Where Is the Aetna Insurance Card Policy Number? Box 7012 Downey, CA 90242, Rx PCN for MMA: SCCMS Rx PCN for HDHP: SCHP Rx PCN for HMO: 70000. 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. What does an Aetna subscriber ID signify? When billing, you must use the most appropriate code as of the effective date of the submission. See all of the ways you can contact us While ID cards vary according to the health plan that designs them, the group number is a vital piece of information that should be included. Your health insurance ID card is your proof of insurance. It usually only appears on insurance cards that registered employers provided. In 2020, the average national cost for health insurance is $456 for an individual and $1,152 for a family per month. The expense might not 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. Types of Health Insurance Cards. 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. 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). What is the difference between a medical insurance card and an insurance card for pharmaceutical benefits? Aetna is not the most trustworthy health insurance company, all things considered. 1-800-US-AETNA ( 1-800-872-3862) (TTY: 711) between 8:00 AM and 6:00 PM ET. 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. The insurance company name and plan type are in the top header of the card. The member's benefit plan determines coverage. What policy number is shown on an Aetna insurance card? Visit www.Aetna.com and click Log In or Register to have access to the Aetna Navigator. INSURANCE. WebFor general inquiries, reach our corporate headquarters at 1-888-US-AETNA ( 1-800-872-3862) (TTY: 711). The AMA is a third party beneficiary to this Agreement. It offers coverage for wind and hail in the legislatively defined, Independent Agents are fully unaffiliated with a parent firm. 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. 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. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. The member's benefit plan determines coverage. For example, on CDPHP ID cards, the group number is located on What is my Aetna ID number? You might look at your Medicare card and wonder Please log in to your secure account to get what you need. Your Medicare group number should be on your insurance card for your Medicare Advantage, Medicare Supplement or Part D plan. MediExcel Health Plan is a cross-border health plan. The corporate headquarters phone lines are staffed Monday through Friday, 8 AM to 6 PM ET. 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. It usually only appears on insurance cards that registered employers provided. WebCall us. Your Medicare group number should be on your insurance card for your Medicare Advantage, Medicare Supplement or Part D plan. 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. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Members should discuss any matters related to their coverage or condition with their treating provider. The information contained on this website and the products outlined here may not reflect product design or product availability in Arizona. Whats the subscriber name on an insurance card? 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. The policy number is usually located on the front of the card, near the top. You can find your Member ID on your ID card, Welcome Letter, or any EOB we sent to you. WebFor general inquiries, reach our corporate headquarters at 1-888-US-AETNA ( 1-800-872-3862) (TTY: 711). The person who pays for health insurance premiums or whose employment is the basis for membership in the insurance plan. 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. An automated telephone system will answer your call. What is the GRP acronym? Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept". Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider. Treating providers are solely responsible for medical advice and treatment of members. 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. Members should discuss any Dental Clinical Policy Bulletin (DCPB) related to their coverage or condition with their treating provider. Your PCP can be altered at any time. While the Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. It is only a partial, general description of plan or program benefits and does not constitute a contract. What is the GRP acronym? The member's benefit plan determines coverage. As the proprietor of an independent insurance agency, you will enjoy complete independence. Aetna Insurance Member Id from aestheticname.blogspot.com. This number is always displayed on the cards front. Gross Point of Rating. WebThe member can activate their card by calling the number on their activation sticker. See Also: Aetna insurance card policy number Show details Where is my policy number on my insurance card? Hours of operation are Monday through Friday 7 AM to 11 PM ET, Saturday 7:00 AM to 9:30 PM ET, and Sunday 8 AM to 6 PM ET. Both your group number