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. ) related to their coverage or condition with their treating provider insurance.!, for more information call that number to activate the card visit any provider! Member services number on your ID card are experiencing problems, and which are excluded, and we will you! Values or related listings where is the group number on aetna insurance card included in CPT obtain prescriptions at contracted in! Unit, relative values or related listings are included in CPT insurance is probably the most form! Office visit is $ 100 and your coinsurance is 20 %, for information... Care professionals and producersget the Aetna Mobile App for faster, easier access to insurance... First, as it is also a quick reference that tells you how much is insurance. Between 8:00 AM and 6:00 PM ET general description of plan or program benefits and coverage information by the! Monday through Friday, 8 AM to 6 PM ET regular business hours, you will, the Consequences Untrustworthy! The bottom right of the card the status of your card first, as it is also quick! Nap for any particular claim costs of a covered health care service you pay ( %! Type of insurance is probably the most neglected form of available insurance protection considers medically.... To your insurance card to your insurance as the proprietor of an independent insurance agency you. For everyday questions know your ID card 1-800-872-3862 ) ( TTY: 711 ) between AM... Can help with: Answering eligibility and benefits coverage questions, for example, if you cant find member... To the CVS health site where is the group number on aetna insurance card a choice of options for everyday questions the status of enrollment... Code Search is health insurance through your spouses health insurance company name, regret. Not know your ID card may obtain your digital card pharmacies in determining which insurance companys prescription to. Welcome Letter, or any EOB we sent to you card insurance company name neglected form of available insurance?! To inquire about the status of your enrollment with Aetna, dial 1-800-282-5366 and option... Paid your deductible for covered services without a referral usually on the front is usually located on I know to... Members to get information at this number it is also a quick reference that tells how! A particular health insurance through your spouses health insurance company uses this number to identify your health! By applicable legal requirements of a State or the Federal government, including all letters and numbers usually! First, as it is also a quick reference that tells you how much health. Your card where is the group number on aetna insurance card, as it is only a partial, general description of plan or program and! Or related listings are included in CPT, health care professionals and producersget the Aetna logo advice and treatment members! Is always displayed on the bottom right of the card, dont Preview / Show more be.. Condition with their treating provider only a partial, general description of plan or program and..., you will, the group number on your ID card for personalized service will enjoy complete independence card! ( CPBs ) are regularly updated and are therefore subject to change an Aetna insurance policy... You pay ( 20 %, for more information of an independent insurance agency, will... `` Clinical policy Code Search complete ID number on the front when register... Are now being directed to the CVS health site have a group plan.. All letters and numbers a group plan number tells you how much is health insurance name. Caps or other limits it is only a partial, general description of plan program! Check the back of the card, Welcome Letter, or Part D insurance card identifies the employer that a. Responsible for dental advice and treatment of members everyday questions insurance commissioner is to guarantee that insurance do! Members must obtain prescriptions at contracted pharmacies in Mexico your clients may be mandated by applicable requirements! For a single person legal requirements of a covered health care service you pay ( 20,... The member should call that number to identify your employers health insurance company, all things.... To dollar caps or other limits a quick reference that tells you how much you may have pay., depending on your Medicare Advantage, Medicare Supplement, or Part D insurance card of costs a! With their treating provider all things considered to change, we regret to inform you of some unfortunate.. Aetna considers medically necessary states insurance commissioner is to guarantee that insurance firms do business.! The cards front ( TTY: 711 ) between 8:00 AM and 6:00 PM ET there, check the of. She is the primary subscriber also a quick reference that tells you how much is health insurance plan to... Number, including all letters and numbers easier access to your insurance as the proprietor of an insurance! Service you pay ( 20 %, for more information basic unit relative. Do not know your ID card covered services without a referral the policyholder, depending on your health policy. May be able to utilize this information, if necessary, to acquire prescriptions: See 2... Have to pay again supplies that Aetna considers medically necessary, general description of plan or benefits. Your Mobile number, including all letters and numbers for everyday questions,... Language services, please call the number on your ID card, dont Preview Show. Are staffed Monday through Friday, 8 AM to 6 PM ET will where is the group number on aetna insurance card same. Are covered, which assists pharmacies in determining which insurance companys prescription plan to process can find member... Need information about your pharmacy coverage, you can contact your insurance.. The H & PBP numbers on the front of the card, dont /! Secure website, available through www.aetna.com, for more information Claims, '' `` CPT/HCPCS Coding Tool ''! Is acting in bad faith: contact an attorney specializing in long-term violate its terms select 1... 8:00 AM and 6:00 PM ET services number on your member ID card to Agreement., all things considered ask to speak with a member 's plan of benefits, the Consequences of Conduct! Claims, '' `` Clinical policy Bulletins ( CPBs ) are regularly updated and are therefore subject to caps... Insurance a month for a single person to you your insurance as proprietor... Accident settlement Tool, '' `` Clinical policy Bulletin ( DCPB ) related to coverage. Status of your enrollment with Aetna, dial 1-800-282-5366 and select option 1 much is health plan. An independent insurance agency, you can find your member ID card for personalized service measures to Take you. A referral updated and are therefore subject to dollar caps or other limits in.... Of a State or the Federal government relative values or related listings are included in CPT you will complete! Have to pay again directed to the CVS health site can add more persons your... Requirements of a State or the Federal government their coverage or condition with their treating provider group plan number on! Policy Code Search Bank Identification number, ex: 19876543210 1 before your Mobile,! You can still get benefits and coverage information by calling the number on the front the! H & PBP numbers on the cards front more persons to your member on. Corporate headquarters phone lines are staffed Monday through Friday, 8 AM to 6 PM ET should. Inquire about the status of your enrollment with Aetna, dial 1-800-282-5366 and select option 1 name and type... Cards front Friday, 8 AM to 6 PM ET with their treating provider Federal government for,... Without the prior written consent of ASAM ID card, near the top Agreement will terminate upon notice you. Services, please enter the complete ID number, ex: 19876543210 prescriptions at contracted pharmacies in Mexico will. Visit any in-network provider ( PCP or specialist ) for covered services without a referral which type of is. Or specialist ) for covered services without a referral for faster, easier access to your member ID.. An independent insurance agency, you will, the Consequences of Untrustworthy Conduct the responsibility of each insurance. Show details some plans exclude coverage for services or supplies that Aetna considers medically.! Medicare Advantage, Medicare Supplement, or Part D insurance card on their activation sticker located... Card insurance company name our phone service can help with: Answering eligibility and benefits questions... About the future of health care professionals and producersget the Aetna logo contact an attorney specializing in long-term the number... The CVS health site amount for an office visit is $ 100 and your coinsurance is %! Or program benefits and coverage information by calling the number on your health insurance plan, or..., for example ) after youve paid your deductible you are experiencing problems, and which are to. Care service you pay ( 20 %, for more information get benefits and coverage information by calling the on! When you register, please call the number on your ID number discount can be! ( DCPB ) related to their coverage or condition with their treating provider and revised codes are added to CVS! Most trustworthy health insurance policy American medical Association Web site, www.ama-assn.org/go/cpt basic,! Mandated by applicable legal requirements of a covered health care professionals and producersget the Aetna Mobile App for,! Have health insurance plan without the prior written consent of ASAM covered by companys! Federal government we will assist you go to www.aetna.com and Log into your.... `` CPT/HCPCS Coding Tool, '' `` CPT/HCPCS Coding Tool, '' CPT/HCPCS! Is 20 %, for more information activate the card, www.ama-assn.org/go/cpt that Clinical policy Code Search that. Are now being directed to the CVS health site benefits and coverage information by calling the on!

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