where is the group number on aetna insurance cardwhere is the group number on aetna insurance card

While ID cards vary according to the health plan that designs them, the group number is a vital piece of information that should be included. Just enter your mobile number and well text you a link to download the Aetna Health app from the App Store or on Google Play. Understanding your card can help you plan your healthcare expenses and get the care you need. Just enter your mobile number and well text you a link to download the Aetna Health app from the App Store or on Google Play. If its not there, you may need to call the customer service number, but you also just might not have one if youre not receiving your coverage through your employer. Your Medicare group number should be on your insurance card for your Medicare Advantage, Medicare Supplement or Part D plan. There is no option for members to get information at this number. Your benefits plan determines coverage. By clicking on I accept, I acknowledge and accept that: Licensee's use and interpretation of the American Society of Addiction Medicines ASAM Criteria for Addictive, Substance-Related, and Co-Occurring Conditions does not imply that the American Society of Addiction Medicine has either participated in or concurs with the disposition of a claim for benefits. Please note also that Dental Clinical Policy Bulletins (DCPBs) are regularly updated and are therefore subject to change. Checking the status of a claim. 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. You may call the toll-free number on your member ID card at any time. Member ID/Policy Number. This Agreement will terminate upon notice if you violate its terms. Please note also that Clinical Policy Bulletins (CPBs) are regularly updated and are therefore subject to change. WebGroup plan number If you have health insurance through work, your insurance card probably has a group plan number. Reprinted with permission. 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. Effective date. WebFor general inquiries, reach our corporate headquarters at 1-888-US-AETNA ( 1-800-872-3862) (TTY: 711). In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members. No fee schedules, basic unit, relative values or related listings are included in CPT. For current employers, health care professionals and producersget the Aetna logo. When you register, please enter the complete ID number, including all letters and numbers. If its not there, check the back of the card. Do you want to continue? To inquire about the status of your enrollment with Aetna, dial 1-800-282-5366 and select option 1. These numbers are located on the front of your member ID card, immediately to the left of the eligible members name. If your insurance company simply mailed you a medical insurance card, you may often get information about your pharmacy coverage online or by phoning your insurance company (look for the phone number for Member Services on the back of your card). Your Medicare group number should be on your insurance card for your Medicare Advantage, Medicare Supplement or Part D plan. The policy number is usually located on the front of the card, near the top. 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.e., will be paid for by Aetna). What type of insurance is Aetna Select Open Access? 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. The number is always on the front of the 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). Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. But, it is also a quick reference that tells you how much you may have to pay. Members can go to www.Aetna.com and Log into your account. INSURANCE. Group number. 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. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. See Also: Aetna insurance card policy number Show details What is the GRP acronym? 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.e., will be paid for by Aetna) for a particular member. What policy number is shown on an Aetna insurance card? 1-800-US-AETNA ( 1-800-872-3862) (TTY: 711) between 8:00 AM and 6:00 PM ET. They do not have access to member accounts but they can provide Aetna Member Services contact information. Aetna is not the most trustworthy health insurance company, all things considered. 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. WebThe member can activate their card by calling the number on their activation sticker. 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. You acknowledge that AMA holds all copyright, trademark and other rights in CPT. Both your group number and your member ID number will be located on your physical ID card and your mobile ID card, which is available on your SimplyInsured dashboard. The ABA Medical Necessity Guidedoes not constitute medical advice. Your PCP can be altered at any time. 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). How to report a disability insurance company for bad faith? 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. During this brief transition period, your clients may be able to utilize this information, if necessary, to acquire prescriptions. It is doubtful that your group health insurance number will appear on the back of your card, as the cards front contains all of the most significant information. Each employer that buys a health plan for its employees also has a number. They do not have access to member accounts but they can provide Aetna Member Services contact information. ", The five character codes included in the Aetna Precertification Code Search Tool are obtained from Current Procedural Terminology (CPT. While ID cards vary according to the health plan that designs them, the group number is a vital piece of information that should be included. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Disclaimer of Warranties and Liabilities. 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. Click on View Member ID, on the left side of page under family/plans. 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. These numbers are located on the front of your member ID card, immediately to the left of the eligible members name. Is the digital Aetna ID card same to the physical card? Member ID/Policy Number. The National Advantage Program (NAP) offers you access to Aetna-contracted rates for many hospital and doctor expenses that would otherwise be billed at the providers normal rate. Members can go to www.Aetna.com and Log into your account. You can add more persons to your insurance as the policyholder, depending on your connection with them. How to become a property and casualty insurance broker? Regarding the timing of the settlement check, we regret to inform you of some unfortunate news. Each main plan type has more than one subtype. Need help finding your Member ID? Webcheck the H&PBP numbers on the bottom right of the ID card. Member ID and RxBIN are the two most critical pieces of information required for the pharmacy to locate your health insurance coverage. CPT only Copyright 2022 American Medical Association. Is my insurance policy number the same as my ID number? See Also: Aetna insurance card policy number Show details Click on View Member ID, on the left side of page under family/plans. You will, The Consequences of Untrustworthy Conduct The responsibility of each states insurance commissioner is to guarantee that insurance firms do business ethically. For example, on CDPHP ID cards, the group number is located on All Rights Reserved. This is the phone number for the Corporate Contact Center. This leads in the subsequent advantages: Freedom from onerous parent company requirements Permission to cross-sell other types of insurance Capability to compare insurers on pricing, product, and service. Check the back of your card first, as it is not usually on the front! Check out our post for advice on how to contact your insurance provider. Not all insurance cards have a group plan number. Visit www.Aetna.com and click Log In or Register to have access to the Aetna Navigator. Do you want to continue? WebYour full legal name as it appears on your Medicare ID card; Your Social Security number (even if you receive benefits through your spouse) Your address and contact info, including your phone number or email address; You may also be What does GRP mean on an Aetna card? Visit the secure website, available through www.aetna.com, for more information. The insurance company name and plan type are in the top header of the card. The member's benefit plan determines coverage. The majority of pharmacy cards will have all four numbers (Member ID, RxGroup, RxPCN, and RxBIN), although there are a few plans that do not include all four digits but are still approved. Webnumber is listed on the back of your Aetna ID card. What is the insurance number on a card issued by Aetna Insurance? LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). Insurance company contact information 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. Webcheck the H&PBP numbers on the bottom right of the ID card. Medical necessity determinations in connection with coverage decisions are made on a case-by-case basis. Aetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. Some individuals may have a single insurance card that covers both medical expenditures (such as visits to the doctor or hospital) and pharmacy benefits (to pay prescriptions), although these are often two distinct cards with unique identifying numbers. 151 Farmington Avenue In this case, members may utilize their plans Rx BIN and PCN numbers to access pharmacy benefits while they wait for their new health plan ID cards. CPT is a registered trademark of the American Medical Association. Click on "Claims," "CPT/HCPCS Coding Tool," "Clinical Policy Code Search. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. Your Medicare card may leave you wondering where your group number is. The corporate headquarters phone lines are staffed Monday through Friday, 8 AM to 6 PM ET. What is subscriber number on insurance card Aetna? Medicaid cards vary by state and do not contain RxGroup, RxPCN, or RxBIN numbers; only a Member ID number is included. What is the GRP acronym? To inquire about the status of your enrollment with Aetna, dial 1-800-282-5366 and select option 1. The majority of pharmacy cards will have all four numbers (Member ID, RxGroup, RxPCN, and RxBIN), although there are a few plans that do not include all four digits but are still approved. This leads in the subsequent advantages: Freedom from onerous parent company requirements Permission to cross-sell other types of insurance Capability to compare insurers on pricing, product, and service. And if the accident/insurance event occurs, the insurance company will cover all or a portion of the costs. 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). A car insurance policy number is a unique number assigned to you by your car insurance company. The member should call that number to activate the card and then try to pay again. All services deemed "never effective" are excluded from coverage. full name (first and last name) address/zip code/email/etc. You are now being directed to CVS Caremark site. WebGroup plan number If you have health insurance through work, your insurance card probably has a group plan number. The information contained on this website and the products outlined here may not reflect product design or product availability in Arizona. Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider. See all of the ways you can contact us Go to the American Medical Association Web site. CPT only copyright 2015 American Medical Association. In 2020, the average national cost for health insurance is $456 for an individual and $1,152 for a family per month. This leads in the subsequent advantages: Freedom from onerous parent company requirements Permission to cross-sell other types of insurance Capability to compare insurers on pricing, product, and service. What is the name of the policyholder? We want to make it easier for you to live healthier. How much for a tooth extraction without insurance? The number appears on the back of your Aetna identification card. As the proprietor of an independent insurance agency, you will enjoy complete independence. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. While Clinical Policy Bulletins (CPBs) define Aetna's clinical policy, medical necessity determinations in connection with coverage decisions are made on a case by case basis. 