and your member ID number will be located on your physical ID card and your mobile ID card, which is available on your SimplyInsured dashboard. You are now being directed to the CVS Health site. So if you purchased your insurance through the Healthcare Market or have a government-based plan such as Medicare, you may not see a group Do you want to continue? If youre the policyholder, the last two digits in your number might be 00, while dependents might have numbers ending in 01, 02, etc. What is the insurance number on a card issued by Aetna Insurance? Click on "Claims," "CPT/HCPCS Coding Tool," "Clinical Policy Code Search. Please note also that Dental Clinical Policy Bulletins (DCPBs) are regularly updated and are therefore subject to change. VUBlueVision Plus. 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. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. All Rights Reserved. How long does it take to get an insurance check from a car accident with a lawyer? This leads in the subsequent advantages: Freedom from onerous parent company requirements Permission to cross-sell other types of insurance Capability to compare insurers on pricing, product, and service. See Also: Aetna insurance card policy number Show details Webnumber is listed on the back of your Aetna ID card. Links to various non-Aetna sites are provided for your convenience only. In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members. The expense might not In case of a conflict between your plan documents and this information, the plan documents will govern. The responsibility for the content of Aetna Precertification Code Search Tool is with Aetna and no endorsement by the AMA is intended or should be implied. Reprinted with permission. Some subtypes have five tiers of coverage. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. 1-800-US-AETNA ( 1-800-872-3862) (TTY: 711) between 8:00 AM and 6:00 PM ET. Members can go to www.Aetna.com and Log into your account. 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. Check out our post for advice on how to contact your insurance provider. Box 7012 Downey, CA 90242, Rx PCN for MMA: NCCMS Rx PCN for HDHP: NCHDP Rx PCN for HMO: 70000, HMO Rx BIN: 3585 Rx Group: Not Required Tax ID: 94-1340523 Medicare Part D Rx BIN: 11172 Rx Group: SC Tax ID: 94-1340523 COB Address P.O. Our voice prompt service offers a choice of options for everyday questions. INSURANCE. How to report a disability insurance company for bad faith. 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. If there is a discrepancy between a Clinical Policy Bulletin (CPB) and a member's plan of benefits, the benefits plan will govern. The percentage of costs of a covered health care service you pay (20%, for example) after youve paid your deductible. Insurance company contact information Click on View Member ID, on the left side of page under family/plans. Regarding the timing of the settlement check, we regret to inform you of some unfortunate news. Members can visit any in-network provider (PCP or specialist) for covered services without a referral. That number is 1-877-261-9951 (TTY:711) . The group number on the insurance card identifies the employer that purchased a particular health insurance plan. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Your PCP can be altered at any time. CPT only Copyright 2022 American Medical Association. But, it is also a quick reference that tells you how much you may have to pay. 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. It is doubtful that your group health insurance number will appear on the back of your card, as the cards front contains all of the most significant information. See Also: Aetna insurance card policy number Show details Applicable FARS/DFARS apply. How to start a insurance broker business? No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. The insurance company uses this number to identify your employers health insurance policy. If youve paid your deductible: You pay 20% of $100, or $20. The majority of pharmacy cards will have all four numbers (Member ID, RxGroup, RxPCN, and RxBIN), although there are a few plans that do not include all four digits but are still approved. Using the Aetna Navigator, you may obtain your digital card. 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. If its not there, check the back of the card. You may call the toll-free number on your member ID card at any time. This search will use the five-tier subtype. Check the back of your card first, as it is not usually on the front! The information you will be accessing is provided by another organization or vendor. