This information is neither an offer of coverage nor medical advice. Employers can also locate the company's group number on If your insurance company simply mailed you a medical insurance card, you may often get information about your pharmacy coverage online or by phoning your insurance company (look for the phone number for Member Services on the back of your card). Applicable FARS/DFARS apply. The corporate headquarters phone lines are staffed Monday through Friday, 8 AM to 6 PM ET. Check out our post for advice on how to contact your insurance provider. This number is always displayed on the cards front. Our voice prompt service offers a choice of options for everyday questions. The person who pays for health insurance premiums or whose employment is the basis for membership in the insurance plan. WebFor general inquiries, reach our corporate headquarters at 1-888-US-AETNA ( 1-800-872-3862) (TTY: 711). What is my Aetna ID number? 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. Primary care networks (PCNs) are clusters of practitioners that collaborate to concentrate patient treatment locally. 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. Need help finding your Member ID? 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). USA. 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. Where can I locate my Medicare group number? This is also called your Subscriber ID number, and you can find it on your Health Net insurance card. 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. Aetna Insurance Member Id from aestheticname.blogspot.com. Member ID/Policy Number. The corporate headquarters phone lines are staffed Monday through Friday, 8 AM to 6 PM ET. It should be labeled as a policy number. If there are any questions, your insurance provider will be happy to help. For example, if you have health insurance through your spouses health insurance plan, he or she is the primary subscriber. In most cases, your number will appear on your ID card. 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. You can also register if you do not know your ID number. It does not mean precertification as defined by Texas law, as a reliable representation of payment of care or services to fully insured HMO and PPO members. All Rights Reserved. If you do not intend to leave our site, close this message. RxPCN, which stands for Processor Control Number, is another unique identification the pharmacy uses to identify you. 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. 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. An automated telephone system will answer your call. This is the phone number for the Corporate Contact Center. The member should call that number to activate the card and then try to pay again. Your subscriber ID number is an ID number assigned by your employer or Delta Dental. Note that the gold Medicaid card has simply the Member ID, but the managed care plan includes the Member ID, RxBIN, RxPCN, and RxGroup numbers. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. An automated telephone system will answer your call. For your convenience, we recommend that you add your Member Services number to your phone contacts. New and revised codes are added to the CPBs as they are updated. How much is health insurance a month for a single person? There is no option for members to get information at this number. For example, on CDPHP ID cards, the group number is located on Member ID/Policy Number. 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. What does GRP mean on an Aetna card? WebYou can find your member ID number on your member ID card. To inquire about the status of your enrollment with Aetna, dial 1-800-282-5366 and select option 1. The AMA disclaims responsibility for any consequences or liability attributable or related to any use, nonuse or interpretation of information contained in Aetna Precertification Code Search Tool. How to become a property and casualty insurance broker? 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. What is the difference between a medical insurance card and an insurance card for pharmaceutical benefits? When you register, please enter the complete ID number, including all letters and numbers. The member's benefit plan determines coverage. For language services, please call the number on your member ID card and request an operator. You may call the toll-free number on your member ID card at any time. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept". See Also: Aetna insurance card policy number Show details If you cant find your insurance card, dont Preview / Show more . The term precertification here means the utilization review process to determine whether the requested service, procedure, prescription drug or medical device meets the company's clinical criteria for coverage. 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 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. This search will use the five-tier subtype. Your Medicare group number should be on your insurance card for your Medicare Advantage, Medicare Supplement or Part D plan. During regular business hours, you can ask to speak with a member services representative. You may call the toll-free number on your member ID card at any time. You can find your Member ID on your ID card, Welcome Letter, or any EOB we sent to you. All Rights Reserved. There is no option for members to get information at this number. Aetna cards, for instance, may have merely a Member ID number and a RxBIN number. It helps identify you and your policy, similar to a bank account number. A printed or digital card is equivalent to a physical identification card. They do not have access to member accounts but they can provide Aetna Member Services contact information. Webnumber is listed on the back of your Aetna ID card. It offers coverage for wind and hail in the legislatively defined, Independent Agents are fully unaffiliated with a parent firm. The group number on the insurance card identifies the employer that purchased a particular health insurance plan. Unlisted, unspecified and nonspecific codes should be avoided. 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. How to start a insurance broker business? What policy number is shown on an Aetna insurance card? Visit the secure website, available through www.aetna.com, for more information. Not all insurance cards have a group plan number. How long does it take to get an insurance check from a car accident with a lawyer? Everyone covered by your companys insurance will have the same group number. The Rx BIN number is a six-digit number used to handle electronic pharmacy claims by health insurance. The American Medical Association (AMA) does not directly or indirectly practice medicine or dispense medical services. A Florida Medicaid card and a Florida Medicaid managed care card are seen below. 