COVID-19 Telemedicine Coverage FAQs For Aetna Providers

Find up-to-date answers to the most frequently asked questions about how providers can use telemedicine to provide patient care to Aetna members throughout the coronavirus (COVID-19) pandemic. Get information on telehealth coverage, cost-sharing, technical guidance and more.

Posted: Thursday Aug 6, 2020

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Oncology Medications are being added to the Site of Care ...

Posted: (3 days ago) Aetna supports efforts, where medically appropriate, to treat patients at nonhospital facilities or in the comfort of their home. We appreciate this effort now more than ever to slow transmission of SARS-CoV-2 through methods such as social distancing and reducing contact with patients who potentially have COVID-19.

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Diabetes Management | Plans & Programs from Aetna

Posted: (2 days ago) With Diabetes Management Plus, Aetna is giving members the tools, education and support to stick with treatment and manage their condition with success. Employers and brokers/agents, learn more about our plans and programs.

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Extra Member Benefits During the Coronavirus Outbreak | Aetna

Posted: (2 days ago) Other virtual care apps or services that are part of your plan * Plan coverage terms may vary. The $0 copay is for real-time virtual visits offered by in-network providers in participating plans.

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COVID-19 Resources for Employers & Producers | Aetna

Posted: (2 days ago) Aetna is here for you, your clients and your employees with resources, answers to frequently asked questions, and support during the coronavirus (COVID-19) pandemic so you can stay informed and protected.

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New claims edits - Aetna

Posted: (1 days ago) We want you to know that as of September 1, 2019, you may see new claims edits. These new edits are part of our Third-Party Claim and Code Review Program. These edits support our continuing effort to process claims accurately.

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Aetna Provider Complaint and Appeal form is required

Posted: (2 days ago) A completed Aetna Provider Complaint and Appeal form is required when submitting provider appeals. Please submit your appeal request with the fully completed form and any additional medical records, notes or other documentation you would like reviewed with your request.

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Clinical payment coding and policy changes

Posted: (2 days ago) We regularly adjust our clinical payment and coding policy positions as part of our ongoing review processes. Our standard payment policies identify services that may be incidental to other services and, therefore, ineligible for payment.

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Upcoming changes for Skilled Nursing Facilities (SNF)

Posted: (2 days ago) The Patient-Driven Payment Model (PDPM) is a new case-mix classification system for classifying SNF patients in a Medicare Part A covered stay into payment groups under the SNF Prospective Payment System (SNF PPS). Beginning October 1, 2019, the PDPM will replace the current case-mix classification system, which is the Resource Utilization Group, Version IV (RUG-IV).

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Non-Opioid Alternatives for Pain Management & Relief | Aetna

Posted: (2 days ago) You may believe opioids are the strongest pain drugs available but, according to pain specialists, opioids are not a silver bullet for all kinds of pain and in fact non-opioid alternatives can be even more effective in managing and relieving it. Here is a guide to the best non-opioid treatments for some common causes of pain.

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Dental Oral Surgery Coverage & Claims | Aetna

Posted: (2 days ago) Oral surgery claims can sometimes be confusing, so we’ve made them easier and less stressful. Learn more about how Aetna is taking the complexity out of dental oral surgery coverage and claims.

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