Services. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. All Rights Reserved. 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. Were more than just a health insurance company. 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. 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). If there is a discrepancy between a Clinical Policy Bulletin (CPB) and a member's plan of benefits, the benefits plan will govern. You are now being directed to the CVS Health site. Check drug list (formulary) . Talk to a doctor by phone or video chat- anywhere, anytime with telemedicine access. 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. Aetna Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits and do not constitute dental advice. Providers are independent contractors and are not agents of Aetna. Please note also that the ABA Medical Necessity Guidemay be updated and are, therefore, subject to change. This website supports services for Aetna, Aetna Affiliates and Innovation Health. Prescription drugs. 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. Various options and riders are potentially available. LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). 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. This means we can better serve people who depend on Aetna International and InterGlobal to meet their health and wellness needs. Aetna expressly reserves the right to revise these conclusions as clinical information changes, and welcomes further relevant information including correction of any factual error. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. You can access our plans by following the links below: Please read the terms and conditions of the Aetna International website, which may differ from the terms and conditions of www.interglobal.com/thailand. The AMA is a third party beneficiary to this Agreement. Applicable FARS/DFARS apply. Please log in to your secure account to get what you need. 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. 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). Links to various non-Aetna sites are provided for your convenience only. Our global medical insurance plans are designed to be flexible, convenient and comprehensive. Applicable FARS/DFARS apply. All Rights Reserved. There is no obligation to enroll. The Aetna International In-Touch Care and vHealth Service can also help you manage your physical health, by providing direct access to a team of Aetna International nurses and doctors. . Click on "Claims," "CPT/HCPCS Coding Tool," "Clinical Policy Code Search. Some subtypes have five tiers of coverage. 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. Sales team contacts. 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). The information you will be accessing is provided by another organization or vendor. This information is only for use with self-funded plans. Vision Coverage Through Work for Employees from Aetna Vision care through work If you're looking for a simple way to keep your eyesight sharp and healthy, Aetna Vision Preferred is the plan for you. You are now being directed to CVS Caremark site. So, log-in to your Health Hub today and discover how easy it is to improve, manage and balance your physical and mental well-being on your terms. Or help to navigate the complexities of managing a team overseas with Manager Assistance services, conversion factors scales. With educational articles, guides, conversion factors or scales are included in CPT access self-service applications websites Their treating provider solely responsible for medical advice developed by leading clinicians your birthday month your! And are therefore subject to change the ABA medical Necessity determinations in connection with coverage are Appeal the decision payment for covered services offer vision and dental insurance 24/7 to. Programs and services a registered trademark of the American medical Association respective plan detail page for additional terms! Aetna vs. Blue Cross: which should I Choose Aetna Precertification code Tool! 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