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. If you purchased your insurance through the health exchange you might not have a group number. Treating providers are solely responsible for medical advice and treatment of members. USA. The number is always on the front of the card. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. 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. Is the digital Aetna ID card same to the physical card? 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. What is the policy number on a health insurance card? Both your group number and your member ID number will be located on your physical ID card and your mobile ID card, which is available on your SimplyInsured dashboard. It usually only appears on insurance cards that registered employers provided. Not all insurance cards have a group plan number. In the event that a member disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. As the proprietor of an independent insurance agency, you will enjoy complete independence. This is the phone number for the Corporate Contact Center. What policy number is shown on an Aetna 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. What does an Aetna subscriber ID signify? Example: W123456789. However, a discount cannot be guaranteed under the NAP for any particular claim. Visit the secure website, available through www.aetna.com, for more information. Box 7012 Downey, CA 90242, Rx PCN for MMA: SCCMS Rx PCN for HDHP: SCHP Rx PCN for HMO: 70000. The number appears on the back of your Aetna identification card. They do not have access to member accounts but they can provide Aetna Member Services contact information. Every health insurance card must have a policy number. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. Should the following terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button below labeled "I Accept". They do not have access to member accounts but they can provide Aetna Member Services contact information. WebGroup plan number If you have health insurance through work, your insurance card probably has a group plan number. The AMA disclaims responsibility for any consequences or liability attributable or related to any use, nonuse or interpretation of information contained in Aetna Clinical Policy Bulletins (CPBs). Gross Point of Rating. You will, The Consequences of Untrustworthy Conduct The responsibility of each states insurance commissioner is to guarantee that insurance firms do business ethically. How to become a property and casualty insurance broker? The ABA Medical Necessity Guidedoes not constitute medical advice. Question: How To Read Aetna Health Insurance Card. The American Medical Association (AMA) does not directly or indirectly practice medicine or dispense medical services. If you are an Aetna member with questions about your coverage, please refer to our Member Services page for login information and additional ways to contact us. In addition, coverage may be mandated by applicable legal requirements of a State or the Federal government. If its not there, check the back of the card. Reprinted with permission. 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. Information on Your Health Insurance Card Insurance company name. MediExcel Health Plan is a cross-border health plan. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept". 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. Visit the secure website, available through www.aetna.com, for more information. 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. In addition, a member may have an opportunity for an independent external review of coverage denials based on medical necessity or regarding the experimental and investigational status when the service or supply in question for which the member is financially responsible is $500 or greater. This is also called your Subscriber ID number, and you can find it on your Health Net insurance card. CPT only copyright 2015 American Medical Association. Some subtypes have five tiers of coverage. Check the back of your card first, as it is not usually on the front! Employers can also locate the company's group number on Medical necessity determinations in connection with coverage decisions are made on a case-by-case basis. However, applicable state mandates will take precedence with respect to fully insured plans and self-funded non-ERISA (e.g., government, school boards, church) plans. What is a policy number? That number is 1-877-261-9951 (TTY:711) . 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. Checking the status of a claim. 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. Some individuals may have a single insurance card that covers both medical expenditures (such as visits to the doctor or hospital) and pharmacy benefits (to pay prescriptions), although these are often two distinct cards with unique identifying numbers. Member ID/Policy Number. Your PCP can be altered at any time. Your Medicare group number must appear on your Medicare Advantage, Medicare Supplement, or Part D insurance card. For your convenience, we recommend that you add your Member Services number to your phone contacts. 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. 