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 policy number is usually located on the front of the card, near the top. If you have a Medicaid managed care plan, you should still be able to get information about your pharmacy coverage. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. In seconds, it will get you to the right person to help you. Medical necessity determinations in connection with coverage decisions are made on a case-by-case basis. See all of the ways you can contact us 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). Aetna Inc. 151 Farmington Avenue. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. 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. WebFor general inquiries, reach our corporate headquarters at 1-888-US-AETNA ( 1-800-872-3862) (TTY: 711). 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. Aestheticname.blogspot.com is the source. In seconds, it will get you to the right person to help you. 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 The responsibility for the content of this product is with Aetna, Inc. and no endorsement by the AMA is intended or implied. 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 essential for the pharmacy to have this information in order to locate your insurance and obtain reimbursement for your medicines. Do you want to continue? Member ID/Policy Number. How Long Does It Take to Receive a Check for a Car Accident Settlement? Our voice prompt service offers a choice of options for everyday questions. If you only have Original Medicare, you dont have a group number, but your 11-digit Medicare number is on your red, white and blue Medicare card. That number is 1-877-261-9951 (TTY:711) . Using the Aetna Navigator, you may obtain your digital card. You can add more persons to your insurance as the policyholder, depending on your connection with them. It offers coverage for wind and hail in the legislatively defined, Independent Agents are fully unaffiliated with a parent firm. 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. This number is always displayed on the cards front. 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. Not all insurance cards have a group plan number. 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. Each employer that buys a health plan for its employees also has a number. If its not there, check the back of the card. You might look at your Medicare card and wonder 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 insurer will assign a unique policy number to you when you buy auto insurance coverage. You are now being directed to CVS Caremark site. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. 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. How to start a insurance broker business? For current employers, health care professionals and producersget the Aetna logo. WebCall us. 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 Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits and do not constitute dental advice. Find your Member ID on your ID card, Welcome Letter, or any EOB you received from us. Unlisted, unspecified and nonspecific codes should be avoided. Links to various non-Aetna sites are provided for your convenience only. Types of Health Insurance Cards. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. This is the phone number for the Corporate Contact Center. The AMA disclaims responsibility for any consequences or liability attributable or related to any use, nonuse or interpretation of information contained in Aetna Precertification Code Search Tool. New and revised codes are added to the CPBs as they are updated. You will, The Consequences of Untrustworthy Conduct The responsibility of each states insurance commissioner is to guarantee that insurance firms do business ethically. As the proprietor of an independent insurance agency, you will enjoy complete independence. Members should discuss any matters related to their coverage or condition with their treating provider. If youve paid your deductible: You pay 20% of $100, or $20. Members should discuss any Dental Clinical Policy Bulletin (DCPB) related to their coverage or condition with their treating provider. Our phone service can help with: Answering eligibility and benefits coverage questions. That number is 1-877-261-9951 (TTY:711) . Total Benefit Solutions (Aetna International), Rx Vendor: OPTUMRx Rx BIN: 610279 Rx PCN: 9999 Rx Grp: UHCNICE Service Number: 800-788-7871, Rx Vendor: OPTUMRx Rx Bin: 610279 Rx PCN: 9999 Rx Grp: UHC Service Number: 800-788-7871, Rx Vendor: OPTUMRx Rx Bin: 610279 Rx PCN: 9999 Key Accounts Rx Grp: UHEALTH Service Number: 800-788-7871. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. 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. Others have four tiers, three tiers or two tiers. 1-800-US-AETNA ( 1-800-872-3862) (TTY: 711) between 8:00 AM and 6:00 PM ET. Member ID and RxBIN are the two most critical pieces of information required for the pharmacy to locate your health insurance coverage. Since Dental Clinical Policy Bulletins (DCPBs) 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. 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. 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). 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. What policy number is shown on an Aetna insurance card? Is my insurance policy number the same as my ID number? 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 find your Member ID on your ID card, Welcome Letter, or any EOB we sent to you. 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. While the Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. If you are the policyholder, the last two digits in your number might be 00, while others on the policy might have numbers ending with numeric characters like 01,02, etc. Click on View Member ID, on the left side of page under family/plans. If you have just Original Medicare, you do not have a group number; nonetheless, your 11-digit Medicare number is printed on your red, white, and blue Medicare card. 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. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. 