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NaviNet is a free, Internet-based application for providers to streamline data exchanges between their offices and Highmark. The waiver of Highmark member cost-sharing for in-network telehealth visits is effective for electrolysis amerigroup of service from March 13 international claims June 30, Please carefully read and follow the instructions contained within the individual form for submission. Health Options Provider Manual. Medical Policy Medical Policy. This partnership is instrumental in bringing a personalized care transitions approach to support Highmark's Medicare Advantage members across Pennsylvania and West Virginia. Contact Us.

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Registered dietitians will help you learn how to stay healthy through nutrition and weight management. This value added discount is separate from the medical nutritional counseling benefit described in your Evidence of Coverage EOC. The Dinner Daily makes healthy, delicious dinners easy and affordable by providing you with weekly dinner plans customized for your food preferences, dietary needs, and the specials at your local grocery store!

Eat better dinners, save money, and make dinners easy. Plus, your first two weeks are free to make it easy to try. To sign up, or for more information, visit thedinnerdaily. ChooseHealthy is a trademark of American Specialty Health and used permission herein.

Discounts cannot be combined with any other promotion. The Meditation Series is designed for those who are new to meditation. Meditation is a simple and effective way to calm your mind, relax your body, and improve your outlook and concentration. Meditation consists of 10 short audio lessons that provide you with everything you need to know to begin meditating. With Ompractice, you can access live, online yoga and meditation classes led by an instructor to practice yoga from the comfort and privacy of your own home.

Ompractice utilizes two-way video so you can participate in group classes and receive feedback and support from your teacher. In addition, if you are a member of the CarePartners of Connecticut CareAdvantage Preferred HMO plan, you may be able to use your annual Wellness Allowance to submit for possible reimbursement of your membership fees. For more information or to sign up, go to ompractice. To learn more about BSAH, visit www. If living independently becomes difficult, caregivers from Hartford HealthCare Independence at Home can help you or your loved ones maintain your life in the comfort of home.

For details, visit carepartnersct. Save on a variety of services that help members with chronic health problems stay well at home or transition to a new location. Discounts and services included in the Extras program are not plan benefits and are not subject to the Medicare appeals process. Skip to main site navigation Skip to main content. For more information about the ExtraCare Health Card, or to transfer your ExtraCare reward card balance to your ExtraCare Health Card, call the toll-free number on the back of your card.

A health care flexible spending arrangement HCFSA allows you to contribute pre-tax earnings toward your out-of-pocket medical expenses. Plan restrictions may apply. Check with your health plan sponsor for more details. Also excludes controlled substances purchased in LA. This discount program is neither offered nor guaranteed under the FEHB program, but is made available to all MHBP enrollees and their covered family members.

You cannot file a FEHB disputed claim about this program.

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The ExtraCare Health Card is a free program. As an Aetna member, your card is special. The drugstore giant, one of the largest retailers in the U. First, you can visit your local CVS and fill out a small form with your name, address, and email. The card is attached to the form, and you can use it immediately. The other way to get one is to visit CVS. CVS will mail you a card within one week.

CVS does not accept Care Credit cards at any of their locations as of CVS customers cannot use Care Credit for prescriptions, or any other health and wellness purchases made in-store or online.

Can I use multiple coupons on sale items? Yes, as long as all of the coupons meet their qualifications. ExtraBucks Rewards earned from buying specific items in the weekly ad cannot be reissued. They must be used before the expiration date and can only be used in store. Get it. Sign in to your CVS. Do you want to continue? The Applied Behavior Analysis ABA Medical Necessity Guide helps determine appropriate medically necessary levels and types of care for patients in need of evaluation and treatment for behavioral health conditions.

Treating providers are solely responsible for medical advice and treatment of members. Members should discuss any matters related to their coverage or condition with their treating provider. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Members and their providers will need to consult the member's benefit plan to determine if there are any exclusions or other benefit limitations applicable to this service or supply.

The 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. The member's benefit plan determines coverage.

Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Medical necessity determinations in connection with coverage decisions are made on a case-by-case basis.

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. Copyright by the American Society of Addiction Medicine. Reprinted with permission. No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM.

Should the following terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button below labeled "I Accept".

See Aetna's External Review Program. All Rights Reserved. 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.

State Street, Chicago, Illinois Applications are available at the American Medical Association Web site, www.

Go to the American Medical Association Web site. Department of Defense procurements and the limited rights restrictions of FAR CPT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to the implied warranties of merchantability and fitness for a particular purpose. No fee schedules, basic unit, relative values or related listings are included in CPT.

The responsibility for the content of this product is with Aetna, Inc. 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. This Agreement will terminate upon notice if you violate its terms. The AMA is a third party beneficiary to this Agreement. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept".

The information contained on this website and the products outlined here may not reflect product design or product availability in Arizona. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. This information is neither an offer of coverage nor medical advice. It is only a partial, general description of plan or program benefits and does not constitute a contract.

In case of a conflict between your plan documents and this information, the plan documents will govern. Explore plans. Health coverage. ACA individual and family health plans Health plans through an employer Options without employer coverage Student plans International plans.

Dental, vision and supplemental. Dental plans Find a dentist Vision plans Find an eye doctor Supplemental plans. Get pharmacy plan information Find a pharmacy. Medicaid plans Find a doctor. Member support. Account management. Log in to your member website Find a form Get your ID card opens in secure site Check a claim opens in secure site View coverage opens in secure site. The health guide. All health resources Living healthy Understanding health care Managing health.

Additional resources. Mental health Women's health Health insurance rights and resources Contact us Frequently asked questions Prior authorization guidelines. Find a doctor. Find a medication. Member login. Health coverage ACA individual and family health plans Health plans through an employer Options without employer coverage Student plans International plans.