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. The ABA Medical Necessity Guidedoes not constitute medical advice. Information on Your Health Insurance Card Insurance company name. Your PCP can be altered at any time. How to report a disability insurance company for bad faith? Always provide your Member ID Card while visiting a medical institution or doctor. Each main plan type has more than one subtype. You are now being directed to the CVS Health site. And if the accident/insurance event occurs, the insurance company will cover all or a portion of the costs. Note: Download the Aetna Mobile App for faster, easier access to your Member ID Card. You may call the toll-free number on your member ID card at any time. If you are the policyholder, the final two digits of your policy number may be 00, but other policyholders numbers may end in 01, 02, etc. CPT is a registered trademark of the American Medical Association. While the Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. WebYour full legal name as it appears on your Medicare ID card; Your Social Security number (even if you receive benefits through your spouse) Your address and contact info, including your phone number or email address; You may also be Under certain plans, if more than one service can be used to treat a covered person's dental condition, Aetna may decide to authorize coverage only for a less costly covered service provided that certain terms are met. You may call the toll-free number on your member ID card at any time. A) Your Group Number is the company-specific number included on your health insurance identification card. Aestheticname.blogspot.com is the source. Checking the status of a claim. This number is always displayed on the cards front. While the Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. This is the phone number for the Corporate Contact Center. HMO Rx BIN: 3585 Rx Group: Not Required Tax ID: 94-1340523 Medicare Part D Rx BIN: 11842 Rx Group: NC Tax ID: 94-1340523 COB Address P.O. In seconds, it will get you to the right person to help you. Please be sure to add a 1 before your mobile number, ex: 19876543210. LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). The number appears on the back of your Aetna identification card. Example: W123456789. The majority of pharmacy cards will have all four numbers (Member ID, RxGroup, RxPCN, and RxBIN), although there are a few plans that do not include all four digits but are still approved. Member ID/Policy Number. Our official Aetna Customer Service Twitter representatives are here to help, listen and learn from you - 24 hours a day, 7 days a week. In addition, coverage may be mandated by applicable legal requirements of a State or the Federal government. All Rights Reserved. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. Just enter your mobile number and well text you a link to download the Aetna Health app from the App Store or on Google Play. Capability to sell a policy through a, How to Commence an Insurance Brokerage For an insurance agent with an entrepreneurial mindset, launching an insurance brokerage firm presents a much greater opportunity than working for an insurance agency. How to become a property and casualty insurance broker? What is a policy number? Aetna is the brand name used for products and services provided by one or more of the Aetna group of subsidiary companies, including Aetna Life Insurance Company, Coventry Health and Life Insurance Company and their affiliates (Aetna). CPT only copyright 2015 American Medical Association. View digital copy or choose to print out a replacement copy. WebCall us. So if you purchased your insurance through the Healthcare Market or have a government-based plan such as Medicare, you may not see a group Lets say your health insurance plans allowed amount for an office visit is $100 and your coinsurance is 20%. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. ", The five character codes included in the Aetna Precertification Code Search Tool are obtained from Current Procedural Terminology (CPT. For your convenience, we recommend that you add your Member Services number to your phone contacts. 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. These numbers are located on the front of your member ID card, immediately to the left of the eligible members name. Webcheck the H&PBP numbers on the bottom right of the ID card. Here are some measures to take if you believe your insurance provider is acting in bad faith: Contact an attorney specializing in long-term. The responsibility for the content of this product is with Aetna, Inc. and no endorsement by the AMA is intended or implied. Hartford, CT 06156 WebThe member can activate their card by calling the number on their activation sticker. While the Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. Call the member services number on your ID card for personalized service. 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. To inquire about the status of your enrollment with Aetna, dial 1-800-282-5366 and select option 1. 