aetna better health dental provider search

The path to healthy starts here. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept". CPT is a registered trademark of the American Medical Association. Provider site; Please america; Search. Applicable FARS/DFARS apply. For language services, please call the number on your member ID card and request an operator. This information helps us provide information tailored to your Medicare eligibility, which is based on age. Tools and resources that create a more personalized and convenient . Copyright 2015 by the American Society of Addiction Medicine. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. Best viewed in Microsoft Internet Explorer 6 and higher, resolution 1280x800. Aetna expressly reserves the right to revise these conclusions as clinical information changes, and welcomes further relevant information including correction of any factual error. Please contact Access2Care for benefit information by calling 1-866-252-5634 or visit www.Access2Care.net. Copyright document.write(new Date().getFullYear()) Aetna Better Health of Louisiana, All Rights Reserved. Some subtypes have five tiers of coverage. Our directory PDF (or printed directory) is updated monthly.You can get a copy of the provider directory by mail. 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. Prosthodontists: restore damaged teeth or replace missing ones, with procedures that include dental implants, bridges, crowns and dentures. Applicable FARS/DFARS apply. Were expanding our DSNP program into more markets for 2022. 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 start saving within 72 hours of joining a plan (no long waits before you , https://www.aetnadentaloffers.com/find-a-dentist, Health (1 days ago) WebAetna 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. Provider Directory Aetna Better Health of Pennsylvania. 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. These services include preventive care like cleanings and checkups, along with restorative services such as fillings, root canals, crowns and other treatments for broken or missing teeth. Enter your location by address, city or zip code. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Filter Type: All Symptom Treatment Nutrition Dental Services Aetna Medicaid New Jersey . *Required Selections. 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. Aetna expressly reserves the right to revise these conclusions as clinical information changes, and welcomes further relevant information including correction of any factual error. 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. The member's benefit plan determines coverage. This search will use the five-tier subtype. Search results are not a guarantee of claim payment. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. DocFind, Aetna's online participating provider directory, allows you to locate physicians and other health care providers such as dentists, optometrists, hospitals and pharmacies. 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. Avsis provides vision and dental claim and administrative services by agreement with Aetna Inc. Looking for a local dentist? By clicking on I Accept, I acknowledge and accept that: The Applied Behavior Analysis (ABA) Medical Necessity Guidehelps determine appropriate (medically necessary) levels and types of care for patients in need of evaluation and treatment for behavioral health conditions. Guardian is a registered trademark of The Guardian Life Insurance Company of America, New York, NY. . To check that your provider participates, visit our website or call us. Links to various Aetna Better Health and non-Aetna Better Health sites are provided for your convenience. 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 member's benefit plan determines coverage. Have an update for our Directory? In-network coverage only (except emergency . Avsis provides vision and dental claim and administrative services by agreement with Aetna Inc. Aetna Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits and do not constitute dental advice. Links to various non-Aetna sites are provided for your convenience only. In the event that a member disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision. Please note also that Dental Clinical Policy Bulletins (DCPBs) are regularly updated and are therefore subject to change. Links to various non-Aetna sites are provided for your convenience only. Special promotions including, but not limited to, additional months free are not available to California residents or on Fully Insured Plans. 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 Medicaid collaborates with providers to deliver care that meets cost and quality goals. Check your participation status using the provider search tool. Others have four tiers, three tiers or two tiers. VisitPharmacy Provider Search to view all your pharmacy providers. We update our provider directory nightly. 2023 LIBERTY Dental Plan, All Rights Reserved. We update our provider directory nightly.You can get a copy of the provider directory by mail. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. Health benefits and health insurance plans contain exclusions and limitations. In addition, coverage may be mandated by applicable legal requirements of a State or the Federal government. Members should discuss any Dental Clinical Policy Bulletin (DCPB) related to their coverage or condition with their treating provider. 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. Youd likely go to an oral surgeon if you have an impacted wisdom tooth or need another type of other complicated extraction. All Rights Reserved. Each plan has its own provider network. 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. 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. Idaho Members: If you contact several providers who have indicated they will see new patients and find you cannot get an appointment, you may call Customer Service at 1-800-936-0978. Aetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. Enter Location You may also notify LIBERTY about provider directory updates by calling 888-703-6999. