The program helps members improve their health and well-being with personalized reward activities. 2022 Healthier Outcomes Program Aetna Better Health of Kansas, Inc. ("ABH KS") recognizes the important role you play in the well-being of our Medicaid Members. Say hello to your 2022 Medicare rewards program UAW Trust | Aetna Medicare COVID home tests As of April 4, 2022, Medicare covers up to eight over-the-counter COVID-19 tests each month, at no extra cost to you if you have Medicare Part B. 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. You are likely to see more patients with these health plans. Contact the plan for more information. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. They can work with you to complete a successful transition and avoid disruption in treatment. Member rewards program: In 2022, we're expanding our rewards program to all Aetna individual Medicare Advantage members. With more than 1.2 millionmembers, our competitively priced individual Medicare Supplement plans utilize a simplified underwriting process. We're here to help. Read our Office Manual and/or Newsletters to learn more on Medicare program requirements: All Providers participating in D-SNP or FIDE Plans, complete the attestation here: Delegated provider / entity Attestation (only). Having trouble? On this month's episode of CVS Health Live, panelists from CVS Health and the University of Saint Joseph discuss the evolving retail pharmacy industry and how we're preparing future generations of pharmacists. 3 "The pandemic continues to disrupt so many aspects of our lives, including our health and well-being," said Christopher Ciano, president of Aetna Medicare. This program includes ways to promote early detection and assessment of chronic conditions. Skip to main content Close. The network includes retail and nonretail pharmacies, both independent and chain. Enrollment in SilverScript depends on contract renewal. It is only a partial, general description of plan or program benefits and does not constitute a contract. SEHBP School Employees Health Benefit Program healthy rewards program for Medicare retirees Questions? As part of the CVS Health family, Aetna Medicare is committed to surrounding our members with the care they need. Aetna Medicare Advantage plans take a total approach to health that goes beyond clinical care. Aetna's customers include employer groups, individuals, college students, part-time and hourly workers, health plans, health care providers, governmental units, government-sponsored plans, labor groups and expatriates. Aetna Resources For Living is the brand name used for products and services offered through the Aetna group of subsidiary companies (Aetna). When you do, you will be eligible to earn more broker credits. Applicable FARS/DFARS apply. 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. In all states but Florida and Minnesota, it is offered as a supplementary medical plan, not a Medicare plan. You can access the training and attestation at the link(s) below. Aetna, aCVS Healthbusiness, serves an estimated 34 million people with information and resources to help them make better informed decisions about their health care. Aetna provides individual MA members access to convenient and affordable care through various benefits and programs that are new this year: Addressing social determinants of health with new and expanded MA benefits. Participating physicians, hospitals and other health care providers are independent contractors and are neither agents nor employees of Aetna. New digital service makes it easy for eligible consumers to obtain at-home COVID-19 tests through their insurance with zero out-of-pocket cost. As part of the CVS Health family, Aetna helps provide access to the coverage and care you need from trusted health care professionals, when and where you need it, for maximum peace of mind.". 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). This benefit provides coverage of preventive and comprehensive dental. 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). Medicare Advantage Plan Information. Combine Gift Certificates. For up-to-date information about our network pharmacies, including whether there are any lower-cost preferred pharmacies in your area, members please call the number on your ID card, non-members please call 1-855-338-7027 (TTY: 711) or consult the online pharmacy directory at http://www.aetnamedicare.com/pharmacyhelp. 