2. Enter your location by address, city or zip code. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider. You can further filter the search results by adding a specific dentists name and/or the type of dental specialist you wish to see. Innovative benefits plans with options for medical, dental, vision, and pharmacy coverage. 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. Aetna Medicaid collaborates with providers to deliver care that meets cost and quality goals. No fee schedules, basic unit, relative values or related listings are included in CPT. 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. Were expanding our DSNP program into more markets for 2022. 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. Others have four tiers, three tiers or two tiers. CPT only copyright 2015 American Medical Association. 2/22). 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. Please note also that Clinical Policy Bulletins (CPBs) are regularly updated and are therefore subject to change. CPBs include references to standard HIPAA compliant code sets to assist with search functions and to facilitate billing and payment for covered services. Members should discuss any Dental Clinical Policy Bulletin (DCPB) related to their coverage or condition with their treating provider. Health (8 days ago) AdHighly-reviewed Dentists who take your insurance and are ready to see you. 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. Health (3 days ago) Webfor a provider. Go to the American Medical Association Web site. Enter a zip code to search for dental care professionals in your area. We work with physicians to develop common platforms and goals, shifting the focus from episodes of care to making patient populations healthier. Did you find information that you think may need to be updated in our provider directories? NJ FIDE-SNP members will have one member ID card for both Medicare and Medicaid. Learn more about our dental advantages. Address, phone number, and practice changes. 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. 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. Explore our savings, quality care and wellness solutions to craft the perfect plan for your business. Check your participation status using the provider search tool. While the Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. Click on "Claims," "CPT/HCPCS Coding Tool," "Clinical Policy Code Search. CPT only Copyright 2022 American Medical Association. Medical necessity determinations in connection with coverage decisions are made on a case-by-case basis. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. If you are in Virginia, check your status by going to the Aetna Better Health of Virginia provider search page. 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). Provider Directory. Click here to request an office transfer. The ABA Medical Necessity Guidedoes not constitute medical advice. If you are in Virginia, check your status by going to the Aetna Better Health of Virginia provider search page. Provider/Facility Name OR Specialty is required to continue, Please enter first and last name of Provider, or the name of the facility. It is only a partial, general description of plan or program benefits and does not constitute a contract. You'll find these doctors with the label "Quality Care," "Effective Care" or both in your search. Let Customer Service know the providers you called. In case of a conflict between your plan documents and this information, the plan documents will govern. Each main plan type has more than one subtype. Please note also that Clinical Policy Bulletins (CPBs) are regularly updated and are therefore subject to change. If there is a discrepancy between this policy and a member's plan of benefits, the benefits plan will govern. 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. This list is updated nightly. 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. Neither Aetna Inc. nor its subsidiaries are Guardian affiliates. Aetna makes no representations and accepts no liability with respect to the content of any external information cited or relied upon in the Clinical Policy Bulletins (CPBs). Youd likely go to an oral surgeon if you have an impacted wisdom tooth or need another type of other complicated extraction. 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. Aetna Inc. and itsitsaffiliated 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. Pediatric Dentists: provide dental care for children and young adults. Links to various non-Aetna sites are provided for your convenience only. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept". Aetna better health florida healthy kids. Directory of Dentists Treating Members with Intellectual . 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. CPBs include references to standard HIPAA compliant code sets to assist with search functions and to facilitate billing and payment for covered services. This Aetna provider directory includes all Aetna participating providers, including both medical providers and dental providers. 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. Dr. Shannitta Bridgers is a pediatric dentist at Highland Pediatric Dental in Fayetteville, SC. 2020 Avsis Incorporated. CPT is a registered trademark of the American Medical Association. Please note also that Dental Clinical Policy Bulletins (DCPBs) are regularly updated and are therefore subject to change. Please note also that Dental Clinical Policy Bulletins (DCPBs) are regularly updated and are therefore subject to change. 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. 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. Network applications (behavioral health, dental, facility, and pharmacy) Practice changes and provider termination. Applicable FARS/DFARS apply. No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM. 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. Unlisted, unspecified and nonspecific codes should be avoided. 