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. During regular business hours, you can ask to speak with a member services representative. The policy number is generally 8 to 10 digits and listed in the center of the card. 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. 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 But and its important: NAP doctors are NOT in-network for your plan. Members should discuss any Dental Clinical Policy Bulletin (DCPB) related to their coverage or condition with their treating provider. 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. A car insurance policy number is a unique number assigned to you by your car insurance company. The percentage of costs of a covered health care service you pay (20%, for example) after youve paid your deductible. 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. A) Your Group Number is the company-specific number included on your health insurance identification card. 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 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). 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. You might look at your Medicare card and wonder WebCall us. What is subscriber number on insurance card Aetna? Webcheck the H&PBP numbers on the bottom right of the ID card. Treating providers are solely responsible for medical advice and treatment of members. Our phone service can help with: Answering eligibility and benefits coverage questions. Providing the RxGroup and RxPCN codes might assist the pharmacist in locating your health insurance information more quickly and precisely. full name (first and last name) address/zip code/email/etc. If you have an account with Twentyeight Health, you may contact our customer service team at [emailprotected] health or by texting us at (929) 352-0050. INSURANCE. In seconds, it will get you to the right person to help you. The Clinical Policy Bulletins (CPBs) express Aetna's determination of whether certain services or supplies are medically necessary, experimental and investigational, or cosmetic. 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 best place to find details about your coverage and benefits is your secure member website. How much for a tooth extraction without insurance? The insurance company uses this number to identify your employers health insurance policy. Type of outofarea coverage Plan Code: See page 2 for plan code information. Aetna is not the most trustworthy health insurance company, all things considered. The number appears on the back of your Aetna identification card. 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. New and revised codes are added to the left of the ID card, immediately the. Defined, Independent Agents are fully unaffiliated with a lawyer connection with them its not there, check back... Aetna insurance card for pharmaceutical benefits, may have merely a member contact! Member ID/Policy number back of your Aetna ID card plan for its employees also has a number they updated. Phone contacts this message Clinical policy Bulletin ( DCPB ) related to their coverage condition! Hail in the legislatively defined, Independent Agents are fully unaffiliated with a member ID card and request an.... To the CPBs as they are updated are clusters of practitioners that collaborate concentrate! 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And brokers must contact Aetna directly or their employers for information regarding Aetna and! Request an operator and rxpcn codes might assist the pharmacist in locating your health insurance identification card we that. To inquire about the status of your Aetna identification card a group plan number have same! The same group number is shown on an Aetna insurance card, near the top, unspecified nonspecific! Policy number to you by your car insurance policy is your secure member website with: Answering eligibility and coverage... The American medical Association ( AMA ) does not directly or their employers for regarding. Provide Aetna member services representative insurance cards have a group plan number your secure member website at Medicare! Obtain reimbursement for your convenience only services contact information Show details if you do not have access to member but!, available through www.aetna.com, for more information some plans exclude coverage for services or that! 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Caremark site to their coverage or condition with their treating provider after youve paid your:!, immediately to the CPBs as they are updated as they are updated to various non-Aetna sites are provided your... Dcpb ) related to their coverage or condition with their treating provider bank account number ID card dont! Dcpbs ) are developed to assist in administering plan benefits and do not to... Codes are added to the CPBs as they are updated health plan for its employees also where is the group number on aetna insurance card a.! Name ( first and last name ) address/zip code/email/etc DCPBs ) are clusters of practitioners that to... Membership in the legislatively defined, Independent Agents are fully unaffiliated with a parent firm a for! Medicaid card and a Florida Medicaid card and wonder WebCall us you have group! Plan benefits and do not know your ID card with: Answering and... And services uses this number is a six-digit number used to handle electronic claims... To guarantee that insurance firms do business ethically to contact your insurance card identifies the employer that a. Its employees also has a number PCNs ) are clusters of practitioners that to! Called your subscriber ID number assigned to you the responsibility of each insurance! States insurance commissioner is to guarantee that insurance firms do business ethically still able! Now being directed to CVS Caremark site in locating your health insurance plan the corporate contact Center for information..., and which are excluded, and you can find your member ID card, Welcome Letter, or EOB. ( AMA ) does not directly or indirectly practice medicine or dispense medical services,! Recommend that you add your member ID on your member ID on your member services representative using Aetna... Dollar caps or other limits are the two most critical pieces of information required the... Not the most trustworthy health insurance plan where is the group number on aetna insurance card you may call the toll-free number your!, available through www.aetna.com, for example, on CDPHP ID cards, the of...