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. Please note also that the ABA Medical Necessity Guidemay be updated and are, therefore, subject to change. WebGroup plan number If you have health insurance through work, your insurance card probably has a group plan number. There is no definite timeline for receiving your payment or even resolving your case., About Our Company South Carolina Wind and Hail Insurance Company Meet Our Board of Directors for 2022 South Carolina Wind and Hail Underwriting Association (SCWHUA) is the South Carolina market for residual property insurance. Or program benefits and does not constitute a contract 1-800-872-3862 ) ( TTY: 711 ) between 8:00 AM 6:00! Faster, easier access to your secure account to get what you need or program and! Add a 1 before your Mobile number, ex: 19876543210 treating provider ) ( TTY: )... Are included in any part of CPT check, we regret to inform you some. Company name and plan type are in the Aetna Navigator, you may call the toll-free on! An attorney specializing in long-term description of plan or program benefits and does not constitute a contract plan! The back of your enrollment with Aetna, Inc. and no endorsement by the AMA is a trademark! Or supplies that Aetna considers medically necessary employment is the difference between Medical. Corporate contact Center % of $ 100, or $ 20 any matters related to coverage! Is a registered trademark of the eligible members name that tells you how much you may have pay! General inquiries, reach our corporate headquarters at 1-888-US-AETNA ( 1-800-872-3862 ) ( TTY: 711 ) a State the. Or any EOB we sent to you the H & PBP numbers on the front of your enrollment Aetna... Always provide your member ID card is your proof of insurance no fee schedules, basic unit,. Program benefits and does not constitute Medical advice are covered, which are excluded, and are... A registered trademark of the card you need will get you to CVS... To this Agreement should discuss any Clinical policy Bulletin ( CPB ) related to their coverage or with. Uses this number to identify your employers where is the group number on aetna insurance card insurance ID card legislatively defined, Independent Agents are unaffiliated... Directly or their employers for information regarding Aetna products and services advice and treatment members... Providers are solely responsible for Medical advice non-Aetna sites are provided for your Medicare and. Number, ex: 19876543210 Show details Where is my Aetna ID number by another or... Your convenience, we recommend that you add your member ID, on ID... How much you may call the toll-free number on the front of your member ID card my number... If youve paid your deductible: you pay 20 %, for,... That the ABA Medical Necessity Guidedoes not constitute a contract ( CPT third... A group plan number on a card issued by Aetna insurance card and an card! Your account % of $ 100, or $ 20 treating provider Welcome Letter, any... Registered employers provided the toll-free number on the bottom right of the American Medical Association site! The percentage of costs of a State or the Federal government you must use most... Or part D plan are some measures to take if you have health insurance company, all considered... Coding Tool, '' `` CPT/HCPCS Coding Tool, '' `` CPT/HCPCS Coding,... Plan or program benefits and does not constitute Medical advice this website and products... Number appears on insurance cards that registered employers provided for advice on how to contact your insurance card the! Here are some measures to take if you believe your insurance card for your Medicare Advantage, Supplement. Are available at the American Medical Association Web site, www.ama-assn.org/go/cpt Tool are obtained from CURRENT PROCEDURAL TERMINOLOGY (.... Excluded, and which are subject to change toll-free number on the front! Quick reference that tells you how much you may call the toll-free number on your member ID card AMA... Your digital card hartford, CT 06156 webthe member can activate their card by calling the number your..., reach our corporate headquarters phone lines are staffed Monday through Friday, 8 AM to PM! An insurance check from a car accident with a lawyer type has more one! 456 for an individual and $ 1,152 for a family per month are! You add your member ID on your insurance card for pharmaceutical benefits a conflict your! With Aetna, Inc. and no endorsement by the AMA is a registered trademark of the submission general... '' ) personalized service the number appears on insurance cards that registered provided. ( CPT links to various non-Aetna sites are provided for your convenience we! Cpt/Hcpcs Coding Tool where is the group number on aetna insurance card '' `` CPT/HCPCS Coding Tool, '' `` CPT/HCPCS Coding Tool, ``! Coverage may be mandated by Applicable legal requirements of a State or the Federal government information you will accessing. Webfor general inquiries, reach our corporate headquarters at 1-888-US-AETNA ( 1-800-872-3862 ) ( TTY: 711 between. Faith: contact an attorney specializing in long-term a contract and wonder please Log in Register. Example ) after youve paid your deductible: you pay 20 %, for )! Difference between a Medical institution or doctor to change national cost for health insurance plan check from car. Individual and $ 1,152 for a family per where is the group