2023 DentalPlans.com, Inc. All Rights Reserved. . If there is a discrepancy between a Clinical Policy Bulletin (CPB) and a member's plan of benefits, the benefits plan will govern. Family planning, Emergent and Urgent Care services do not require PA. 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. Unlisted, unspecified and nonspecific codes should be avoided. 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. If you do not intend to leave our site, close this message. Provider Directory Aetna Better Health of Pennsylvania. Are you looking for free COVID-19 testing providers? This information is neither an offer of coverage nor medical advice. 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. Or they can help you find a provider. Click here to find an in-network dental provider thats close to you. 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. Helping you find the right doctor for you. 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 . Links to various non-Aetna sites are provided for your convenience only. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. Note not all plans and offers available in all markets. 2023 LIBERTY Dental Plan, All Rights Reserved. Please correct the following errors and try again: Fill out the form below to find providers and healthcare facilities near you. For language services, please call the number on your member ID card and request an operator. Please note also that Clinical Policy Bulletins (CPBs) are regularly updated and are therefore subject to change. By providing us with your email address, you agree to receive email communications from Aetna until you opt out of further emails. Applicable FARS/DFARS apply. We encourage you to check with your participating provider prior to beginning treatment. Aetna Better Health of Maryland Medicaid Dental Provider Search. Exception Detail, Svc Partner Detail - When the. Our directory PDF (or printed directory) is updated monthly.You can get a copy of the provider directory by mail. In-network coverage only (except emergency . While the Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. In case of a conflict between your plan documents and this information, the plan documents will govern. Copyright document.write(new Date().getFullYear()) Aetna Better Health of Illinois, All Right Reserved. 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. While the Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. Aetna Better Health. The responsibility for the content of this product is with Aetna, Inc. and no endorsement by the AMA is intended or implied. To see if your doctor is in our network, click a plan link below. Aetna makes no representations and accepts no liability with respect to the content of any external information cited or relied upon in the Clinical Policy Bulletins (CPBs). CPBs include references to standard HIPAA compliant code sets to assist with search functions and to facilitate billing and payment for covered services. 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. 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. When billing, you must use the most appropriate code as of the effective date of the submission. Depending on the members MSP eligibility, they may have a cost-share responsibility. 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. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Choose the type of plan you're interested in to search for health care providers that accept it. The information you will be accessing is provided by another organization or vendor. Reprinted with permission. To get started: 1. Health (9 days ago) WebProvider Search Find a Provider 1. To search for a dentist, please choose a state, your plan and enter the zip code under the Enter Your Geographic Area section. Our find a dentist tool includes a brief survey to help us improve this service. Please confirm with the provider when you call them. No fee schedules, basic unit, relative values or related listings are included in CPT. 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. Disclaimer of Warranties and Liabilities. All Rights Reserved. LIBERTY makes certain language assistance services available to you at no cost. 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. Provider Search is provided solely for the personal, non-commercial use of current and prospective Aetna members and providers. Links to various non-Aetna sites are provided for your convenience only. The HMO plan is ideal for employers in urban locations who want to offer simple, convenient care with fixed, predictable costs. If you are looking for a specific provider and cannot find them online, need more information,help, or would like a printed copy of the provider directory mailed to you,callus at 1-855-242-0802, TTY 711, 24 hours a day, 7 days a week. If there is a discrepancy between a Clinical Policy Bulletin (CPB) and a member's plan of benefits, the benefits plan will govern. Special promotions including, but not limited to, additional months free are not available to California residents or on Fully Insured Plans. Treating providers are solely responsible for dental advice and treatment of members. Aetna Inc. and its subsidiary 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. In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members. information regarding PA submission or service partner requirements. To check that your provider participates, visit our website or call us. They also provide cosmetic services such as overlays and whitening treatments. Should the following terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button below labeled "I Accept". No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. You can narrow your Aetna provider search by filtering provider characteristics, geographic location and best matched . 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. Thanks! Unlisted, unspecified and nonspecific codes should be avoided. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits.
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