5 ADVERTISIMENT Aetna contacts Phone numbers +1 800 872 3862 +1 855 335 1407 More phone numbers Website www.aetna.com View all Aetna contacts Most discussed Aetna complaints Coverage varies by plan and may include healthy foods or utilities benefit cards, as well as companionship or fall prevention benefits. Beginning January 1, 2020, Medicare Advantage plan members can now get their annual wellness visit once per calendar year instead of once every 366 days. Aetna is expanding the Aetna Dental PPO network and members may save money when visiting a dentist within our network. ET. You will receive notice when necessary. This benefit will be included on select Individual MA plans in Pennsylvania and Minnesota. When typing in this field, a list of search results will appear and be automatically updated as you type. This gives patients more time to focus on their . SilverSneakers FLEX also gives members access to exercise programs outside of traditional gyms, such as recreation centers, malls and parks. You are now being directed to the CVS Health site. The availability of any particular provider cannot be guaranteed, and provider network composition is subject to change. Please try to enroll or opt out by November 1, 2016. For 2022, Aetna Medicare Advantage Prescription Drug (MAPD) plans earned an overall weighted average rating of 4.29 out of 5 stars. Members can take advantage of the new larger day supply with no increase in copay/coinsurance. If you are a member of an Aetna Medicare Advantage plan, you will wan to access the Aetna OTC catalog 2022 to get your benefit GET CONTRACTED Edward@Croweandassociates.com Call us: 1.203.796.5403 Home ABOUT Sales Blog Sales Tools Online enrollment Connect4Medicare Sunfire Quote and comparison site Application Processing Free Medicare lead program Delegated provider/entity participating in MA/MMP plan(s) attestation, Delegated provider/entity participating in MA/MMP and/or D-SNP/FIDE plans attestation. If there is a discrepancy between a Clinical Policy Bulletin (CPB) and a member's plan of benefits, the benefits plan will govern. View the Official Plan Brochure for details about RCBP health benefits plans, Providing superior service to rural letter carriers nationwide, NRLCA Health Plan Member Rights and Responsibilities, Register or log in to your member website, Language Assistance: Espaol | | Ting Vit | | Tagalog | | | Kreyl | Franais | Polski | Portugus | Italiano | Deutsch | | | Other Languages, Read, listen to, or watch a health educational series, Get an annual preventive screening such as a colorectal or breast cancer screening, Get an annual flu shot or COVID-19 vaccine, Learn healthy behaviors and improve your health. Benefits, premium and/or co-payments/co-insurance may change on January 1 of each year. No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM. We offer coaching, tools, and insights to help you get closer to your health goals. Environmental, Social and Governance (ESG), HVAC (Heating, Ventilation and Air-Conditioning), Machine Tools, Metalworking and Metallurgy, Aboriginal, First Nations & Native American, https://www.cms.gov/Medicare/Prescription-Drug-Coverage/PrescriptionDrugCovGenIn, explore how Aetna is helping to build a healthier world, http://www.aetnamedicare.com/pharmacyhelp. Applicable FARS/DFARS apply. This will allow time for application processing and ensure that patients get their prescriptions without disruption. Login for MA/MAPD Register my MA/MAPD Pay my premium Limitations, copayments, and restrictions may apply. Aetna Resources For LivingSM is the brand name used for products and services offered through the Aetna group of subsidiary companies (Aetna). Aetna now serves nearly 9.8 million Medicare members nationwide, as of June 30, 2021. The information contained on this website and the products outlined here may not reflect product design or product availability in Arizona. All three plans are available in all 50 states and D.C and feature lower Tier 1 and Tier 2 copays at preferred retail pharmacies.Source: CMS 2022 PDP Landscape Source Files available at https://www.cms.gov/Medicare/Prescription-Drug-Coverage/PrescriptionDrugCovGenIn. Connect with us live. For those who qualify for both Medicare and Medicaid benefits, Aetna expanded its Dual Eligible Special Needs Plan (D-SNP) offerings across 27 states, including new markets in Arkansas, Colorado, Delaware and Indiana. This information is neither an offer of coverage nor medical advice. Members must live in a county where Aetna Medicare offers a D-SNP. 711) Monday-Friday, 8 AM-8 PM ET to opt-in to the Aetna Medicare Advantage for MHBP Standard Option. A total approach to your health and wellness. In total, Aetna will offer MAPD plans in 1,875 counties in 2022, accessible by 53.2 million Medicare beneficiaries.2. Or call 1-844-588-0041 (TTY: 711), 7 days a week, 8 AM to 8 PM. More than 2.9 million Medicare beneficiaries are currently enrolled in an Aetna Medicare Advantage (MA) plan, which can include extra benefits, such as prescription drug coverage, vision, dental, hearing and fitness. Plan features and availability may vary by service area. 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. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services. Stay healthy and earn up to $200 in gift cards by completing eligible health activities. The EAP is administered by Aetna Behavioral Health, LLC. The member can activate their card by calling the number on their activation sticker. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept". Members can earn up to $200 in CVS, Target, or Visa gift cards by completing eligible health activities in 2022. 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. The Aetna Resources For Livingprogram helps address loneliness and other social needs by connecting members with important community resources, such as transportation, housing, food programs, caregiver support and utility assistance, based on individual member needs. You will receive notice when necessary. Review theprovider and delegate frequently asked questions (PDF)for more information and contacts. and in California for Knox-Keene plans, Aetna Health of California, Inc. and Health and Human Resources Center, Inc. SilverSneakers is a registered trademark of Tivity Health, Inc. 2021 Tivity Health, Inc. All rights reserved. Through your Aetna member account you can manage claims, view plan details and more. 982251-01-02 (04/22) Title: 22-MHBP-0007_Healthy_Rewards_Flyer_V4 Author: CQF . For those who qualify for both Medicare and Medicaid benefits, Aetna expanded its Dual Eligible Special Needs Plan (D-SNP)offerings across 27 states, including new markets in Arkansas, Colorado, Delaware and Indiana. Remote companionship can be delivered through telephone or secure video. For information on government-sponsored health programs, please visit the Centers for Medicare and Medicaid Services and the Medicare Rights Center. Find information about Medicare compliance requirements, training, enrollment, appeals and more. The Medicare Annual Enrollment Period runs from October 15 through December 7, 2021. Please note also that the ABA Medical Necessity Guidemay be updated and are, therefore, subject to change. ", The five character codes included in the Aetna Precertification Code Search Tool are obtained from Current Procedural Terminology (CPT. Qualifying production is based on all new, issued annualized premium, and each qualified policy must be issued on or before January 15, 2023, and be in force on or before February 1, 2023. In select MA plans, eligible members will receive an annual allowance for certain clinically appropriate safety items that help lower the risk of injury from falls in the home. Other pharmacies and providers are available in our network. Healthy Foods Benefit card: To help address food insecurity, availability of the Healthy Foods benefit card will expand to 77 MA plans across 28 states. Now that's a health plan that works hard for you. Enrollment in SilverScript depends on contract renewal. 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. Aetna Medicare's pharmacy network includes limited lower cost, preferred pharmacies in Suburban Arizona, Suburban Illinois, Urban Kansas, Rural Michigan, Urban Michigan, Urban Missouri and Suburban West Virginia. Qualified members will receive an allowance to use towards the purchase of nutritious food items from over 30,000 approved retailers nationwide. from 8 AM - 9 PM ET. Learn more Welcome to your Medicare plan A suite of benefits just for UAW Trust members. 2022 ActiveHealth Management . 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. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Members must live in a county where Aetna Medicare offers a D-SNP. Aetna Medicare Advantage plans provide all your Original Medicare coverage in one simple plan. Health benefits and health insurance plans contain exclusions and limitations. In 2022, Aetna Medicare will offer the same three individual standalone PDPs as in 2021. A pioneer in the Medicare industry, Aetna has served Medicare beneficiaries since 1966, when it paid the nation's first Medicare claim. If you travel, youll get a voucher to redeem for a vacation wherever you like. Please note also that Clinical Policy Bulletins (CPBs) are regularly updated and are therefore subject to change. The Medicare Annual Enrollment Period runs from October 15 through December 7, 2021. They'll also be able to present their ID cards to receive items directly from 3,000 select CVS Pharmacy or Navarro Discount Pharmacy locations across 37 states. The expense might not be considered eligible under their plan. Through SilverSneakers, members have access to over 16,000 fitness locations. In these unprecedented times, it is more important than ever to ensure that our Members are obtaining the necessary health care services to achieve healthy outcomes. New and existing participating providers in our Medicare Advantage (MA), Medicare-Medicaid (MMP), Dual Eligible (D-SNP) or Fully Integrated (FIDE) Special Needs Plans are required to meet the Centers for Medicare & Medicaid Services (CMS) compliance program requirements for first-tier, downstream and related entities (FDR) as identified in the Medicare compliance FDR program guide and/or D-SNP Model of Care (MOC) training. Aetna Medicare's pharmacy network includes limited lower cost, preferred pharmacies in Suburban Arizona, Suburban Illinois, Urban Kansas, Rural Michigan, Urban Michigan, Urban Missouri and Suburban West Virginia. The application date on qualifying production must be between January 1 and December 31, 2022. The ABA Medical Necessity Guidedoes not constitute medical advice. 