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Sometimes you need a referral or prior authorization before you can get care. A referral is a kind of preapproval from your primary care doctor to see a specialist. A prior authorization or precertification is when your doctor has to get approval from us before we cover an item or service.
Insurance companies can deny a request for prior authorization for reasons such as: The doctor or pharmacist didnt complete the necessary steps. Filling the wrong paperwork or missing information such as service code or date of birth.
You can use your card or download the free Healthy Benefits Plus app to buy approved foods like fruits, veggies, dairy products, meats and seafood, and pantry staples. As an Aetna D-SNP member, you also have a personal care team. They are there to make getting the care you need easier.
Some procedures (For instance, an MRI, CAT scan or surgery.) need approval in advance. Your doctor can ask for this approval up to six months ahead of time. You can share a copy of this guide with your doctor.
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Aetna Medicare Advantage provides the same coverage as Original Medicare but with extra benefits like $0 deductibles and prescription benefits. Youll also get access to programs that may help you docHub your health goals. These include SilverSneakers fitness membership and more.
Some procedures (For instance, an MRI, CAT scan or surgery.) need approval in advance. Your doctor can ask for this approval up to six months ahead of time. You can share a copy of this guide with your doctor.
Aetna announced it they would no longer be requiring prior approval for cataract surgeries starting in July. Aetna, a managed care company, announced on June 30 that patients would no longer need pre-approval for most cataract surgeries starting on July 1.

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