Your benefits plan determines coverage. This might include: This information is helpful if you need to contact your insurance company. It helps to identify you come under the certain Health schemes. Your health insurance group number is assigned to the employer that bought your plan. This article is intended to provide general information about insurance. 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. This unique number allows health Your health insurance group number is assigned to the employer that bought your plan. If you have any problems or questions, call one of our customer service professionals at 1-800-238-6279 (TTY: 711). 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. Reprinted with permission. Coverage determinations are made on a case-by-case basis and are subject to all of the terms, conditions, limitations, and exclusions of the Member's contract, including medical necessity requirements. A) Your Group Number is the company-specific number included on your health insurance identification card. All rights reserved. B) Your Member ID Number is unique to you. RxGrp or prescription group is a set of alphanumeric or numeric numbers that pharmacies use to process your prescription benefits. Like your individual policy number, the group number on your insurance card is a code assigned to your employers insurance plan. 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. Our official Aetna customer service Twitter representatives are here to help, listen and learn from you. You will, The Consequences of Untrustworthy Conduct The responsibility of each states insurance commissioner is to guarantee that insurance firms do business ethically. If you are a member and have any additional questions, please call (800) 872-3862. Do you want to continue? Every employee will have their own member ID number. You will see dollar amounts on your card, too. This is identified through the group number. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. Scammers impersonate a trusted company to convince their targets into revealing or handing over sensitive information such as insurance, banking or login credentials. the Difference Between My Group Number, Member 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. full name (first and last name) address/zip code/email/etc. In the event that a member disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision. A group number is assigned to the employer or other group that sponsors an insurance plan for its employees or other individuals covered by the group plan. Coverage amounts and copays 0000001116 00000 n 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. number Member Your health insurance group number is assigned to the employer that bought your plan. Where Is The Group Name On Aetna Insurance Card However, you likely have access to MultiPlan's services through your health plan administrator or medical bill payor . Not all cards have an Rx category. The number appears on the back of your Aetna identification card. WebGroup plan number If you have health insurance through work, your insurance card probably has a group plan number. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. In-network providers are those who have a contractual agreement with your insurance company to provide lower-cost services and treatments. Aetna This information might be on the front of your insurance card. Please note, if you are an Out-of-Area caregiver and need services prior to receiving your health plan ID card, you will have to pay upfront for services and then complete a reimbursement form. Everyone covered by your companys insurance will have the same group number. Aetna No fee schedules, basic unit, relative values or related listings are included in CPT. Applicable FARS/DFARS apply. You can normally find your policy number on your health insurance card. Even though you have health insurance, it may not cover everyday health expenses like preventive or routine visits, lab tests, x-rays or consultations with an on-campus specialist. The Member's contract defines which procedure, drug, service, or supply is covered, excluded, limited, or subject to dollar caps. Your health insurance company might pay for some or all the cost of prescription medicines. As a result, you may see one term on your insurance card and not the other. What policy number is shown on an Aetna insurance card? The information you will be accessing is provided by another organization or vendor. However, many people arent sure how to read an insurance card or where to find certain important numbers. Aetna cards Your enrollment will be processed and your insurance card will be available for download or print after 3-5 business days. B) Your Member ID Number is unique to you. If you are a member and have any additional questions, please call (800) 872-3862. I know this to be true. The conclusion that a procedure, drug, service, or supply is medically necessary does not constitute coverage. Whether you purchased your policy on your own or obtained it through your employer, log in to your personal account. Aetna Number on Insurance Card If so, you might see an Rx symbol on your health insurance card. 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). Links to various non-Aetna sites are provided for your convenience only. If you have any problems or questions, call one of our customer service professionals at 1-800-238-6279 (TTY: 711). Your Medicare card may leave you wondering where your group number is. Once enrolled, you will be auto-enrolled for consecutive semesters in which you continue to be eligible. Some subtypes have five tiers of coverage. Also, you are able to provide this number to your health insurance company so they are able to look up your information when you have questions regarding your benefits and any recent claims. For language services, please call the number on your member ID card and request an operator. 