Aetna medicare provider directory

Log in to find a doctor.

You can search without logging in. Choose a plan to find doctors, hospitals and providers that accept it. Finding the right doctor matters. These doctors have proven time and time again that they provide high-quality, effective care. Of course, you can use our search tools to find doctors and hospitals that take your insurance. You can also find a range of health care providers to help you care for the whole you. Locate vision care providers, mental health professionals , virtual care options , and more.

Aetna medicare provider directory

For detailed information about your health care coverage, please see your Evidence of Coverage. You may go to any of these network providers. However, some services may require a referral. In some cases, you may get covered services from out-of-network providers, but you may pay more out of pocket. For some plans, you may have to choose one of our network providers to be your primary care provider PCP. You can also find a list of pharmacies that offer Part B and Part D drugs in our pharmacy directory. Check with your pharmacy to see if they offer the services you need to fill a prescription. Updates may also be affected by interruptions due to system maintenance, upgrades or unplanned outages. Please contact your provider before you schedule an appointment or receive services. Confirm that they still participate in our network. Check your Evidence of Coverage for a list of services that require prior authorization. If you need services that require prior authorization, have the network provider contact us. If your plan includes an out-of-network benefit and you decide to receive covered services from an out-of-network provider, ask the provider to contact us for prior authorization for those services. Note that not all benefits are available for all plans.

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. Member Quick Links Get a form Pay your premium Attend a seminar near you Check out aetna medicare provider directory plan materials Frequently asked questions Log in to our member website, aetna medicare provider directory. Explore benefits and services.

Our online directories include a wide selection of doctors, hospitals, pharmacies and other providers and services. Find a provider. Find an EyeMed provider. Log in to find a provider. Request a printed copy of your directory. Other ways to contact us.

Aetna Medicare Advantage plans take a total approach to health. With our Medicare Advantage HMO plans, you choose a primary care provider who helps coordinate your care within a network of doctors and hospitals. For medical care, our HMO-POS plans require you to choose a primary care provider from a group of participating providers. For routine dental care, our HMO-POS plans provide you with flexibility to go to licensed dental providers either in or out of our network. You may pay more when you go out of network. We can help you find out if you qualify. Aetna Medicare Advantage plans include benefits and services that focus on your total health. We want to help you get the coverage, resources and care you need. See Evidence of Coverage for a complete description of plan benefits, exclusions, limitations and conditions of coverage.

Aetna medicare provider directory

Log in to find a doctor. See if your provider is within your network. This visit will help establish your baseline health and can help catch health problems early. It includes a review of your medical and social history, a brief checkup and medication review. This program allows a licensed Nurse Practitioner or board-certified physician to visit you in your own home. These visits can include discussions about your health, a non-invasive physical exam, medication review and discussions about health resources. These visits are also available virtually. Instead, it helps us work with your primary care physician to manage your care. And it enables us to direct you to the health programs and services you need. It also includes testing for cognitive impairment, education about additional preventive services and developing a personalized prevention plan.

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Find a medication. Other ways to contact us. In addition to offering a network of health care professionals, Aetna Medicare Advantage plans can offer benefits not covered by Original Medicare. It demonstrates our commitment to continuous quality improvement and meeting customer expectations. Unlisted, unspecified and nonspecific codes should be avoided. Do you want to continue? In case of a conflict between your plan documents and this information, the plan documents will govern. You are now being directed to the CDC site Links to various non-Aetna sites are provided for your convenience only. If you still have Medicare questions, please give us a call or visit AetnaMedicare. Find a doctor. These visits are also available virtually. Aetna preferred provider organization PPO plans are more flexible. With SilverSneakers, you have access to over 15, participating fitness center locations.

For detailed information about your health care coverage, please see your Evidence of Coverage.

Member Services Aetna members have access to contact information and resources specific to their plans. Learn Medicare basics. Forms Pay your premium Producers. Finding the right doctor matters. Treating providers are solely responsible for medical advice and treatment of members. Check your Evidence of Coverage for a list of services that require prior authorization. Not all plans are offered in all service areas. Are you an Aetna Medicare SilverScript member? Members should discuss any Clinical Policy Bulletin CPB related to their coverage or condition with their treating provider. You are now being directed to the Apple. Learn more about healthy home visits. Others have four tiers, three tiers or two tiers. Get started. Saturday, April In the event that a member disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision.