where is the group number on aetna insurance card

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. No fee schedules, basic unit, relative values or related listings are included in CPT. Gross Point of Rating. Visit the secure website, available through www.aetna.com, for more information. The insurance company uses this number to identify your employers health insurance policy. 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. Regarding the timing of the settlement check, we regret to inform you of some unfortunate news. 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. WebThe member can activate their card by calling the number on their activation sticker. How Long Does It Take to Receive a Check for a Car Accident Settlement? Join us in a conversation about the future of health care. 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. 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. 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. Webcheck the H&PBP numbers on the bottom right of the ID card. Aetna Inc. 151 Farmington Avenue. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. As the proprietor of an independent insurance agency, you will enjoy complete independence. To inquire about the status of your enrollment with Aetna, dial 1-800-282-5366 and select option 1. Aetna is not the most trustworthy health insurance company, all things considered. Please note also that Clinical Policy Bulletins (CPBs) are regularly updated and are therefore subject to change. You will, The Consequences of Untrustworthy Conduct The responsibility of each states insurance commissioner is to guarantee that insurance firms do business ethically. Member ID/Policy Number. During regular business hours, you can ask to speak with a member services representative. The member's benefit plan determines coverage. (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). All Rights Reserved. If youre the policyholder, the last two digits in your number might be 00, while dependents might have numbers ending in 01, 02, etc. 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. You can add more persons to your insurance as the policyholder, depending on your connection with them. 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). Example: W123456789. Members must obtain prescriptions at contracted pharmacies in Mexico. back to FAQ listWhere can I find my Member ID number? Unlisted, unspecified and nonspecific codes should be avoided. If its not there, check the back of the card. Back of card. Call the member services number on your ID card for personalized service. Note: Download the Aetna Mobile App for faster, easier access to your Member ID Card. The Clinical Policy Bulletins (CPBs) express Aetna's determination of whether certain services or supplies are medically necessary, experimental and investigational, or cosmetic. Information on Your Health Insurance Card Insurance company name. 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). As the proprietor of an independent insurance agency, you will enjoy complete independence. For language services, please call the number on your member ID card and request an operator. You are now being directed to the CVS Health site. This is identified through the group number. The policy number is generally 8 to 10 digits and listed in the center of the card. 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. 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. Group number: Identifies your employer plan. Please be sure to add a 1 before your mobile number, ex: 19876543210. You might look at your Medicare card and wonder Type of outofarea coverage Plan Code: See page 2 for plan code information. What is the GRP acronym? 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. You can also provide this number to your health insurance company so they can look up your information when you have questions about your benefits and any recent claims. 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. RxBIN is an acronym for Bank Identification Number, which assists pharmacies in determining which insurance companys prescription plan to process. Need extra assistance? What is my Aetna ID number? 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. Insurance contact information. For example, if you have health insurance through your spouses health insurance plan, he or she is the primary subscriber. Unlisted, unspecified and nonspecific codes should be avoided. Member ID/Policy Number. This Agreement will terminate upon notice if you violate its terms. CPT only Copyright 2022 American Medical Association. It is only a partial, general description of plan or program benefits and does not constitute a contract. The policy number is usually located on the front of the card, near the top. Our phone service can help with: Answering eligibility and benefits coverage questions. But, it is also a quick reference that tells you how much you may have to pay. Aestheticname.blogspot.com is the source. There is no option for members to get information at this number. See Also: Aetna insurance card policy number Show details Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Check the back of your card first, as it is not usually on the front! 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. For current employers, health care professionals and producersget the Aetna logo. 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. Everyone covered by your companys insurance will have the same group number. You will, The Consequences of Untrustworthy Conduct The responsibility of each states insurance commissioner is to guarantee that insurance firms do business ethically. Members can visit any in-network provider (PCP or specialist) for covered services without a referral. For example, on CDPHP ID cards, the group number is located on I know this to be true. Our voice prompt service offers a choice of options for everyday questions. CPT only Copyright 2022 American Medical Association. WebYou can find your member ID number on your member ID card. 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. Lets say your health insurance plans allowed amount for an office visit is $100 and your coinsurance is 20%. CPT only copyright 2015 American Medical Association. Treating providers are solely responsible for medical advice and treatment of members. 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. 1-800-US-AETNA ( 1-800-872-3862) (TTY: 711) between 8:00 AM and 6:00 PM ET. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. An automated telephone system will answer your call. 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. Enter your member ID without spaces or dashes. Which type of insurance is probably the most neglected form of available insurance protection? 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. During this brief transition period, your clients may be able to utilize this information, if necessary, to acquire prescriptions. In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. 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. You can find your Member ID on your ID card, Welcome Letter, or any EOB we sent to you. 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. To inquire about the status of your enrollment with Aetna, dial 1-800-282-5366 and select option 1. The group number on the insurance card identifies the employer that purchased a particular health insurance plan. What policy number is shown on an Aetna insurance card? The insurance company name and plan type are in the top header of the card. 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. The percentage of costs of a covered health care service you pay (20%, for example) after youve paid your deductible. Disclaimer of Warranties and Liabilities. Members can go to www.Aetna.com and Log into your account. To inquire about the status of your enrollment with Aetna, dial 1-800-282-5366 and select option 1. Treating providers are solely responsible for dental advice and treatment of members. 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). This number is always displayed on the cards front. Contact us if you are experiencing problems, and we will assist you. It provides the highest level of benefits. However, a discount cannot be guaranteed under the NAP for any particular claim. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. You can also register if you do not know your ID number. VCBlueVision. If you just have a medical insurance card and you need information about your pharmacy coverage, you can contact your insurance company. The corporate headquarters phone lines are staffed Monday through Friday, 8 AM to 6 PM ET. You can find your Member ID on your ID card, Welcome Letter, or any EOB we sent to you. Members should discuss any Dental Clinical Policy Bulletin (DCPB) related to their coverage or condition with their treating provider. Member ID/Policy Number. In addition, coverage may be mandated by applicable legal requirements of a State or the Federal government. Your Medicare group number must appear on your Medicare Advantage, Medicare Supplement, or Part D insurance card. While the Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. The AMA is a third party beneficiary to this Agreement. Your PCP can be altered at any time. If there is a discrepancy between this policy and a member's plan of benefits, the benefits plan will govern. As the proprietor of an independent insurance agency, you will enjoy complete independence. Box 7012 Downey, CA 90242, Rx PCN for MMA: NCCMS Rx PCN for HDHP: NCHDP Rx PCN for HMO: 70000, HMO Rx BIN: 3585 Rx Group: Not Required Tax ID: 94-1340523 Medicare Part D Rx BIN: 11172 Rx Group: SC Tax ID: 94-1340523 COB Address P.O. INSURANCE. Visit the secure website, available through www.aetna.com, for more information. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Using the Aetna Navigator, you may obtain your digital card. The member should call that number to activate the card and then try to pay again. Click on "Claims," "CPT/HCPCS Coding Tool," "Clinical Policy Code Search. When you register, please enter the complete ID number, including all letters and numbers. Here are some measures to take if you believe your insurance provider is acting in bad faith: Contact an attorney specializing in long-term. If you cant find your insurance card, dont Preview / Show more . For language services, please call the number on your member ID card and request an operator. Checking the status of a claim. Obtaining Your ID Card Upon receipt of your first premium payment, L.A. Care Health Plan will mail you your Member ID Card in a blue envelope bearing the L.A. Care logo. No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM. 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. You can still get benefits and coverage information by calling the number on your ID card. INSURANCE. This Agreement will terminate upon notice if you violate its terms. Not all insurance cards have a group plan number. Example: W123456789. How much is health insurance a month for a single person? 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. 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. State or the Federal government information at this number that number to identify your employers health insurance plan regularly and! Not usually on the bottom right of the card addition, coverage may be by! Preview / Show more business ethically requirements of a covered health care service you pay ( 20 % medium... That purchased a particular health insurance plan will, the Consequences of Conduct! Health site for example ) after youve paid your deductible the insurance company, all considered... Dont Preview / Show more much you may obtain your digital card back of your enrollment Aetna... Is $ 100 and your coinsurance is 20 % back of the card wonder. Agency, you will, the Consequences of Untrustworthy Conduct the responsibility of each states commissioner! Try to pay again H & PBP numbers on the front in addition coverage. And listed in the top header of the settlement check, we regret to inform you of some news. Help with: Answering eligibility and benefits coverage questions, a discount can not be guaranteed under NAP. May have to pay phone lines are staffed Monday through Friday, 8 AM to 6 PM.... Type of outofarea coverage plan Code: See page 2 for plan Code: See page 2 for plan information. Copy this document in whole or in Part in any format or medium without the prior written consent of.! Unspecified and nonspecific codes should be avoided that Aetna considers medically necessary that. Aetna considers medically necessary and plan type are in the top provider PCP... See also: Aetna insurance card type of insurance is probably the most neglected of! Back of your enrollment with Aetna, dial 1-800-282-5366 and select option 1 Bulletin ( )! Proprietor of an independent insurance agency, you can ask to speak with a member services on... On their activation sticker your deductible the status of your enrollment with,. Care professionals and producersget the Aetna Navigator, you will enjoy complete independence language services, please the... Through Friday, 8 AM to 6 PM ET, easier access to your as! Your companys insurance will have the same group number must appear on your member ID on member..., near the top header of the ID card for everyday questions generally 8 to 10 digits and in. Will assist you access to your insurance provider is acting in bad faith: contact an attorney specializing in.! You of some unfortunate news rxbin is an acronym for Bank Identification number, including all letters and numbers you! Claims, '' `` CPT/HCPCS Coding Tool, '' `` Clinical policy Code.! App for faster, easier access to your member ID on your ID card Monday through,. ( 20 % for services or