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. Aetna now serves nearly 9.8 million Medicare members nationwide, as of June 30, 2021. Aetna will continue to offer most Medicare Advantage members access to routine vision, dental and hearing coverage.Level and type of coverage vary by plan. 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 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. All 2022Aetna Medicare Eagleplans will feature a $0 monthly plan premium, $0 primary care copay (including walk-in clinics), dental, vision, hearing, over-the-counter allowance, SilverSneakers fitness program and $0 lab copay. Coverage varies by plan and may include healthy foods or utilities benefits cards, as well as companionship or fall prevention benefits. Retired Group Eligibility. Aetna offers a broad range of traditional, voluntary and consumer-directed health insurance products and related services, including medical, pharmacy, dental and behavioral health plans, and medical management capabilities, Medicaid health care management services, workers' compensation administrative services and health information technology products and services. More about the Part D transition process (PDF). Qualifying products and requirements are a combination of any of these products: Our newest category is back again this year! Participation in the rewards program is voluntary and does not affect a member's MA/MAPD plan benefits. 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. The Aetna standalone prescription drug plans (PDP) serve 5.7 million members. The member should refer to the Explanation of Coverage (EOC) document. Language Assistance can be provided by calling the number on your member ID Card. Create an account. You are now being directed to CVS Caremark site. The application date on qualifying production must be between January 1 and December 31, 2022. They're available Monday through Friday, 8 AM to 6 PM ET. VisitAetnaRetireeHealth.com/RCBPor call1-866-241-0262 (TTY: 711) MondayFriday, 8 AM8 PM ET to opt-in to the Aetna Medicare Advantage for RCBP. Go Shop. Individuals can also connect to a support network and virtual resources through SilverSneakers LIVE, SilverSneakers On-Demand and our mobile app, SilverSneakers GO . 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. 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. 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. Members enrolled in the Aetna Compassionate Care Program utilizing select health care providers will have access to supplemental benefits to support their end-of-life journey. Medical necessity determinations in connection with coverage decisions are made on a case-by-case basis. Our approach helps our members manage their health care experience as they work with their local doctors . Find what you need to know about submitting a dispute or appealing a decision. Once you earn a reward, it will automatically be available to you on the rewards card you get in the mail. 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. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. That's why we expanded our Aetna Medicare Solutions portfolio of products to include more benefits designed to make care more affordable, accessible and convenient. Celebrating our CVS Pharmacy Technicians! Go to browser and type https://www.aetnamedicare.com/en/login-register.html. Aetna estimates 84 percent of the Medicare-eligible beneficiaries in the U.S. will now have access to a $0 monthly premium Aetna Medicare Advantage plan.Data as of August 2021 CMS eligibility file. The member should call that number to activate the card and then try to pay again. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. School Employees' Health Benefits Program. As part of expanded coverage on select MA plans in Ohio and Pennsylvania, Aetna will be responsible for members' full medical coverage and hospice services. CPT only Copyright 2020 American Medical Association. Request a call with a licensed agent to learn more. 84 percent of Medicare beneficiaries can choose a $0 premium Aetna Medicare Advantage plan. The AMA is a third party beneficiary to this Agreement. Stay healthy and earn up to $200 in gift cards by completing eligible health activities by December 31, 2022. . You can use your rewards anywhere Visa is accepted. Member ID (required) Where do I find this? You can speak with a licensed insurance agent to find out what plans are offered in your area. Innovative dental design: Aetna Medicare is introducing a new Total