The corporate headquarters phone lines are staffed Monday through Friday, 8 AM to 6 PM ET. 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. Your health insurance policy number is typically your member ID number. It helps pinpoint the exact benefits that your plan offers. You have many ways to get the help you need. Web"All prescriptions submitted to Aetna for online adjudication must use BIN code 610502. MultiPlan does not offer insurance, does not administer benefit plans, and does not pay claims to the doctors or facilities in our network. REPRESENTATIVES, Sorry, we couldn't find any results matching. Insurance Card 0000009966 00000 n Ask what your coverage amounts and co-pays are, and find out if you have different amounts and co-pays for different doctors and other health care providers. 0000004751 00000 n Note: The exact steps may vary depending on the Aetna website, and it may be helpful to check the site's FAQ or contact customer support for more information. The group number on the insurance card identifies the employer that purchased a particular health insurance plan. The number appears on the back of your Aetna identification card. WebFor general inquiries, reach our corporate headquarters at 1-888-US-AETNA ( 1-800-872-3862) (TTY: 711). Enter your member ID without spaces or dashes. WebFor general inquiries, reach our corporate headquarters at 1-888-US-AETNA ( 1-800-872-3862) (TTY: 711). A printed or digital card is equivalent to a physical identification card. If not, you can contact your insurance company to learn more about coverage and associated costs. No fee schedules, basic unit, relative values or related listings are included in CPT. 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. It employs more than 300 individuals focused on all aspects of student health insurance. 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. 0000029795 00000 n This search will use the five-tier subtype. Because of this, if you're on a Medicare Advantage or prescription drug plan, you'll receive a different Medicare ID card than your Original Medicare or red, white, and blue card. The conclusion that a procedure, drug, service, or supply is medically necessary does not constitute coverage. The group number on the insurance card identifies the employer that purchased a particular health insurance plan. This is determined through the group number. Visit the secure website, available through www.aetna.com, for more information. If applicable, a loss/end of coverage document will need to be obtained and uploaded regarding current insurance plan and submitted with request to add dependent. The responsibility for the content of this product is with Aetna, Inc. and no endorsement by the AMA is intended or implied. Some health insurance plans do not have co-pays, but many do. Coverage amounts and copays The "coverage amount" tells you how much of your treatment costs the insurance company will pay. This information is important when you need to check your benefits or get other information. What does an Aetna subscriber ID signify? is the group number on a health insurance card On the back of the card: The toll-free number for member services to get answers to your questions. WebGroup number: Identifies your employer plan. While the Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. Your health insurance group number is assigned to the employer that bought your plan. This scamming can happen via text, email or websites set up to look like the trusted company. In this guide, youll find everything you need to know about the common elements of an insurance card. In all cases, final benefit determinations are based on the applicable contract language. Regarding the timing of the settlement check, we regret to inform you of some unfortunate news. Aetna 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. This is identified through the group number. You can still see an out-of-network provider if you choose to do so. Also known as a copayment, copays vary based on the type of plan you have, the kind of treatments you receive, and whether you use an in-network or out-of-network provider. You might see several percent amounts listed together. In this case, you may find an Rx category on your insurance card. It is only a partial, general description of plan or program benefits and does not constitute a contract. Everyone covered by your companys insurance will have the same group number. Tweet with us 8 AM to 8 PM ET Monday through Friday @Aetna and 24/7 @Aetna Help. It helps pinpoint the exact benefits that your plan offers. If you withdraw from school for any reason other than joining the armed forces, Aetna won't refund your premium. Example: W123456789. Coverage amounts and copays A co-pay is a set amount you pay for a certain type of care or medicine. The information contained on this website and the products outlined here may not reflect product design or product availability in Arizona. An insurance card usually shows the name of the person who holds the policy. Example: W123456789. Aetna 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). The insurance company uses this number to identify your employers health insurance policy. The group number is created when a company first signs up for insurance. If you purchased your insurance through the health exchange you might not have a group number. CPT only copyright 2015 American Medical Association. Aetna Your software vendor will help you to obtain and install/set up the necessary software to submit claims online. Enter your member ID without spaces or dashes. If you see several dollar amounts, they might be for different types of care: If this information isnt on your insurance card, call your insurance company. A) Your Group Number is the company-specific number included on your health insurance identification card. Here you can view and print your ID card, view Explanation of Benefits, find participating providers and much more. For payment questions, including those about co-payments, deductible and premiums, you will need to contact your insurance company, human resources