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. An automated telephone system will answer your call. Our official Aetna customer service Twitter representatives are here to help, listen and learn from you. Do you want to continue? What is subscriber number on insurance card Aetna? Treating providers are solely responsible for medical advice and treatment of members. Your insurer will assign a unique policy number to you when you buy auto insurance coverage. Members can go to www.Aetna.com and Log into your account. 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. Links to various non-Aetna sites are provided for your convenience only. MediExcel Health Plan does not contract with any pharmacy in the U.S. MediExcel Health Plan will reimburse members for prescriptions obtained as direct result of an Emergency or Urgent Care Service in the U.S. minus their copay amount. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. 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. What is the subscriber ID on an insurance card? Click on "Claims," "CPT/HCPCS Coding Tool," "Clinical Policy Code Search. This search will use the five-tier subtype. 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. Aetna expressly reserves the right to revise these conclusions as clinical information changes, and welcomes further relevant information including correction of any factual error. 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. Note: Download the Aetna Mobile App for faster, easier access to your Member ID Card. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. 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). Treating providers are solely responsible for medical advice and treatment of members. CPT is a registered trademark of the American Medical Association. If youre wondering where to find your group number on your insurance card, that answer is that it usually will show on the front of your card. Enter your member ID without spaces or dashes. Type of outofarea coverage Plan Code: See page 2 for plan code information. The group number on the insurance card identifies the employer that purchased a particular health insurance plan. If its not there, you may need to call the customer service number, but you also just might not have one if youre not receiving your coverage through your employer. NAP stands for National Advantage Program. All Rights Reserved. The National Advantage Program (NAP) offers you access to Aetna-contracted rates for many hospital and doctor expenses that would otherwise be billed at the providers normal rate. Need extra assistance? The insurance company uses this number to identify your employers health insurance policy. How Long Does It Take to Receive a Check for a Car Accident Settlement? It usually only appears on insurance cards that registered employers provided. 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. Medical necessity determinations in connection with coverage decisions are made on a case-by-case basis. 1-800-US-AETNA ( 1-800-872-3862) (TTY: 711) between 8:00 AM and 6:00 PM ET. Applicable FARS/DFARS apply. 1-800-US-AETNA (1-800-872-3862) (TTY: 711) between 8:00 AM and 6:00 PM ET. Not all insurance cards have a group plan number. The five character codes included in the Aetna Clinical Policy Bulletins (CPBs) are obtained from Current Procedural Terminology (CPT), copyright 2015 by the American Medical Association (AMA). This Agreement will terminate upon notice if you violate its terms. What policy number is shown on an Aetna insurance card? Need help finding your Member ID? For example, if you have health insurance through your spouses health insurance plan, he or she is the primary subscriber. Please select Member ID to continue. It is only a partial, general description of plan or program benefits and does not constitute a contract. You may call the toll-free number on your member ID card at any time. During regular business hours, you can ask to speak with a member services representative. Your Medicare group number should be on your insurance card for your Medicare Advantage, Medicare Supplement or Part D plan. 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 member's benefit plan determines coverage. WebYou can find your member ID number on your member ID card. 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. Any use of CPT outside of Aetna Clinical Policy Bulletins (CPBs) should refer to the most current Current Procedural Terminology which contains the complete and most current listing of CPT codes and descriptive terms. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. Here are some measures to take if you believe your insurance provider is acting in bad faith: Contact an attorney specializing in long-term. What policy number is shown on an Aetna insurance card? If there is a discrepancy between a Clinical Policy Bulletin (CPB) and a member's plan of benefits, the benefits plan will govern. Example: W123456789. What policy number is shown on an Aetna insurance card? 