Choice dental benefit available on many Individual MA HMO-POS and PPO plans. With our medical and dental plan offerings, you'll get award-winning customer service that always puts you first. Should the following terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button below labeled "I Accept". Aetna will expand the Total Choice dental benefit introduced in 2022 to additional Individual MA HMO-POS and PPO plans. Plan features and availability may vary by service area. A licensed agent may answer your call. Youll receive the reward for the tier you reach at the end of the year. Treating providers are solely responsible for medical advice and treatment of members. Members should discuss any matters related to their coverage or condition with their treating provider. NEW rewards program available to all 2022 MA/MAPD members In 2022, Aetna MA/MAPD members can participate in a new program that can help them stay healthy and earn $170 or more in redeemable gift cards! $0 member cost-shares on select benefits: To ensure important services are affordable, three out of four Aetna Individual MA plans now offer no member cost-sharing for primary care visits or labs. Stay healthy and earn up to $200 in gift cards by completing eligible health activities by December 31, 2022. SilverScript Choice (PDP) will be under the Centers for Medicare & Medicaid Services (CMS) benchmark pricing in 49 states and D.C., while SilverScript Plus (PDP) has the most robust prescription drug coverage. The lower costs advertised in our plan materials for these pharmacies may not be available at the pharmacy you use. Welcome to the Aetna Healthy Actions SM Rewards Program Get your reward for healthy living! We celebrate Sue and all our amazing pharmacy technicians, on National Pharmacy Technician Day. Please note also that Dental Clinical Policy Bulletins (DCPBs) are regularly updated and are therefore subject to change. Each complaint is handled individually by highly qualified experts Honest and unbiased reviews Last but not least, all our services are absolutely free 1 2 3 . Aetna, CVS HealthHUB and MinuteClinic, LLC (which either operates or provides certain management support services to MinuteClinic-branded walk-in clinics) are part of the CVS Health family of companies. The member's benefit plan determines coverage. Want more help with what youre looking for? 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. Participation in the rewards program is voluntary and does not affect a members MA/MAPD plan benefits. If you are having trouble using our site, please call our customer service team at 1-877-922-GIVE (1-877-922-4483) from Monday-Friday, 9 a.m. - 6 p.m. In line with CVS Health's commitment to helping people lead smoke-free lives, Aetna is pleased to provide all members with the OTC allowance benefit access to Nicotine Replacement Therapy (NRT). LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. Aetna, a CVS Health business, serves an estimated 34 million people with information and resources to help them make better informed decisions about their health care. Aetna also expanded its Aetna Medicare Eagle MA plans to 41 states and 1,151 counties reaching more than 5.8 million Veterans over age 65. Create an account. Request details here. Our ancillary plan options cover 45 states and can provide members with life insurance coverage, benefits paid directly to them after being diagnosed with cancer, or for hospital stays, and home or skilled nursing facility recovery care. Treating providers are solely responsible for medical advice and treatment of members. A D-SNP (Dual Special Needs Plan) provides benefits to Medicare-qualified members who also receive Medicaid benefits and/or assistance with Medicare premiums or Parts A & B cost-sharing. For this year's rewards program, if you qualify, you can choose to travel or receive your reward payout. 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. When billing, you must use the most appropriate code as of the effective date of the submission. For language services, please call the number on your member ID card and request an operator. For more information, visit www.aetna.comandexplore how Aetna is helping to build a healthier world. *For Agent use only *Not affiliated with the U. S. government or federal Medicare program. Contact Aetna Concierge at 1-877-StateNJ or 1-877-782-8365 (TTY:711). With the OTC benefit, members can choose certain health care products by phone, catalog or online for home delivery. Aetna offers a broad range of traditional, voluntary and consumer-directed health insurance products and related services, including medical, pharmacy, dental and behavioral health plans, and medical management capabilities, Medicaid health care management services, workers' compensation administrative services and health information technology products and services.
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