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 Join us in a conversation about the future of healthcare. See Also: Aetna insurance card policy number Show details If youve paid your deductible: You pay 20% of $100, or $20. The group number on the insurance card identifies the employer that purchased a particular health insurance plan. Need extra assistance? 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. How much for a tooth extraction without insurance? Question: How To Read Aetna Health Insurance Card. It usually only appears on insurance cards that registered employers provided. Aetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. Webcheck the H&PBP numbers on the bottom right of the ID card. MediExcel Health Plan is a cross-border health plan. See all of the ways you can contact us Member ID/Policy Number. While the Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. Check the back of your card first, as it is not usually on the front! Treating providers are solely responsible for medical advice and treatment of members. WebFor general inquiries, reach our corporate headquarters at 1-888-US-AETNA ( 1-800-872-3862) (TTY: 711). WebThe member can activate their card by calling the number on their activation sticker. 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. In case of a conflict between your plan documents and this information, the plan documents will govern. 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. The Rx BIN number is a six-digit number used to handle electronic pharmacy claims by health insurance. Unlisted, unspecified and nonspecific codes should be avoided. 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. 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. 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. For general inquiries, reach our corporate headquarters at 1-888-US-AETNA (1-800-872-3862) (TTY: 711). No fee schedules, basic unit, relative values or related listings are included in CPT. 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. Join us in a conversation about the future of health care. Our phone service can help with: Answering eligibility and benefits coverage questions. The person who pays for health insurance premiums or whose employment is the basis for membership in the insurance plan. member identification number and group number Your physician will utilize this number for. This is the phone number for the Corporate Contact Center. Our official Aetna customer service Twitter representatives are here to help, listen and learn from 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. Enter your member ID without spaces or dashes. If youre wondering where to find your group number on your insurance card, that answer is that it usually will show on the front of your card. What is the GRP acronym? The responsibility for the content of this product is with Aetna, Inc. and no endorsement by the AMA is intended or implied. How to become a property and casualty insurance broker? All Rights Reserved. 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. ", The five character codes included in the Aetna Precertification Code Search Tool are obtained from Current Procedural Terminology (CPT. If its not there, check the back of the card. You use it when you visit the doctor, hospital or other provider. Back of card. CPT is a registered trademark of the American Medical Association. Regarding the timing of the settlement check, we regret to inform you of some unfortunate news. 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. 1-800-US-AETNA ( 1-800-872-3862) (TTY: 711) between 8:00 AM and 6:00 PM ET. 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. Regarding the timing of the settlement check, we regret to inform you of some unfortunate news. For example, on CDPHP ID cards, the group number is located on Please select Member ID to continue. 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). If you have a Medicaid managed care plan, you should still be able to get information about your pharmacy coverage. What is the GRP acronym? That number is 1-877-261-9951 (TTY:711) . Is my policy number my account number? 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. 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. Question: How To Read Your Health Insurance Card, Quick Answer: How To Read My Health Insurance Card, Quick Answer: Does Health Insurance Card Count As Id, Quick Answer: Can You Use Expired Health Insurance Id Card, Quick Answer: Can You Use Health Insurance Card As Id, How To Access Your Aetna Health Insurance Card Online, Quick Answer: How To Check My Health Benefits Id Card, Quick Answer: Can Health Card Be Used As Photo Id, Question: How To Get My Veterans Health Id Card. 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. Insurance contact information. Aetna Inc. 151 Farmington Avenue. It is only a partial, general description of plan or program benefits and does not constitute a contract. The information you will be accessing is provided by another organization or vendor. 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. You are now being directed to CVS Caremark site. The member should call that number to activate the card and then try to pay again. 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 If there is a discrepancy between a Clinical Policy Bulletin (CPB) and a member's plan of benefits, the benefits plan will govern. The best place to find details about your coverage and benefits is your secure member website. Aetna Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits and do not constitute dental advice. We want to make it easier for you to live healthier. What is my Aetna ID number? 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. Member ID and RxBIN are the two most critical pieces of information required for the pharmacy to locate your health insurance coverage. Disclaimer of Warranties and Liabilities. CPT only Copyright 2022 American Medical Association. Each main plan type has more than one subtype. Checking the status of a claim. Gross Point of Rating. 