aetna dmo patient login

How do I contact Aetna?

If you have any questions or would like to contact us, please use one of the methods below.

• Chat online and get answers
• Schedule an online appointment for personalized support
• Attend live webinars
• Use self-service tools for round-the-clock help
• Answer questions about benefits coverage
• Find network providers
• With ID card requests and claim inquiries
• Health information – To learn about various diseases and conditions

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Is Aetna a good insurance company?

Aetna is an especially good fit for Medicare beneficiaries, employers, and individuals qualifying for Medicaid. Individual plans are not currently available, though the company plans to offer them in the future.

What Doctor accepts Aetna?

Top 10 Aetna Provider Specialties:

• Family Doctor (91744 providers)
• Internist (90761 providers)
• Dentist (66550 providers)
• Pediatrician (Kids / Children Specialist) (63684 providers)
• Obstetrician / Gynecologist (OBGYN) (38412 providers)
• Radiologist (32861 providers)
• Chiropractor (32603 providers)
• Nurse Practitioner (NP) (30697 providers)
• Optometrist (Eye & Vision Specialist) (29493 providers)

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Does Aetna have car insurance?

Transportation | Aetna Better Health of New York Transportation Round-trip transportation is approved for medically necessary services. Covered transportation may include car service, ambulette or ambulance, depending on your medical needs. Please let us know in advance if you have a wheelchair, need oxygen, or if you have any other special needs.

Why can't I log into my Aetna account?

Check that your Caps Lock key and/or your Num Lock key are not on. If they are on, Aetna Rx Home Delivery will not accept them. If you kept a record of your user name and password, consult it to make sure that you are entering your information correctly.

Is Aetna DMO the same as HMO?

To receive maximum benefits, members must select and have care coordinated by their PCD. In Illinois, the Aetna Dental DMO plan is not a health maintenance organization (HMO).

What is Aetna DMO?

A DMO is a network of dentists and specialists who provide dental care services at a fixed cost. With the DMO, a participant does not have to meet a deductible or file any claim forms. The Aetna DMO is available only in areas where there are participating dentists.

Is Aetna DMO a PPO plan?

Each insurer has sole financial responsibility for its own products. Your employer offers two dental plan options — a DMO* benefits plan or a preferred provider organization (PPO) insurance plan. Here's a guide to help you choose which plan is best for you.

Is DMO better than PPO?

DMO patients pay less in premiums and out-of-pockets expense than dental PPO patients do. One advantage of a PPO is that you don't need referrals to see specialists, in or out of network. You're not required to choose a primary care dentist.

What's the difference between Aetna PPO and DMO?

HMO/DMO providers can be expected to perform services for a deeply discounted rate. On the other hand, PPO dentists only receive money from the insurance company if services are rendered.

What does DMO mean for dental?

Dental Maintenance OrganizationDental Maintenance Organization (DMO) FAQs for individuals and families.

How do I find my PCD number?

The easiest way to calculate the PCD is as follows:Identify the size of the rim or tyre size. ... Measure the distance 'S' between two adjacent studs from the centre of each hole.Using the calculator enter the number of studs/holes & 'S' and press 'calculate'.More items...

What does Dhmo mean in dental insurance?

Dental Health Maintenance OrganizationDental Health Maintenance Organization (DHMO) Plans.

What is PPO good for?

PPO stands for preferred provider organization. Just like an HMO, or health maintenance organization, a PPO plan offers a network of healthcare providers you can use for your medical care. These providers have agreed to provide care to the plan members at a certain rate.

What is a PCD number?

The Pitch Circle Diameter (PCD) is the diameter of the circle which passes through the centre of all the studs, wheel bolts or wheel rim holes. The easiest way calculate the PCD is as follows: 1) Measure the distance 'S' between two adjacent studs from the centre of each hole. 2) Calculate from the formula below.

What is a PPO plan?

A type of health plan that contracts with medical providers, such as hospitals and doctors, to create a network of participating providers. You pay less if you use providers that belong to the plan's network.

Prescription drug plans (PDPs)

Aetna Medicare SilverScript PDP members can log in to their secure, personal account through Caremark.com to view and manage prescriptions, including mail order delivery, and review their Explanation of Benefits (EOB).

Policies & Procedures

Aetna handles premium payments through InstaMed, a trusted payment service. Your InstaMed log-in may be different from your Caremark.com secure member site log-in.

What is Aetna insurance?

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 and its affiliates (Aetna).

How often can you change your PCD?

The PCD has primary responsibility for managing your dental care. Each DMO member must select a PCD. You can switch your selection as frequently as once per month. To change your PCD, log in to your secure member website, or call Member Services using the number on your ID card.

What is an extension of benefits provision?

If you were covered under a previous insurance carrier, certain services will be covered by that plan even after your Aetna coverage begins. This is called an extension of benefits provision. These services include: Crowns and fixed bridgework, when the teeth were prepared before your Aetna coverage began.

What is Aetna summary of benefits?

Your Aetna Summary of Benefits describes the services that are covered under your plan. You can get a Summary of Benefits from the employer that is providing your insurance.

What happens if you have primary responsibility?

If we have primary responsibility, we pay as the primary payor. If not, we pay as the secondary payor. The primary payor pays claims as it normally would, as if there were no secondary payor. The secondary plan acts like a supplement to the primary plan. If you are enrolled in two dental plans, benefits are not additive.

When does a PCD change take effect?

If you choose a new PCD on or before the 15 th of the month, the change will go into effect on the first day of the following month. (For example, if you change your PCD on April 15, the change will take effect May 1.)

Does Aetna have a deductible?

What you pay will be based on either a percentage of those charges (coinsurance) or it will be a flat dollar amount (copay). The DMO plan does not have any deductibles or annual maximums.

What is Aetna Dental?

Aetna is the brand name used for products and services provided by one or more of the Aetna group of subsidiary companies (A etna ). Dental benefits and dental insurance plans are underwritten by Aetna Dental Inc., Aetna Dental of California Inc., and Aetna Health Inc. and/or Aetna Life Insurance Company (Aetna).

What is patient roster?

The online patient roster offers an easy way to confirm that your patients are covered and get plan information. It's all available to you through our free, secure provider website.

What is the phone number for ClaimConnect?

Who do I contact if I have a question regarding receipt of my online patient roster? If you have questions, call ClaimConnect customer service at 1-800-576-6412, extension 452.

What is Aetna insurance?

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). Health benefits and health insurance plans contain exclusions and limitations. See all legal notices.

Is Aetna liable for the content of linked sites?

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. Please log in to your secure account to get what you need. You are now leaving the Aetna Medicare website.