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. Once registered, you will have access to your ID card and claims information. Insurance Card 607 0 obj <> endobj xref 607 41 0000000016 00000 n If you have any problems or questions, call one of our customer service professionals at 1-800-238-6279 (TTY: 711). They just need to accept Medicare and your Aetna Medicare Advantage plan. number CPT is a registered trademark of the American Medical Association. If you need an appointment urgently and have selected your benefits but do not have your EHP ID card yet, you may ask the scheduler to select "EHP Pend" as your payer when scheduling the appointment. REPRESENTATIVES, Sorry, we couldn't find any results matching. Plan number: health insurance companies have many plan options. 0000002685 00000 n Monday through Friday, 8 AM to 6 PM ET. But you will have to pay them more for your care. The second percent amount is the amount your insurance company pays providers who are out-of-network. The ABA Medical Necessity Guidedoes not constitute medical advice. If you see several dollar amounts, they might be for different types of care: If this information isnt on your insurance card, call your insurance company. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. It proudly points to the fact that they retain a majority of their college clients and enrolled students each academic year and that it insures more than 500,000 students and dependents nationwide. What is the insurance number on a card issued by Aetna Insurance? The corporate headquarters phone lines are staffed Monday through Friday, 8 AM to 6 PM ET. Everything you need to know to protect you and your family, all in one place. insurance card The group number on the insurance card identifies your employer plan aka boss. Your insurance card can explain how your health insurance works. You can obtain services via the Cigna network if you or a covered family member need medical care while visiting the U.S. MIP participants who have selected Cigna International as their medical claims administrator have access to the Cigna Health Care OA Plus provider network in the U.S. Insurance Card If you see several dollar amounts, they might be for different types of care, such as office visits, specialty care, urgent care, and emergency room care. Medicare Group Number For questions about pharmacy or CVS Caremark Mail Service Pharmacy, call 1-800-227-5720 (TDD: 1-800-823-6373). Webcheck the H&PBP numbers on the bottom right of the ID card. The clinical criteria and medical policies provide guidelines for determining the medical necessity criteria for specific procedures, equipment and services. is the group number on a health insurance card 0000006091 00000 n All Rights Reserved. If, however, you need health care services or equipment sooner than that, you can request a temporary letter as proof of enrollment in Medicare. These terms are often used interchangeably to refer to the code assigned to your insurance policy. Your health insurance policy number is what identifies you as a covered individual under your current or previous plans. Everyone covered by your companys insurance will have the same group number. Aetna Student Health members are provided access to preferred providers through the nationwide Aetna network. Aetna automatically issues health insurance cards for the 'default' health plan option (Aetna Choice plan at the 'employee-only' coverage tier) to new fully benefits-eligible employees. The number appears on the back of your Aetna identification card. There are no co-pays for FAMIS members in fee-for-service. Medicare has also chastised Aetna for nearly $12 million in Medicare overpayments in 2007 and 2009. It is very important because if you change jobs, get married, or divorced, then your health insurance policy number will need to match the new situation. Through your health plan you have access to providers in our networks, but we do not administer your plan or maintain information regarding your insurance. 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. Aetna cards insurance card INSURANCE Student health insurance plan, but are not required to carry health insurance by the university. Students who enroll in the UR Student Health Insurance Plan are enrolled on the plan from August 1 through July 31 . If you see 2 different amounts, you might have different co-pays for doctors in your insurance company's network and outside the network. Aetna With that in mind, take some time to evaluate your existing policy and priorities. Working with the insurance provider can help families understand their medical plan, what it covers, and where care is available. How Long Does It Take to Receive a Check for a Car Accident Settlement? What does subscriber ID mean? The information contained on this website and the products outlined here may not reflect product design or product availability in Arizona. 0000007503 00000 n Not all insurance cards have a group plan number. The group number on the insurance card identifies the employer that purchased a particular health insurance plan. Every health insurance card must have a policy number. WebGroup number: Identifies your employer plan. While the Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. Each health plan has a network of primary care providers , specialists, hospitals, and other health care providers. Find common terms used in health insurance management from "deductible" to "plan documents" with explanations and specific things to consider. No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM. This can be adjusted at a later date when the Third Party Administrator processes your benefits selections.