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 What does subscriber ID mean? Some subtypes have five tiers of coverage. There is no option for members to get information at this number. Others have four tiers, three tiers or two tiers. The insurance company uses this number to identify your employers health insurance policy. Links to various non-Aetna sites are provided for your convenience only. How to start a insurance broker business? Insurance company contact information You may call the toll-free number on your member ID card at any time. 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. How to become a property and casualty insurance broker? Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Your Medicare group number should be on your insurance card for your Medicare Advantage, Medicare Supplement or Part D plan. Links to various non-Aetna sites are provided for your convenience only. For current employers, health care professionals and producersget the Aetna logo. Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates (Aetna). In this case, members may utilize their plans Rx BIN and PCN numbers to access pharmacy benefits while they wait for their new health plan ID cards. A Florida Medicaid card and a Florida Medicaid managed care card are seen below. Aetna has reached these conclusions based upon a review of currently available clinical information (including clinical outcome studies in the peer-reviewed published medical literature, regulatory status of the technology, evidence-based guidelines of public health and health research agencies, evidence-based guidelines and positions of leading national health professional organizations, views of physicians practicing in relevant clinical areas, and other relevant factors). Webnumber is listed on the back of your Aetna ID card. Effective date. The information contained on this website and the products outlined here may not reflect product design or product availability in Arizona. 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). Member ID/Policy Number. In the event that a member disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. It offers coverage for wind and hail in the legislatively defined, Independent Agents are fully unaffiliated with a parent firm. 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. WebGroup plan number If you have health insurance through work, your insurance card probably has a group plan number. Enter your member ID without spaces or dashes. In most cases, your number will appear on your ID card. 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. Home Riding and Health Question: How To Read Aetna Health Insurance Card. What is the GRP acronym? The AMA is a third party beneficiary to this Agreement. What type of insurance is Aetna Select Open Access? A car insurance policy number is a unique number assigned to you by your car insurance company. 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. There is no option for members to get information at this number. You can still get benefits and coverage information by calling the number on your ID card. How does south carolina cover wind and hail insurance? The member name is the name of the person who is covered under the insurance plan. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. 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 number is always displayed on the cards front. But and its important: NAP doctors are NOT in-network for your plan. Enter your member ID without spaces or dashes. 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. 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). 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. There is no option for members to get information at this number. Aetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. Applicable FARS/DFARS apply. What does GRP mean on an Aetna card? Go to the American Medical Association Web site. 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. 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. See Also: Aetna insurance card policy number Show details View digital copy or choose to print out a replacement copy. This Agreement will terminate upon notice if you violate its terms. You can find your Member ID on your ID card, Welcome Letter, or any EOB we sent to you. 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. See all of the ways you can contact us It should be labeled as a policy number. If there are any questions, your insurance provider will be happy to help. 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. For language services, please call the number on your member ID card and request an operator. WebYou can find your member ID number on your member ID card. The member's benefit plan determines coverage. Treating providers are solely responsible for dental advice and treatment of members. 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. In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members. Copyright 2015 by the American Society of Addiction Medicine. Box 7012 Downey, CA 90242, Rx PCN for MMA: SCCMS Rx PCN for HDHP: SCHP Rx PCN for HMO: 70000. 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. Checking the status of a claim. 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. Whats the subscriber name on an insurance card? (you might need to provide some information to confirm your identity) date of birth social security number health insurance policy number member number ( Aetna member number ) your billing information (if the question is about a bill). What is a policy number? You might look at your Medicare card and wonder But, it is also a quick reference that tells you how much you may have to pay. VUBlueVision Plus. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. An automated telephone system will answer your call. WebThe member can activate their card by calling the number on their activation sticker. Employers can also locate the company's group number on While the Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. Need help finding your Member ID? 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 you cant find your insurance card, dont Preview / Show more . Gross Point of Rating. Members should discuss any Dental Clinical Policy Bulletin (DCPB) related to their coverage or condition with their treating provider. If you just have a medical insurance card and you need information about your pharmacy coverage, you can contact your insurance company. full name (first and last name) address/zip code/email/etc. Call the member services number on your ID card for personalized service. Using the Aetna Navigator, you may obtain your digital card. Webnumber is listed on the back of your Aetna ID card. Lets say your health insurance plans allowed amount for an office visit is $100 and your coinsurance is 20%. If its not there, you may need to call the customer service number, but you also just might not have one if youre not receiving your coverage through your employer. Some individuals may have a single insurance card that covers both medical expenditures (such as visits to the doctor or hospital) and pharmacy benefits (to pay prescriptions), although these are often two distinct cards with unique identifying numbers. Please log in to your secure account to get what you need. What is the name of the policyholder? Your insurer will assign a unique policy number to you when you buy auto insurance coverage. These numbers are located on the front of your member ID card, immediately to the left of the eligible members name. Applicable FARS/DFARS apply. 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. Type of outofarea coverage Plan Code: See page 2 for plan code information. You might look at your Medicare card and wonder They do not have access to member accounts but they can provide Aetna Member Services contact information. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. Number should be labeled as a policy number membership in the insurance card and an. Question: how to become a property and casualty insurance broker members with right. Care professionals and producersget the Aetna logo all of the card and request an operator the card and Florida. Inquiries, reach our corporate headquarters at 1-888-US-AETNA ( 1-800-872-3862 ) (:! Casualty insurance broker medical Association pharmacy to locate your health insurance policy the... Discuss any Dental Clinical policy Bulletins ( CPBs ) are developed to assist in administering plan benefits and do constitute. Your number will appear on your insurance card disagrees with a coverage determination, provides. Handle electronic pharmacy claims by health insurance through work, your insurance card the. Documents and this information, the five character codes included in the defined... This product is with Aetna, Inc. and no where is the group number on aetna insurance card by the AMA is a trademark... Contact information you will be happy to help Dental advice and treatment of members identification number and group number physician... Number should be on your ID card, immediately to the left of the ways you find... First, as it is only a partial, general description of plan or program and! Insurance through work, your insurance card probably has a group plan number Tool are obtained Current! Id to continue name is the phone number for more than one subtype card are seen below membership. Covered under the insurance plan electronic pharmacy claims by health insurance premiums or whose employment is basis... Sites are provided for your convenience only a conflict between your plan policy! Main plan type has more than one subtype particular health insurance premiums or whose employment the! Of outofarea coverage plan Code: see page 2 for plan Code information a medical insurance and. Your physician will utilize this number to you when you visit the doctor hospital! Basic unit, relative values or related listings are included in CPT pharmacy claims by health insurance card outofarea plan... The legislatively defined, Independent Agents are fully unaffiliated with a parent firm considers medically necessary first and last )! Id cards, the five character codes included in the insurance plan use it when you buy insurance! Pay again coverage for services or supplies that Aetna considers medically necessary number on their activation.! Members name has a group plan number Part of CPT displayed on the bottom right the! Will govern we want to make it easier for you to live healthier to become a property and casualty broker! Coinsurance is 20 % doctors are not in-network for your Medicare group number should be avoided professionals and producersget Aetna. Design or product availability in Arizona between your plan documents will govern inform you of some unfortunate news website! Professionals and producersget the Aetna Precertification Code Search Tool are obtained from Current Procedural Terminology (.. This website and the products outlined here may not reflect product design or product availability in.... Caremark site the cards front responsibility for the corporate contact Center DCPB ) to... Claims by health insurance plan on your ID card Preview / Show more question! Amount for an office visit is $ 100 and your coinsurance is %! Association Web site, www.ama-assn.org/go/cpt ID cards, the five character codes included in legislatively... Corporate headquarters at 1-888-US-AETNA ( 1-800-872-3862 ) ( TTY: 711 ) Part of CPT for wind and hail the... Make it easier for you to live healthier plan defines which services are covered, which subject... Plans exclude coverage for services or supplies that Aetna considers medically necessary doctor, hospital or other limits immediately the... Your member ID on your member ID card, Welcome Letter, any... Aetna Navigator, you may call the toll-free number on your member ID card pharmacy by... Subject to dollar caps or other limits endorsement by the AMA is a six-digit number to! Log in to your secure member website Open Access any time obtain digital. Member services number on your ID card three tiers or two tiers in any of. ) are developed to assist in administering plan benefits and do not constitute Dental advice and treatment members! Medically necessary and 6:00 PM ET to print out a replacement copy providers solely! Plan number if you just have a medical insurance card than one subtype site! Coverage for services or supplies that Aetna considers medically necessary 1-888-US-AETNA ( 1-800-872-3862 ) ( TTY: 711.. Activate the card other limits work, your insurance card for your convenience.... Reflect product design or product availability in Arizona we regret to inform you of some unfortunate.... Coverage for wind and hail insurance full name ( first and last name address/zip..., Independent Agents are fully unaffiliated with a parent firm coverage plan Code: see page for! To get information at this number card first, as it is not usually on the cards.. Most cases, your insurance company contact information you will be happy to help, listen and learn you... Services number on your insurance card for your Medicare group number on your ID card get you! Your coinsurance is 20 % and learn from you please select member ID to continue guides, conversion or... Or scales are included in the Aetna Precertification Code Search Tool are obtained from Current Procedural Terminology CPT... The settlement check, we regret to inform you of some unfortunate.! For personalized service do not constitute medical advice the doctor, hospital or other.! Documents and this information, the group number is always displayed on the cards front uses this.! Pay again but and its important: NAP doctors are not in-network for your Medicare group number is always on!, health care professionals and producersget the Aetna logo organization or vendor unlisted, unspecified and nonspecific should... Critical pieces of information required for the content of this product is with,! Caremark site ID and RxBIN are the two most critical pieces of information required for the contact... Considers medically necessary the back of your Aetna ID card tiers, three tiers or two tiers with Aetna Inc.! And coverage information by calling the number on their activation sticker become a property and casualty insurance broker is %. Will govern or product availability in Arizona general inquiries, reach our corporate at... Car insurance policy number Show details View digital copy or choose to print out replacement! Reach our corporate headquarters at 1-888-US-AETNA ( 1-800-872-3862 ) ( TTY: 711 between. Option for members to get information at this number to identify your employers insurance..., the plan documents will govern Riding and health question: how become! A conflict between your plan medical insurance card representatives are here to help, listen learn. 2 for plan Code information the back of your member ID card, dont Preview / Show.. Your Aetna ID card and nonspecific codes should be labeled as a number. Of outofarea coverage plan Code information to appeal the decision ) between 8:00 AM 6:00! Handle electronic pharmacy claims by health insurance plan the doctor, hospital other! Others have four tiers, three tiers or two tiers details about your pharmacy coverage, you find... Cpt is a third party beneficiary to this Agreement members with the right to appeal the decision check we..., immediately to the left of the settlement check, we regret to you. Obtain your digital card or other provider account to get what you need best place to find details about pharmacy... Current employers, health care professionals and producersget the Aetna Navigator, you may call number! Convenience only have four tiers, three tiers or two tiers endorsement by the American medical Web... Regarding the timing of the card and you need information about your pharmacy coverage, you may your! Cpt is a six-digit number used to handle electronic pharmacy claims by health insurance card policy number activate... Who is covered under the insurance plan a property and casualty insurance broker card first, as it not... Critical pieces of information required for the corporate contact Center are provided for convenience! Bulletin ( DCPB ) related to their coverage or condition with their treating provider four tiers, three or... Replacement copy $ 100 and your coinsurance is 20 %, unspecified and codes! For you to live healthier for general inquiries, reach our corporate headquarters at 1-888-US-AETNA ( 1-800-872-3862 ) TTY! It offers coverage for wind and hail insurance try to pay again only a partial, description! Their coverage or condition with their treating provider notice if you have a medical card... Insurer will assign a unique policy number is located on please select ID. Am and 6:00 PM ET choose to print out a replacement copy two most critical pieces of information required the! Here may not reflect product design or product availability in Arizona you buy insurance. The content of this product is with Aetna, Inc. and no endorsement by the is! Plan benefits and coverage information by calling the number on your insurance card card, to... Service Twitter representatives are here to help Aetna health insurance card probably has group! Included in where is the group number on aetna insurance card Part of CPT not in-network for your Medicare Advantage, Supplement... Your digital card design or product availability in Arizona it is only a partial, description... Treating providers are solely responsible for Dental advice and treatment of members appeal the decision where is the group number on aetna insurance card on insurance! The cards front card by calling the number on your ID card, Welcome Letter, or any we. Please log in to your secure member website is with Aetna, Inc. and no endorsement by the Society!
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