Aetna medicare referral form 2025

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2016 4.8 Satisfied (162 Votes)
2010 4.2 Satisfied (62 Votes)
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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.
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The Aetna Open Access plan is a health maintenance organization (HMO) plan that gives members more freedom. Members can visit any in-network provider, like a primary care physician (PCP) or specialist, for covered services without a referral. * You can find Aetna network providers by using our provider search.
1-888-MD AETNA (1-888-632-3862) (TTY: 711) for calls related to indemnity and PPO-based benefits plans. 1-800-624-0756 (TTY: 711) for calls related to HMO- based benefits plans.
If youd like to get a total for the number of appeals, grievances and exceptions filed with Aetna Medicare, call us at 1-800-282-5366 (TTY: 711). Calls are answered 7 days a week, 8 AM to 8 PM.
National Medicare Dentist Line: Have a question? Call the National Medicare Dentist Line at 1-800-624-0756.
Aetna Medicare HMO plans with open access PCP referrals arent required. Out-of-network services arent covered without prior approval except for emergency care, out- of-area urgent and emergency care, and out-of- area renal dialysis.
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People also ask

Part C plans, also known as Medicare Advantage plans, are run by private insurance companies, like Aetna Medicare. Medicare Advantage plans are a lot like Original Medicare. But they can include valuable extra benefits that Original Medicare doesnt.
For credentialing questions, call the Aetna credentialing and application management team at 1-800-353-1232 (TTY: 711). Send dental network inquiries to Aetna Dental West, 21215 Burbank Blvd., Suite 620, Woodland Hills, CA 91367 or fax to 1-866-445-4387.
Call one of our Aetna pharmacy customer service professionals. You can reach them toll-free at 1-800-238-6279 (TTY: 711).

aetna specialist referral form