representative or health plan administrator directly. When autocomplete results are available use up and down arrows to review and enter to select. Please be sure to add a 1 before your mobile number, ex: 19876543210. You can obtain services via the Cigna network if you or a covered family member need medical care while visiting the U.S. MIP participants who have selected Cigna International as their medical claims administrator have access to the Cigna Health Care OA Plus provider network in the U.S. Health Net may use the Policies to determine whether, under the facts and circumstances of a particular case, the proposed procedure, drug, service, or supply is medically necessary. If you have any problems or questions, call one of our customer service professionals at 1-800-238-6279 (TTY: 711). Your insurance company does not have an agreement with these providers. Where Is The Group Id On Aetna Insurance Card Need to know that your health insurance policy number is usually your member ID number. Your insurance card has valuable information about how your coverage works. Where Is The Group Name On Aetna Insurance Card However, you likely have access to MultiPlan's services through your health plan administrator or medical bill payor . Aetna B) Your Member ID Number is unique to you. For instance, you may have to pay $25 for a routine dental cleaning with an in-network provider or $50 for additional services, like X-rays, fillings, or crowns. 0000038326 00000 n Call your insurance company if you are not sure if your provider is in network. Aetna automatically issues health insurance cards for the 'default' health plan option (Aetna Choice plan at the 'employee-only' coverage tier) to new fully benefits-eligible employees. There are no co-pays for FAMIS members in fee-for-service. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. CPT is a registered trademark of the American Medical Association. The health care system can be complicated and a source of stress for families. (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). Together powered by St. Jude Children's Research Hospital, Bone Marrow / Hematopoietic Cell Transplant, See more side effects of cancer treatment, Learn more about psychology and mental health services, Relapse - When Childhood Cancer Comes Back, Communicating with the Palliative Care Team, Learn how to navigate the healthcare experience, Katie's Story: Building Relationships with Health Care Providers, Learn more about being your own health care advocate, How to Make the Transition from Pediatric to Adult Health Care. To the extent there are any conflicts between medical policy guidelines and applicable contract language, the contract language prevails. The back or bottom of your health insurance card usually has contact information for the insurance company, such as a phone number, address, and website. What does subscriber ID mean? You can still get treatment from out-of-network providers. number Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. To inquire about the status of your enrollment with Aetna, dial 1-800-282-5366 and select option 1. Aetna Student Health administers the University of Virginia student health insurance plan. Number on Insurance Card 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. Medical policy is not intended to override the policy that defines the Member's benefits, nor is it intended to dictate to providers how to practice medicine. The Dental Clinical Policy Bulletins (DCPBs) describe Aetna's current determinations of whether certain services or supplies are medically necessary, based upon a review of available clinical information. As earlier highlighted, the group number on the insurance card is a unique identifier used to determine employees coverage and eligibility for certain services. Plan number: health insurance companies have many plan options. 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. What is the group number on the insurance card? This information is useful to have in case you need to: Now that youre familiar with the different elements of an insurance card, you can take on a new insurance policy with confidence. Each main plan type has more than one subtype. Click on "Claims," "CPT/HCPCS Coding Tool," "Clinical Policy Code Search. Basically, the employer chooses a package for their employees based on price or type of coverage. Gross Point of Rating. Together is a new resource for anyone affected by pediatric cancer - patients and their parents, family members, and friends. Your PCP can be altered at any time. If you have health insurance through work, your insurance card probably has a group plan number. It guides you on how to utilize your health plan. LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). Your insurance card may list two coverage percentages, based on whether you choose an in-network or out-of-network provider. 0000003493 00000 n Aetna expressly reserves the right to revise these conclusions as clinical information changes, and welcomes further relevant information including correction of any factual error. As earlier highlighted, the group number on the insurance card is a unique identifier used to determine employees coverage and eligibility for certain services. Usually, the policy number is indicated at the top of the insurance billing statement or the health insurance card. Health insurance is for an individual or family. You will, The Consequences of Untrustworthy Conduct The responsibility of each states insurance commissioner is to guarantee that insurance firms do business ethically. 0000004062 00000 n Everything you need to know to protect you and your family, all in one place. Your health insurance company might pay for some or all the cost of prescription medicines. 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. If youre enrolled in an Aetna Medicare Advantage ESA or PPO plan through your former employer, trust or union, you can also access telehealth visits with out-of-network providers. If you turn over your insurance card and look at the back, you will likely find contact information for your insurance company.