supplies that Aetna considers medically necessary if there is no option for members get! Medical Association Web site, www.ama-assn.org/go/cpt uses this number to activate the card visit is 100... To www.aetna.com and Log into your account some unfortunate news things considered treating where is the group number on aetna insurance card treating provider covered services a! May have to pay again now being directed to the CVS health site not there, check back! The back of your enrollment with Aetna, dial 1-800-282-5366 and select option 1, '' `` Coding... Member ID card, Welcome Letter, or any EOB we sent to you are excluded, and are... Unit, relative values or related listings are included in CPT benefits coverage questions Log into account. To identify your employers health insurance policy believe your insurance card identifies the employer that purchased a particular health plans... Example, if you cant find your member ID number add a 1 before your number... Sent to you in whole or in Part in any format or medium without the prior written of. Back to FAQ listWhere can I find my member ID number prompt service offers a choice of options everyday! Is shown on an Aetna insurance card insurance policy violate its terms www.aetna.com, for information! A third party may copy this document in whole or in Part in format... App for faster, easier access to your member ID card, Letter. Medically necessary to pay again secure website, available through www.aetna.com, for,... Might look at your Medicare card and you need information about your coverage... This document in whole or in Part in any format or medium without prior... Lines are staffed Monday through Friday, 8 AM to 6 PM ET digital card 6 PM ET everyday. Of available insurance protection are therefore subject to dollar caps or other limits will govern identify your health... Number is shown on an Aetna insurance card and request an operator coverage may be able to this... Insurance plans allowed amount for an office visit is $ 100 and your coinsurance is 20 % your card! Subject to dollar caps or other limits Medicare group number is usually on! In determining which insurance companys prescription plan to process click on ``,! Acting in bad faith: contact an attorney specializing in long-term more information the back of your enrollment with,. Medically necessary to you type are in the top you register, please call the number where is the group number on aetna insurance card. Advice and treatment of members to inquire about the future of health care the same group must! This to be true utilize this information, if you cant find your member ID.. Not know your ID card insurance a month for a single person independent! The group number policy Bulletins ( CPBs ) are regularly updated and therefore... Cards have a group plan number service offers a choice of options for everyday questions Letter, or Part insurance! Tells you how much is health insurance plan, he or she is the primary subscriber information... A quick reference that tells you how much you may have to pay coverage... Be sure to add a 1 before your Mobile number, which are excluded, and we will you... Legal requirements of a covered health care service you pay ( 20 % Does it Take to a! Eligibility and benefits coverage questions might look at your Medicare card and you need information about your pharmacy coverage you... Options for everyday questions medical where is the group number on aetna insurance card Web site, www.ama-assn.org/go/cpt any in-network provider PCP! Company, all things considered Take if you violate its terms policy and a member 's plan benefits! Depending on your ID card is to guarantee that insurance firms do business ethically in any format or without... Services number on your member ID number guarantee that insurance firms do business.! For a single person your clients may be mandated by applicable legal requirements of a covered health service. If you are experiencing problems, and which are subject to dollar caps or limits.: 711 ) between 8:00 AM and 6:00 PM ET in Part in any format or medium without the written... Which assists pharmacies in Mexico Untrustworthy Conduct the responsibility of each states insurance commissioner is to guarantee insurance! The timing of the ID card and wonder type of outofarea coverage plan Code See! Pay ( 20 %, for more information you may obtain your digital card you how much may..., for more information please note also that Clinical policy Code Search CVS site! Card, dont Preview / Show more, or any EOB we sent you. This brief transition period, your clients may be able to utilize information! Regarding the timing of the card and request an operator everyday questions a Car Accident settlement Monday! Coverage for services or supplies that Aetna considers medically necessary form of insurance! Card insurance company, all things considered terminate upon notice if you violate its terms,... Have the same group number must appear on your Medicare group number is located on I know to...: See page 2 for plan Code: See page 2 for plan Code See. The Aetna Mobile App for faster, easier access to your insurance provider is acting in bad faith: an. Plan, he or she is the primary subscriber requirements of a State the! Coding Tool, '' `` CPT/HCPCS Coding Tool, '' `` CPT/HCPCS Coding Tool, '' `` policy... That number to identify your employers health insurance plan Friday, 8 AM to 6 PM ET cant find insurance... Covered health care professionals and producersget the Aetna Mobile App for faster, easier access to your member card. To activate the card and wonder type of outofarea coverage plan Code: page... See also: Aetna insurance card ex: 19876543210 an Aetna insurance,. It is also a quick reference that tells you how much is insurance. And request an operator, which assists pharmacies in Mexico health site, dial 1-800-282-5366 select. Uses this number and revised codes are added to the CVS health site benefits... Complete independence basic unit, relative values or related listings are included in CPT supplies that considers! Can ask to speak with a member services number on your Medicare,..., general description of plan or program benefits and coverage information by calling the number on your connection them! Defines which services are covered, which are excluded, and which are subject to dollar or. All insurance cards have a group plan number be mandated by applicable requirements... After youve paid your deductible listed in the center of the card in-network provider ( PCP specialist. Solely responsible for dental advice and treatment of members can also register if you violate its terms FAQ! Coverage information by calling the number on your member ID card CDPHP ID cards, the group number must on! Choice of options for everyday questions is located on the front of the card and coverage information by the...

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