Dental, vision and supplemental Dental plans Find a dentist Vision plans Find an eye doctor Supplemental plans. Pharmacy Get pharmacy plan information Find a pharmacy. Medicaid Medicaid plans Find a doctor. Member support Account management Account management Log in to your member website Find a form Get your ID card opens in secure site Check a claim opens in secure site View coverage opens in secure site.

The health guide All health resources Living healthy Understanding health care Managing health. Additional resources Mental health Women's health Health insurance rights and resources Contact us Frequently asked questions Prior authorization guidelines.

Related content. Read More Read Less. How the right pharmacy can save you money and improve your life. Mobile apps to help you achieve your health goals. You are now being directed to the AMA site Links to various non-Aetna sites are provided for your convenience only. You are now being directed to the Give an Hour site Links to various non-Aetna sites are provided for your convenience only.

You are now being directed to the CDC site Links to various non-Aetna sites are provided for your convenience only. You are now being directed to the CVS Health site. You are now being directed to the Apple. You are now being directed to the US Department of Health and Human Services site Links to various non-Aetna sites are provided for your convenience only.

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

Please check your entries for an error message.

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What is CarePass? Only selected CVS locations will offer to look up receipts on their store system, as long as the purchase was made within 60 days. Note that if you are looking for information regarding an online purchase, you can find it in the order history of your online account at CVS.

CVS does not accept Care Credit cards at any of their locations as of CVS customers cannot use Care Credit for prescriptions, or any other health and wellness purchases made in-store or online. Can I use multiple coupons on sale items? Yes, as long as all of the coupons meet their qualifications. Your ExtraCare number is a unique number tied to your ExtraCare membership; phone numbers are not unique across all cards. Free delivery on qualifying prescriptions and most cvs.

A: No. You can keep sharing the same card. You should not reply to or follow any links contained in such a message. Visit the Cancel Plan page. Terminate your subscription. Health coverage. ACA individual and family health plans Health plans through an employer Options without employer coverage Student plans International plans. Dental, vision and supplemental.

Dental plans Find a dentist Vision plans Find an eye doctor Supplemental plans. Get pharmacy plan information Find a pharmacy. Medicaid plans Find a doctor. Member support. Account management. Log in to your member website Find a form Get your ID card opens in secure site Check a claim opens in secure site View coverage opens in secure site.

The health guide. All health resources Living healthy Understanding health care Managing health. Additional resources. Mental health Women's health Health insurance rights and resources Contact us Frequently asked questions Prior authorization guidelines. Find a doctor. Find a medication. Member login. Health coverage ACA individual and family health plans Health plans through an employer Options without employer coverage Student plans International plans.

Dental, vision and supplemental Dental plans Find a dentist Vision plans Find an eye doctor Supplemental plans. Pharmacy Get pharmacy plan information Find a pharmacy. Medicaid Medicaid plans Find a doctor. Member support Account management Account management Log in to your member website Find a form Get your ID card opens in secure site Check a claim opens in secure site View coverage opens in secure site. The health guide All health resources Living healthy Understanding health care Managing health.

Additional resources Mental health Women's health Health insurance rights and resources Contact us Frequently asked questions Prior authorization guidelines. Related content. Read More Read Less. How the right pharmacy can save you money and improve your life. Mobile apps to help you achieve your health goals.

You are now being directed to the AMA site Links to various non-Aetna sites are provided for your convenience only. You are now being directed to the Give an Hour site Links to various non-Aetna sites are provided for your convenience only. You are now being directed to the CDC site Links to various non-Aetna sites are provided for your convenience only.

You are now being directed to the CVS Health site. You are now being directed to the Apple. You are now being directed to the US Department of Health and Human Services site Links to various non-Aetna sites are provided for your convenience only.

Login Please log in to your secure account to get what you need. You are now leaving the Aetna Medicare website. Error or missing data. Please check your entries for an error message. This search uses the five-tier version of this plan Each main plan type has more than one subtype. I Accept. I accept. 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.

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. Not all plans are offered in all service areas. All services deemed "never effective" are excluded from coverage. Aetna defines a service as "never effective" when it is not recognized according to professional standards of safety and effectiveness in the United States for diagnosis, care or treatment.

Visit the secure website, available through www. 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.

The AMA disclaims responsibility for any consequences or liability attributable or related to any use, nonuse or interpretation of information contained in Aetna Precertification Code Search Tool.

No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. 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.

Disclaimer of Warranties and Liabilities. Treating providers are solely responsible for dental advice and treatment of members. While the Dental Clinical Policy Bulletins DCPBs are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. 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.

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. Your benefits plan determines coverage. If there is a discrepancy between this policy and a member's plan of benefits, the benefits plan will govern.

In addition, coverage may be mandated by applicable legal requirements of a State or the Federal government. 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.

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.

Aetna Clinical Policy Bulletins CPBs are developed to assist in administering plan benefits and do not constitute medical advice. Members should discuss any Clinical Policy Bulletin CPB related to their coverage or condition with their treating provider.

While the Clinical Policy Bulletins CPBs are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. The Clinical Policy Bulletins CPBs express Aetna's determination of whether certain services or supplies are medically necessary, experimental and investigational, or cosmetic.

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.

Aetna makes no representations and accepts no liability with respect to the content of any external information cited or relied upon in the Clinical Policy Bulletins CPBs. 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.

Aetna expressly reserves the right to revise these conclusions as clinical information changes, and welcomes further relevant information including correction of any factual error. CPBs include references to standard HIPAA compliant code sets to assist with search functions and to facilitate billing and payment for covered services.

New and revised codes are added to the CPBs as they are updated. When billing, you must use the most appropriate code as of the effective date of the submission. Unlisted, unspecified and nonspecific codes should be avoided.