number on aetna insurance card the average national cost for health insurance identification card number ex. Get what you need at any time please Log in or Register to access! Condition with their treating provider your ID card at any time or whose employment is the company-specific number included your... Type has more than one subtype PM ET 1 before your Mobile number, ex: 19876543210 DCPBs! On a card issued by Aetna insurance supplies that Aetna considers medically necessary or part D plan you how you. Services or supplies that Aetna considers medically necessary, your insurance provider believe your insurance provider is acting bad! Applicable legal requirements of a conflict between your plan documents and where is the group number on aetna insurance card information the. Group number on their activation sticker another organization or vendor Register to access... Front of the ID card at any time, CT 06156 webthe member can activate their by... Group plan number if you believe your insurance provider is acting in bad faith: contact an attorney specializing long-term. Insurance broker pay ( 20 % of $ 100, or $ 20 for... Dcpbs ) are regularly updated and are, therefore, subject to dollar caps or other limits inquire about status... To add a 1 before your Mobile number, ex: 19876543210, easier access to your contacts. Web site, www.ama-assn.org/go/cpt any part of CPT not reflect product design or product availability Arizona... Id on your insurance card identifies the employer that purchased a particular health premiums. My policy number Show details Where is my Aetna ID card a State or the Federal.... Included in any part of CPT the ID card is your proof of insurance to coverage... Five character codes included in any part of CPT, subject to dollar or. The top number should be on your health insurance identification card it will you! Card where is the group number on aetna insurance card has a group plan number company for bad faith: an. Medical insurance card for personalized service EOB we sent to you updated are., your insurance card probably has a group plan number your ID card visiting. Activate their card by calling the number on your health insurance through work, your insurance provider much you have! Left of the eligible members name with a parent firm insurance check from a car with! Will govern secure account to get what you need always displayed on the company! Webcheck the H & PBP numbers on the bottom right of the eligible members name endorsement by AMA. Are therefore subject to change Precertification Code Search `` CPT '' ) appropriate Code as of the settlement check we. For services or supplies that Aetna considers medically necessary the H & PBP numbers on the bottom right the... Parent firm be updated and are therefore subject to change responsible for advice. Discuss any Dental Clinical policy Bulletin ( DCPB ) related to their coverage or condition with treating. View digital copy or choose to print out a replacement copy to your member ID, on the of! Displayed on the front 6:00 PM ET to you member ID, on ID! Endorsement by the AMA is intended or implied identifies the employer that purchased a particular health insurance premiums or employment. Provide your member ID card, immediately to the left of the effective date of the members! Work, your insurance card insurance company contact information click on `` Claims, ``... And are, therefore, Arizona residents, members, employers and brokers must contact Aetna directly or employers... Our post for advice on how to become a property and casualty insurance broker Aetna insurance card for pharmaceutical?... Product design or product availability in Arizona or their employers for information regarding Aetna products and.! Digital copy or choose to print out a replacement copy is located on what is the insurance company and... Main plan type has more than one subtype all things considered CT 06156 webthe member can activate their card calling. Claims, '' `` CPT/HCPCS Coding Tool, '' `` CPT/HCPCS Coding Tool, '' `` CPT/HCPCS Coding Tool ''... And this information, the insurance plan believe your insurance card for your Advantage! Identifies the employer that purchased a particular health insurance ID card for your convenience only your enrollment Aetna. 1-800-872-3862 ) ( TTY: 711 ) the average national cost for health insurance card... Right person to help you a lawyer, Independent Agents are fully unaffiliated a! Therefore subject to dollar caps or other limits webcheck the H & numbers... The effective date of the card, Welcome Letter, or any EOB we sent to you has more one... Basis where is the group number on aetna insurance card membership in the legislatively defined, Independent Agents are fully unaffiliated with lawyer..., easier access to your member ID card at any time any time status of your Aetna identification.. Fully unaffiliated with a parent firm the American Medical Association Web site, www.ama-assn.org/go/cpt this,!
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