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). Back of card. Another term for a prescription is Rx. Typically, medical cards have merely a Member ID number. What is the difference between a medical insurance card and an insurance card for pharmaceutical benefits? How much does accutane cost with insurance? The policy number is usually located on the front of the card, near the top. Copyright 2015 by the American Society of Addiction Medicine. No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM. Members must obtain prescriptions at contracted pharmacies in Mexico. All services deemed "never effective" are excluded from coverage. In the event that a member disagrees with a coverage determination, member may be eligible for the right to an internal appeal and/or an independent external appeal in accordance with applicable federal or state law. Where is my policy number on my insurance card? The AMA is a third party beneficiary to this Agreement. 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. Go to the American Medical Association Web site. In case of a conflict between your plan documents and this information, the plan documents will govern. How does south carolina cover wind and hail insurance? This information is neither an offer of coverage nor medical advice. 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. This number is always displayed on the cards front. Your Medicare group number should be on your insurance card for your Medicare Advantage, Medicare Supplement or Part D plan. The table below displays the Rx BIN Numbers and PCNs for California Small Group Health Plans per carrier. Hartford, CT 06156 Providing the RxGroup and RxPCN codes might assist the pharmacist in locating your health insurance information more quickly and precisely. If your insurance company simply mailed you a medical insurance card, you may often get information about your pharmacy coverage online or by phoning your insurance company (look for the phone number for Member Services on the back of your card). ", The five character codes included in the Aetna Precertification Code Search Tool are obtained from Current Procedural Terminology (CPT. 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. What are RxBIN and RxPCN, and what are their functions? 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). What is the insurance number on a card issued by Aetna Insurance? Webcheck the H&PBP numbers on the bottom right of the ID card. HMO Rx BIN: 3585 Rx Group: Not Required Tax ID: 94-1340523 Medicare Part D Rx BIN: 11842 Rx Group: NC Tax ID: 94-1340523 COB Address P.O. Since Dental Clinical Policy Bulletins (DCPBs) 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. These numbers are located on the front of your member ID card, immediately to the left of the eligible members name. Group number: Identifies your employer plan. This is identified through the group number. Member ID/Policy Number. 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. Please be sure to add a 1 before your mobile number, ex: 19876543210. For example, on CDPHP ID cards, the group number is located on View digital copy or choose to print out a replacement copy. If youve paid your deductible: You pay 20% of $100, or $20. The term precertification here means the utilization review process to determine whether the requested service, procedure, prescription drug or medical device meets the company's clinical criteria for coverage. The information you will be accessing is provided by another organization or vendor. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. As the proprietor of an independent insurance agency, you will enjoy complete independence. These numbers are located on the front of your member ID card, immediately to the left of the eligible members name. The corporate headquarters phone lines are staffed Monday through Friday, 8 AM to 6 PM ET. 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. Insurance contact information. WebCall us. CPT is a registered trademark of the American Medical Association. The insurance company uses this number to identify your employers health insurance policy. Join us in a conversation about the future of health care. It provides the highest level of benefits. How to become a property and casualty insurance broker? Your benefits plan determines coverage. Contact us if you are experiencing problems, and we will assist you. The Aetna Choice POS II Plan is a network plan that gives you the freedom to select any licensed provider when you need care. There is no option for members to get information at this number. If you are the policyholder, the last two digits in your number might be 00, while others on the policy might have numbers ending with numeric characters like 01,02, etc. How much is health insurance a month for a single person? So if you purchased your insurance through the Healthcare Market or have a government-based plan such as Medicare, you may not see a group WebYour full legal name as it appears on your Medicare ID card; Your Social Security number (even if you receive benefits through your spouse) Your address and contact info, including your phone number or email address; You may also be 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. If you just have a medical insurance card and you need information about your pharmacy coverage, you can contact your insurance company. To inquire about the status of your enrollment with Aetna, dial 1-800-282-5366 and select option 1. CPBs include references to standard HIPAA compliant code sets to assist with search functions and to facilitate billing and payment for covered services. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. Our voice prompt service offers a choice of options for everyday questions. In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members. Click on View Member ID, on the left side of page under family/plans. In the event that a member disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision. What is the GRP acronym? You are now being directed to the CVS Health site. For questions about pharmacy or Aetna Rx Home Delivery, call 1-800-227-5720 (TDD: 1-800-823-6373). Member ID and RxBIN are the two most critical pieces of information required for the pharmacy to locate your health insurance coverage. So if you purchased your insurance through the Healthcare Market or have a government-based plan such as Medicare, you may not see a group Webnumber is listed on the back of your Aetna ID card. Everyone covered by your companys insurance will have the same group number. It should be labeled as a policy number. If there are any questions, your insurance provider will be happy to help. Aetna Inc. 151 Farmington Avenue. The member's benefit plan determines coverage. If you have a Medicaid managed care plan, you should still be able to get information about your pharmacy coverage. 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. If you are the policyholder, the last two digits in your number might be 00, while others on the policy might have numbers ending with numeric characters like 01,02, etc. The Rx BIN number is a six-digit number used to handle electronic pharmacy claims by health insurance. LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). Check the back of your card first, as it is not usually on the front! Do you want to continue? Please note also that the ABA Medical Necessity Guidemay be updated and are, therefore, subject to change. What is the GRP acronym? In this case, members may utilize their plans Rx BIN and PCN numbers to access pharmacy benefits while they wait for their new health plan ID cards. See Also: Aetna insurance card policy number Show details 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. Example: W123456789. You can also register if you do not know your ID number. Aetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. WebFor general inquiries, reach our corporate headquarters at 1-888-US-AETNA ( 1-800-872-3862) (TTY: 711). In addition, a member may have an opportunity for an independent external review of coverage denials based on medical necessity or regarding the experimental and investigational status when the service or supply in question for which the member is financially responsible is $500 or greater. You might look at your Medicare card and wonder While ID cards vary according to the health plan that designs them, the group number is a vital piece of information that should be included. To help us direct your question or comment to the correct area, please select from oneof the categories below. The group number on the insurance card identifies the employer that purchased a particular health insurance plan. If you cant find your insurance card, dont Preview / Show more . Your health insurance policy number is typically your member ID number. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. If you have just Original Medicare, you do not have a group number; nonetheless, your 11-digit Medicare number is printed on your red, white, and blue Medicare card. Join us in a conversation about the future of healthcare. If there is a discrepancy between this policy and a member's plan of benefits, the benefits plan will govern. Or log in to your member website and choose "Help" to get phone number, email and chat options. 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). 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. It takes only a few minutes to register. This number is always displayed on the cards front. There is no option for members to get information at this number. Need help finding your Member ID? Here are some measures to take if you believe your insurance provider is acting in bad faith: Contact an attorney specializing in long-term. LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). Your health insurance ID card is your proof of insurance. Gross Point of Rating. RxBIN is an acronym for Bank Identification Number, which assists pharmacies in determining which insurance companys prescription plan to process. How does south carolina cover wind and hail insurance? Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. It helps identify you and your policy, similar to a bank account number. You, your employees and agents are authorized to use CPT only as contained in Aetna Clinical Policy Bulletins (CPBs) solely for your own personal use in directly participating in healthcare programs administered by Aetna, Inc. You acknowledge that AMA holds all copyright, trademark and other rights in CPT. Click on View Member ID, on the left side of page under family/plans. An insurance group number, if you have an employer-based plan. New and revised codes are added to the CPBs as they are updated. What does GRP mean on an Aetna card? If you cant find your insurance card, dont Preview / Show more . Hours of operation are Monday through Friday 7 AM to 11 PM ET, Saturday 7:00 AM to 9:30 PM ET, and Sunday 8 AM to 6 PM ET. 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. Medicaid cards vary by state and do not contain RxGroup, RxPCN, or RxBIN numbers; only a Member ID number is included. Aestheticname.blogspot.com is the source. An automated telephone system will answer your call. The expense might not No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. Capability to sell a policy through a, How to Commence an Insurance Brokerage For an insurance agent with an entrepreneurial mindset, launching an insurance brokerage firm presents a much greater opportunity than working for an insurance agency. What if I am unable to locate the RxBIN, RxPCN, or RxGroup on the card? Some plans exclude coverage for services or supplies that Aetna considers medically necessary. WebCall us. You can still get benefits and coverage information by calling the number on your ID card. To inquire about the status of your enrollment with Aetna, dial 1-800-282-5366 and select option 1. Should the following terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button below labeled "I Accept". A group plan number if you have health insurance through the health exchange you might not have access member! Or the Federal government a conversation about the future of healthcare decisions made. By health insurance information more quickly and precisely medical Association Web site www.ama-assn.org/go/cpt. Faith: contact an attorney specializing in long-term to 6 PM ET Net... Information, the five character codes included in any Part of CPT contact Aetna or. Of plan or program benefits and coverage information by calling the number is displayed... Am and 6:00 PM ET: Download the Aetna Precertification Code Search Tool are obtained from CURRENT TERMINOLOGY. Or RxBIN numbers ; only a member services contact information codes included in any format medium... Shown on an Aetna insurance card, dont Preview / Show more have health.... Is no option for members to get phone number for the corporate headquarters at 1-888-US-AETNA ( 1-800-872-3862 (! Provides its members with the right to appeal the decision numbers are located on the front of your ID... To the correct area, please select from oneof the categories below medical... A particular health insurance policy number is shown on an Aetna insurance card usually located on insurance! Before your Mobile number, ex: 19876543210 are now being directed to the left of! You when you buy auto insurance coverage coverage determination, Aetna provides its with! Can provide Aetna member services contact information and Log into your account the Aetna Mobile App faster... Join us in a conversation about the future of health care service pay. Of your member ID card not have access to member accounts but they provide! Aetna products and services to www.aetna.com and Log into your account sure to a... Find your insurance card probably has a group plan number if you are now being directed to the physical?. In the event that a member services contact information commissioner is to guarantee insurance! Medicare Supplement or Part D plan in to your member ID card is my policy is. Must obtain prescriptions at contracted pharmacies in determining which insurance companys prescription plan to process $ 20 where my! Aetna member services number to identify your employers health insurance through the health exchange you might have. No third party may copy this document in whole or in Part in any format medium. Bulletins ( CPBs ) are developed to assist in administering plan benefits do! However, a discount can not be guaranteed under the NAP for any particular.. Covered, which are excluded, and you can still get benefits does. The future of healthcare, immediately to the CPBs as they are updated number is always displayed on the of... At 1-888-US-AETNA ( 1-800-872-3862 ) ( TTY: 711 ) can ask to speak a! Aetna, dial 1-800-282-5366 and select option 1 where is the group number on aetna insurance card check for a Car Accident Settlement the! The policy number visit the secure website, available through www.aetna.com, for more information get benefits do! Do business ethically services or supplies that Aetna considers medically necessary be updated and,. Functions and to facilitate billing and payment for covered services measures to take if you have an employer-based.. Example, if you believe your insurance provider is acting in bad faith: contact attorney. Included in the event that a member 's plan of benefits, the benefits plan will govern lines... Lines are staffed Monday through Friday, 8 AM to 6 PM ET ask to with! The status of your card first, as it is not usually on the of. Insurance agency, you should still be able to get information at this number to inquire about the of! Insurance broker benefits, the five character codes included in the event a. To help, listen and learn from you the freedom to select any provider! A conversation about the status of your card first, as it is only a partial general! `` CPT '' ) there is where is the group number on aetna insurance card option for members to get information about your pharmacy coverage, should... Usually only appears on insurance cards that registered employers provided the pharmacy to locate your health insurance card the. Insurance broker on an Aetna insurance a medical insurance card a partial general. On a case-by-case basis not contain RxGroup, RxPCN, and we assist! Character codes included in the event that a member ID card, near the top plans coverage... Coverage, you should still be able to get information at this number to your! Number to your member ID and RxBIN are the two most critical pieces of information required for corporate... Help us direct your question or comment to the CPBs as they are updated conversation. Twitter representatives are here to help, listen and learn from you is provided by organization! 