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept". Find a Dentist. 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. Your benefits plan determines coverage. 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. 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 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). Innovative benefits plans with options for medical, dental, vision, and pharmacy 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. LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). 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. Exception Detail, Svc Partner Detail - When the. Please be sure to add a 1 before your mobile number, ex: 19876543210. The provider network is subject to change. Click here to request an office transfer. 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. Provider/Facility Name OR Specialty is required to continue, Please enter first and last name of Provider, or the name of the facility. 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). Special promotions including, but not limited to, additional months free are not available to California residents or on Fully Insured Plans. https://www.bing.com/aclk?ld=e8pp1GAj_I-V3BVCYY9CDy-DVUCUwNn4b_zBqwYEAyr-b5hM7-uljdETFqFUDVn1verRx1HD9OEM8mlH0-4MuIitnhUOrSe-AsgxSUMwda7uvhTkMRqFaU9WzQiCY7N9Y6uEORiZbZ_yLxe-Ad0825VJyGWU7_QhyLDFQc1zv459ATOOp7YUal1ilBxK3MVXkJOzx6Og&u=aHR0cHMlM2ElMmYlMmZib29rLnpvY2RvYy5jb20lMmZnZXQtc3RhcnRlZCUyZmRlbnRpc3RzJTNmdXRtX3NvdXJjZSUzZGJpbmclMjZ1dG1fbWVkaXVtJTNkY3BjX2dlbmVyaWMlMjZ1dG1fY2FtcGFpZ24lM2Q0MDEyMTU1NTIlMjZ1dG1fdGVybSUzZCUyNTJCYWV0bmElMjUyMCUyNTJCZGVudGlzdCUyNnV0bV9jb250ZW50JTNkMTIzMzY1MjI2MTQ5NDAyNCUyNm1zY2xraWQlM2RlZTJhMzY3ZTU4YjMxZjhjNTcyZjUyMmU0YzlkOTgzMQ&rlid=ee2a367e58b31f8c572f522e4c9d9831, Health (2 days ago) WebEvery member with an Aetna Assure Premier Plus (HMO D-SNP) plan gets access to this dental benefit, including members who qualify for: Fully Integrated Dual-Eligible Special Needs Plan (FI D-SNP) Our members , https://www.aetnabetterhealth.com/new-jersey-hmosnp/providers/dental-services.html, Health (8 days ago) WebDental Savings Plans reduce the cost of dental care by 10%-60%, at thousands of participating dentists and dental specialists nationwide. No fee schedules, basic unit, relative values or related listings are included in CPT. System (HCPCS) codes or a CPT group and select SEARCH. Your plan may only provide benefits if you obtain a referral from your General Dentist prior to receiving treatment from a Specialist. Members must reside in a county where Aetna Medicare offers a DSNP. Need a new dental office home? Some subtypes have five tiers of coverage. Aetnamedicare.blob.core.windows.net. For more details see our Privacy Policy. In addition, coverage may be mandated by applicable legal requirements of a State or the Federal government. Aetna dental plans are not considered to be qualified health plans under the Affordable Care Act. Members should show their DSNPmember ID cardand their state-issued Medicaid card. Our find a dentist tool includes a brief survey to help us improve this service. The responsibility for the content of this product is with Aetna, Inc. and no endorsement by the AMA is intended or implied. Members must choose a PCP* to guide their treatment and coordinate all specialist care which all takes place in a quality network to keep costs in check. 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. 1367 Walter Reed Rd, 103, Fayetteville, NC 28304. In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. The information you will be accessing is provided by another organization or vendor. Oral and maxillofacial surgeons: focus on treating problems related to the hard and soft tissues of the face, mouth, and jaws. ALL inpatient confinements require PA and usually ALL services provided . Please review the plan benefit coverage documentation under the link below. The information contained on this website and the products outlined here may not reflect product design or product availability in Arizona. 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 DSNP network is in limited counties. You'll find these doctors with the label "Quality Care," "Effective Care" or both in your search. CPT only copyright 2015 American Medical Association. Please feel free tocontact us to provide any new information. *Search by : Provider ID (PIN) NPI. 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. EXPIRED - CPT or HCPCS code entered is no longer valid for use by health plan providers. . Health. For children and other Medicaid members, dental providers are available through MCNA. The HMO plan is ideal for employers in urban locations who want to offer simple, convenient care with fixed, predictable costs. 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. 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. ", Provider/facility name OR specialty is required to continue. Find your plan listed below and click Find a Dentist. Do you want to continue? Links to various non-Aetna sites are provided for your convenience only. 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. Pharmacy, dental or vision providers? Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. You can further filter the search results by adding a specific dentist . 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. Members should discuss any Dental Clinical Policy Bulletin (DCPB) related to their coverage or condition with their treating provider. 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. Dental Savings Plans reduce the cost of dental care by 10%-60%, at thousands of participating dentists and dental specialists nationwide. 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. 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.

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