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. The corporate headquarters phone lines are staffed Monday through Friday, 8 AM to 6 PM ET. We want to make it easier for you to live healthier. 2 List of up to five family members. 0000002934 00000 n The member's benefit plan determines coverage. Your insurance cards group number identifies the Treating providers are solely responsible for medical advice and treatment of members. 0000001861 00000 n Treating providers are solely responsible for dental advice and treatment of members. Plan number: health insurance companies have many plan options. Please note also that the ABA Medical Necessity Guidemay be updated and are, therefore, subject to change. 0000005486 00000 n A group policy number is like a reference number. All services deemed "never effective" are excluded from coverage. I know this to be true. Health benefits and health insurance plans contain exclusions and limitations. In addition, a member may have an opportunity for an independent external review of coverage denials based on medical necessity or regarding the experimental and investigational status when the service or supply in question for which the member is financially responsible is $500 or greater. 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. If so, youll likely receive a new insurance card. The "coverage amount" tells you how much of your treatment costs the insurance company will pay. It helps to identify you come under the certain Health schemes. What is group number on insurance card All health insurance cards should have a policy number. 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). Medical necessity determinations in connection with coverage decisions are made on a case-by-case basis. 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. Aetna Inc. 151 Farmington Avenue. Each academic year to waive automatic enrollment in the student health insurance plan . Your Medicare group number must appear on your Medicare Advantage, Medicare Supplement, or Part D insurance card. is the group number on a health insurance card 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. All rights reserved. You will be able to print your card and/or save it digitally. Sometimes, the Rx symbol has a dollar or percent amount next to it. There are no co-pays for FAMIS members in fee-for-service. the Difference Between My Group Number, Member What is the insurance number on a card issued by Aetna Insurance? 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. Usually, the policy number is indicated at the top of the insurance billing statement or the health insurance card. 0000016481 00000 n This means you can see any provider in the Medicaid or FAMIS fee-for-service network for covered services. Aetna is the group number on a health insurance card If yours does, itll list the dollar amount or percentage your insurance company will pay for each prescription. This number is always displayed on the cards front. 0000005020 00000 n What does an Aetna subscriber ID signify? This is identified through the group number. 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. What is the insurance number on a card issued by Aetna Insurance? An insurance card usually shows the name of the person who holds the policy. Look for an Rx symbol on your health insurance card. 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. This information is useful to have in case you need to: Now that youre familiar with the different elements of an insurance card, you can take on a new insurance policy with confidence. Insurance company contact information There is no option for members to get information at this number. When billing, you must use the most appropriate code as of the effective date of the submission. What does subscriber ID mean? 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. 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. Your PCP can be altered at any time. New and revised codes are added to the CPBs as they are updated. The Member's contract defines which procedure, drug, service, or supply is covered, excluded, limited, or subject to dollar caps. A printed or digital card is equivalent to a physical identification card. Many of the insurance plans require a higher deductible, or no coverage when the student is "out of network". Aetna Inc. and itsaffiliated 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. ASU Health Services is pleased to offer aBridge service discount programdesigned to save the student money if they need certain health services at the University. It helps to identify you come under the certain Health schemes. A group policy number is like a reference number. Webcheck the H&PBP numbers on the bottom right of the ID card. 0000009966 00000 n You might be asked for this number when you schedule an appointment with a provider. Most Medicaid and FAMIS members get care through a health plan. 0000004089 00000 n 0000002314 00000 n This is determined through the group number. 0000001711 00000 n If you have health insurance through your job/work, then your insurance card may have a group plan number.
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October 2nd - 4th, 2020