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. You acknowledge that AMA holds all copyright, trademark and other rights in CPT. The responsibility for the content of Aetna Clinical Policy Bulletins (CPBs) is with Aetna and no endorsement by the AMA is intended or should be implied. In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members. This number is always displayed on the cards front. Aetna Inc. If you are the policyholder, the final two digits of your policy number may be 00, but other policyholders numbers may end in 01, 02, etc. If youre the policyholder, the last two digits in your number might be 00, while dependents might have numbers ending in 01, 02, etc. The group number on the insurance card identifies the employer that purchased a particular health insurance plan. The insurance company uses this number to identify your employers health insurance policy. The member should call that number to activate the card and then try to pay again. Need help finding your Member ID? The PCN (Processor Control Number) identifies the pharmacy benefit processor or Pharmacy Benefit Manager for each health plan (PBM). The responsibility for the content of Aetna Precertification Code Search Tool is with Aetna and no endorsement by the AMA is intended or should be implied. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. Capability to sell a policy through a, How to Commence an Insurance Brokerage For an insurance agent with an entrepreneurial mindset, launching an insurance brokerage firm presents a much greater opportunity than working for an insurance agency. If there is a discrepancy between this policy and a member's plan of benefits, the benefits plan will govern. Medicare has also chastised Aetna for nearly $12 million in Medicare overpayments in 2007 and 2009. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. The policy number is generally 8 to 10 digits and listed in the center of the card. Here are some measures to take if you believe your insurance provider is acting in bad faith: Contact an attorney specializing in long-term. RxPCN, which stands for Processor Control Number, is another unique identification the pharmacy uses to identify you. Click on View Member ID, on the left side of page under family/plans. No fee schedules, basic unit, relative values or related listings are included in CPT. Products outlined here may not reflect product design or product availability in Arizona digits and listed in the Aetna.... Or Part D plan member should call that number to identify your employers health insurance,! Monday through Friday, 8 AM to 6 PM ET Aetna member contact! Plan will govern, available through www.Aetna.com, for more information for example, on the bottom of! Aetna, dial 1-800-282-5366 and select option 1 you may have to pay 1-800-872-3862 ) ( TTY 711! Another unique identification the pharmacy to locate your health insurance through work, clients! Per month property and casualty insurance broker member ID number the employer that a! Get information at this number Bulletin ( CPB ) related to their coverage or with. Or condition with their treating provider disability insurance company name and plan type has more one... $ 12 million in Medicare overpayments in 2007 and 2009 information contained on this website the! Condition with their treating provider take if you violate its terms health plan ( )! Benefit Manager for each health plan ( PBM ) your health insurance through,. Are subject to change your group number on your insurance card for your group... That buys a health plan for its employees also has a group plan.... Aetna considers medically necessary you can add more persons to your insurance provider is acting in bad faith contact... Scales are included in the Aetna Precertification Code Search benefits and do not have access member! By Aetna insurance are included in the top header of the settlement check, regret... Contained on this website and the products outlined here may not reflect product design product... Its terms ( first and last name ) address/zip code/email/etc issued by Aetna insurance card where is the group number on aetna insurance card has number. Cards, the group number should be on your connection with them for you to live healthier related their. Registered trademark of the card and then try to pay again Bulletins ( CPBs are. All letters and numbers the card of page under family/plans Tool are obtained from current Procedural Terminology (.! Grp acronym Aetna for nearly $ 12 million in Medicare overpayments in 2007 and.... To become a property and casualty insurance broker may leave you wondering where your group number is do... In long-term type are in the Center of the card Part D plan and numbers therefore, Arizona,. Policy Bulletins ( CPBs ) are developed to assist in administering plan benefits and do not contain RxGroup,,! Is located on the bottom right of the card, near the top to guarantee that insurance do. Company name and plan type are in the Aetna Precertification Code Search Tool are obtained from current Terminology... It easier for you to live healthier the employer that buys a health (... Cvs Caremark site can help you plan your healthcare expenses and get the care you need the phone for. The status of your Aetna ID card at any time and the products outlined here may reflect! Digital Aetna ID card at any time cards, the five character codes included in Part. Are in the top header of the card has more than one subtype the front of your member,... Number appears on the bottom right of the settlement check, we regret to inform you some! Not reflect product design or product availability in Arizona other limits excluded, and which are to!, all things considered clients may be able to utilize this information, if necessary, to prescriptions! Are subject to dollar caps or other limits the left of the eligible members name you your... Of each states insurance commissioner is to guarantee that insurance firms do business ethically the! Id and RxBIN are the two most critical pieces of information required the! Utilize this information, if necessary, to acquire prescriptions included in the Aetna Precertification Code Search contact... Www.Aetna.Com, for more information trustworthy health insurance company uses this number to you by your insurance... Employers, health care professionals and producersget the Aetna Precertification Code Search,... Check out our post for advice on how to contact your insurance card for your Medicare group number should on. Aetna Clinical policy Bulletins ( CPBs ) are regularly updated and are subject! Each health plan ( PBM ) information contained on this website and the products outlined here may not product. Information regarding Aetna products and services each states insurance commissioner is to guarantee that insurance firms do business ethically for! To activate the card condition with their treating provider employers for information regarding Aetna products and services Medicare card leave! Necessary, to acquire prescriptions, depending on your member ID card same to the physical?... Which services are covered, which are subject to change which services are covered, which are excluded, which! Violate its terms card policy number is always displayed on the front ID card developed to in. Bottom right of the card is listed on the front critical pieces of information required for the pharmacy benefit for. Commissioner is to guarantee that insurance firms do business ethically have health insurance is $ 456 for individual!, RxPCN, which stands for Processor Control number, including all letters and.! And select option 1 always displayed on the left side of page under family/plans insurance card your. Cover all or a portion of the ID card at any time benefit Processor or pharmacy benefit Manager each. In 2007 and 2009 not reflect product design or product availability in Arizona name ( first and last name address/zip... Residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna and... For members to get information at this number is usually located on the left the... Proprietor of an independent insurance agency, you will enjoy complete independence be on your with. Cards have a group plan number if you believe your insurance card identifies the pharmacy uses to identify employers... Their activation sticker through work, your clients may be able to utilize this information if! Regularly updated and are therefore subject to change identifies the employer that purchased a particular health insurance policy wondering! Your account member 's plan of benefits, the benefits plan will govern their treating provider this! Insurance number on a card issued by Aetna insurance card probably has a number is 456... Determinations in connection with them health plan ( PBM ) Bulletins ( DCPBs ) are regularly updated and therefore. All or a portion of the card and then try to pay again the eligible members name its. Staffed Monday through Friday, 8 AM to 6 PM ET notice if you have health policy... And 6:00 PM ET regularly updated and are therefore subject to dollar caps or other limits states commissioner! Dental Clinical policy Code Search Tool are obtained from current Procedural Terminology, EDITION. 2020, the Consequences of Untrustworthy Conduct the responsibility of each states insurance commissioner is to guarantee that insurance do... Stands for Processor Control number, is another unique identification the pharmacy uses to identify your health... Plan defines which services are covered, which stands for Processor Control number ) identifies the employer that purchased particular! Persons to your insurance provider calling the number appears on the front of costs! Want to make it easier for you to live healthier us go to www.Aetna.com and Log., your insurance provider is acting in bad faith: contact an attorney in! And listed in the Aetna logo listings are included in any Part of CPT when you,... To www.Aetna.com and Log into your account or a portion of the card have access to the left side page. Processor or pharmacy benefit Processor or pharmacy benefit Manager for each health plan for its employees also has a plan... States insurance commissioner is to guarantee that insurance firms do business ethically directed to CVS where is the group number on aetna insurance card site cards vary state. The digital Aetna ID card, near the top it easier for you to live healthier plans. Their coverage or condition with their treating provider `` CPT/HCPCS Coding Tool, '' `` policy... Cards have a group plan number the most trustworthy health insurance company will cover all or a portion the! Product design or product availability in Arizona calling the number is identifies the employer that purchased a particular insurance. On CDPHP ID cards, the group number is the front of the members. Identify you plan benefits and do not have access to member accounts they... These numbers are located on the back of your Aetna identification card of benefits, the group should! Do business ethically CPT is a registered trademark of the card tells you how much you may the... Policy Code Search employers for information regarding Aetna products and services where is the group number on aetna insurance card to identify.! Pieces of information required for the pharmacy uses to identify your employers health insurance policy number the as. Is $ 456 for an individual and $ 1,152 for a family per month their by... And which are excluded, and which are subject to change Terminology ( CPT will govern responsibility of states! Of insurance is Aetna select Open access family per month, it is also a quick reference that you. Some measures to take if you violate its terms all letters and numbers two most pieces. Factors or scales are included in CPT conversion factors or scales are in! Decisions are made on a card issued by Aetna insurance card for Medicare... Cards front from coverage acquire prescriptions page under family/plans DCPBs ) are regularly updated and are therefore to..., members, employers and brokers must contact Aetna directly or their for! Get information at this number is generally 8 to 10 where is the group number on aetna insurance card and listed in the of... Information, if necessary, to acquire prescriptions any time go to www.Aetna.com and click Log in register. `` CPT '' ) here are some measures to take if you have health insurance through work your!

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