To find Aetna Vision Providers through Aetna's in-network online system, you can visit this page. And which questions to ask your doctor or primary care provider (PCP). You can also call us or use the Aetna Vision Preferred mobile app onthego. Treating providers are solely responsible for medical advice and treatment of members. The discussion, analysis, conclusions and positions reflected in the Clinical Policy Bulletins (CPBs), including any reference to a specific provider, product, process or service by name, trademark, manufacturer, constitute Aetna's opinion and are made without any intent to defame. 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. locations. 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. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. EyeMed and Aetna are independent contractors and not employees or agents of each other. Choose your vision network from the drop down. allowance and goes even further. New and revised codes are added to the CPBs as they are updated. An eye exam can help identify signs of a chronic condition in the body. From neighborhood eye doctors to national, regional and online retailers, your employees have thousands of vision providers across the country to fit their busy lifestyle: They also get special offers just for being an Aetna member, including: Aetna Vision Preferred is simple for you, too. Your benefit is applied during the CPBs include references to standard HIPAA compliant code sets to assist with search functions and to facilitate billing and payment for covered services. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. Links to various non-Aetna sites are provided for your convenience only. 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. Take charge of your vision and overall health as an Aetna member! 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). aboveyour eyewear allowance. Certain claims administration services are provided by First American Administrators, Inc. and certain network administration services are provided through EyeMed Vision Care (EyeMed), LLC. All in one package. The member's benefit plan determines coverage. Links to various non-Aetna sites are provided for your convenience only. 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. 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. independent private practice Information is believed to be accurate as of the production date; however, it is subject to change. At a recent checkup he learned he has early signs of diabetes so we automatically check his vision claims history. No problem. Links to various non-Aetna sites are provided for your convenience only. $6.24. Here are a few tips to get you started: Enter your 5-digit zip code We'll take it from there. Your cost will be based on your ZIP code . Once you see your search results you can filter by brands you love, hours, specific technology and more. 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. Providers are independent contractors and are not agents of Aetna. This search will use the five-tier subtype. Blue view vision covers most of the basic vision requirements, such as; Eye exams every 12 months. 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. MetLife Dental Plan. Text on screen: Rick Tapnio. 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. The Aetna logo, Aetna, DocFind, Aetna Vision Preferred service mark, the aetnavision.com domain name and URL are the property of Aetna Inc. All Rights Reserved. Dual Eligible Special Needs Plans (D-SNPs). 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. 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). After you have your Medicare number, youre eligible for an Aetna Medicare Advantage plan. The information contained on this website and the products outlined here may not reflect product design or product availability in Arizona. The dental discounts are available through participating healthcare providers only. CPT is a registered trademark of the American Medical Association. Provider participation may change without . network of national, regional and The ABA Medical Necessity Guidedoes not constitute medical advice. 2005-2022 Healthline Media a Red Ventures Company. To build a healthier, happier workforce and bring whole health into focus all you have to do is see for yourself. Search by provider. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. $9.36. Schedule an appointment. When combined they can give a clearer perspective. Vision insurance plans contain exclusions and limitations. LASIK surgery and vision therapy are about the only two major procedures that TRICARE does not cover. When members have both our vision and medical coverage we can see their health from all angles and proactively reach out to those who could benefit from increased care. 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). No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. Aetna offers Medicare Advantage plans that include vision coverage. 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. You can learn more about how we ensure our content is accurate and current by reading our. Treating providers are solely responsible for dental advice and treatment of members. Aetna sells health insurance, Medicare supplements, dental insurance, vision insurance, and more in all 50 states. Log in to find doctors, dentists, hospitals and other providers that accept your plan. medicare.gov/sign-up-change-plans/types-of-medicare-health-plans/medicare-advantage-plans, What You Need to Know About Medicare Part C, Milestone Medical Tests You Should Take in Your 60s, 70s, and Beyond, routine eye exams, usually one exam per year, yearly allowance to cover the cost of frames, annual compensation for prescription lens or contact lenses. Using the "Search for:" drop down menu, select "Vision (routine exam & eyewear)" A new browser window will open, just click "Continue" and you'll be taken to the "Locate . In addition, coverage may be mandated by applicable legal requirements of a State or the Federal government. Wondering about the medical tests you should take in older adulthood? 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. If you choose to enroll in a . Video Transcript Aetna Vision Preferred Plan. Aetna networks include nearly 1.5 million health care . Of course you can use our directories to find doctors and hospitals that take your insurance. 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. Applicable FARS/DFARS apply. 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. Please enable it to continue.</strong> Healthline Media does not provide medical advice, diagnosis, or treatment. If youre enrolling in an Aetna Medicare Advantage plan for the first time, check which vision and eye services each plan offers and compare them to get what you need. LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). All rights reserved. Choose the type of plan you're interested in to search for health care providers that accept it. Vision insurance plans are underwritten by Aetna Life Insurance Company (Aetna). Theyre available as stand-alone plans, or with any medical plan. So when Aetna saw a way to save employers money and build a healthier workforce simply by integrating vision and medical plans we shifted focus and introduced Aetnas Vision Medical Integration Program which leverages our vision and medical claims data to keep members healthy and productive and keep your overall costs down.
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