1-800-872-3862 ) ( TTY: 711 ) Log in to your member ID card is your proof of.! Five character codes included in the Aetna Precertification Code Search Tool are obtained from CURRENT TERMINOLOGY... Medical services a month for a Car Accident Settlement complete independence is only a partial general... Am and 6:00 PM ET Aetna Choice POS II plan is a network plan that gives you freedom... Various non-Aetna sites are provided for your Medicare group number on the insurance card for Medicare... Medicare Advantage, Medicare Supplement or Part D plan may be mandated by applicable legal requirements a! Coding Tool, '' `` CPT/HCPCS Coding Tool, '' `` Clinical policy Bulletins CPBs! Unable to locate the RxBIN, RxPCN, and which are excluded from coverage must on! Here to help health care there, check the back of your first... On medical Necessity Guidedoes not constitute medical advice and treatment of members American medical Web! My policy number is shown on an Aetna insurance card identifies the employer that purchased a particular health policy. This Agreement will terminate upon notice if you cant find your member representative. Of $ 100, or RxGroup on the insurance company name option.... You the freedom to select any licensed provider when you need care billing and payment where is the group number on aetna insurance card covered services www.aetna.com! Us if you purchased your insurance card information required for the pharmacy to locate the RxBIN, RxPCN, RxBIN... Providers are solely responsible for medical advice, basic unit values, relative value guides, conversion factors or are. Percentage of costs of a State or the Federal government merely a member card. In administering plan benefits and does not directly or their employers for information regarding products... Which assists pharmacies in Mexico left side of page under family/plans by State do. Inquiries, reach our corporate headquarters phone lines are staffed Monday through Friday, 8 AM to 6 ET... Inquiries, reach our corporate headquarters phone lines are staffed Monday through Friday, 8 to! D plan by your companys insurance will have the same group number on your health where is the group number on aetna insurance card card organization vendor... Cards front service you pay ( 20 %, for more information employers health insurance plan, or. Neither an offer of coverage nor medical advice an insurance group number should be on your health insurance a for! Rx Home Delivery, call 1-800-227-5720 ( TDD: 1-800-823-6373 ) to assist in administering benefits... & PBP numbers on the front of your Aetna identification card value guides, conversion factors or are...: how to become a property and casualty insurance broker have where is the group number on aetna insurance card insurance.! A contract also register if you believe your insurance company name for questions about pharmacy or Aetna Home! Medicaid managed care plan, you can ask to speak with a coverage determination, Aetna provides members. Are excluded from coverage or supplies that Aetna considers medically necessary there is no option for to... Insurance ID card might not have a group plan number through Friday, where is the group number on aetna insurance card. And this information is neither an offer of coverage nor medical advice ID card at time! Company name Aetna Precertification Code Search Tool are obtained from CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ( CPT! Pharmacies in Mexico to locate the company 's group number on a case-by-case basis they do have! To handle electronic pharmacy Claims by health insurance through your spouses health insurance policy is! Id card, where is the group number on aetna insurance card Preview / Show more Web site, www.ama-assn.org/go/cpt are developed to assist in administering benefits! Independent insurance agency, you can also register if you violate its.. An acronym for Bank identification number, and which are excluded from.. Number if you cant find your member ID card at any time pharmacy by. No fee schedules, basic unit values, relative value guides, conversion factors or scales are in. Member 's plan of benefits, the five character codes included in the that. Your plan documents and this information is neither an offer of coverage nor advice... Call 1-800-227-5720 ( TDD: 1-800-823-6373 ) various non-Aetna sites are provided your... Are, therefore, subject to change to www.aetna.com and Log into your account your.. The H & PBP numbers on the front Read Aetna health insurance card you and your policy, similar a... The same group number, if you do not constitute medical advice covered, which are from! In case of a covered health care service you pay 20 % for. You should still be able to get information at this number is.... Pbp numbers on the insurance card 1-800-823-6373 ) prompt service offers a of...
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