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Aetna medicare advantage provider portal?
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Aetna medicare advantage provider portal?
With Aetna Medicare Advantage HMO-POS plans, you typically choose a primary care physician who helps you get the care you need Generally, HMO-POS plans require you to use an in-network provider for medical care. View or print your ID card View your claims. They have to be Medicare eligible and willing to bill and receive. Unlike with Medicare Part A and Part B, which the Social Security Administration manages, priva. Turning 65 - TRS-Care Medicare Enrollment UnitedHealthcare TRS-Care Website. Find a doctor or provider. While you are not required to use Aetna network doctors, you may want to see if they are in the Aetna Network. Indices Commodities Currencies Stocks The major differences between Medicare Part A and Medicare Part B are the covered services each part of the program provides. payer, or you have Medicare and Aetna is the secondary payer) Network versus National Advantage Program — which providers cost less? Find a Provider; Adobe Reader Download; Instructions for Accessing Aetna Supplemental Criteria Guidelines (PDF) Aetna Clinical Policy Bulletin; Medicare Part B Drug Requirements/ Guidelines; Become a Member. Lorem Ipsum has been the industry's standard dummy text ever since the 1500s, when an unknown printer took a galley of type and scrambled it to make a type specimen book. Aetna's Provider Portal on Availity®. Log in to find doctors and providers in your plan. Learn what in-network and out-of-network benefits mean, including an explanation on coverage and costs. You can complete tasks online, get updates on claims, reconsiderations and appeals, submit prior authorization requests and check eligibility. Not yet a member? Find doctors and other providers. You'll be able to enter in new contact information to receive the code. Medicare is one of the most comprehensive and widely used health insurance programs in the United States. While you are not required to use Aetna network doctors, you may want to see if they are in the Aetna Network. Not yet a member? Find doctors and other providers. Through your Aetna® member account you can manage claims, view plan details and more. We welcome healthcare providers to receive both professional and practice support. If you're in a plan with prescription drug coverage only (PDP), look at the "S" number on the bottom right of your member ID card to find your plan. Please check back mid-October for updates. Your provider can also share more medical information. The NALC High Option Plan — Aetna Medicare Advantage offers extra value with $0 deductibles, prescription drug copays as low as $0 and a $75 monthly Medicare Part B premium reduction. At a glance A how-to guide for health care professionals who work with us Aetna. Forms ; Newsletters and notices ; Provider manual ;. You can now schedule your own peer-to-peer consultations by logging-in to your account at the EviCore Use our online scheduling tool to schedule the discussion at a time that is most convenient. When you enroll in an Aetna ® Medicare plan, here's what you can expect. * Use of the Availity® provider portal does not cost extra, but you will need to register The Secure Web Portal is an online tool that lets us communicate healthcare information directly with providers. The Aetna Medicare Advantage PPO ESA plan is different than many other PPO plans. Our main goal is to help you live your healthiest life possible, body and mind. They are also essentially inexpensive, with about 80% of Medicare beneficiaries having access to a premium $0 Aetna plan and the cheapest standalone drug plan in the country. By clicking on "I Accept", I acknowledge and accept that: The Applied Behavior Analysis (ABA) Medical Necessity Guide helps determine appropriate (medically necessary) levels and types of care for patients in need of evaluation and treatment for behavioral health conditions. People with Medicare who want to join a Medicare Advantage Plan. Find a doctor or provider. com, to find additional policies, procedures and information, including but not limited to, reimbursement policies. Here at Aetna, we know the last few months have been stressful and we are focused on flattening the second curve of COVID-19-related stress for health care workers. This includes HMO, PPO or HMO-POS plans. In the meantime, our representatives are available to answer your questions. Get authorizations and referrals. All you have to do is enroll your web browser as a "trusted browser" before logging into your member website. Get organized with paperless EOBs Your EOB is a summary of your prescription drug claims and costs. You will receive notice when necessary. The Aetna Medicare Advantage Plan lets you use doctors and hospitals in or out of the Aetna Medicare network. You can enroll for Medicare benefits three months before the mon. While you are not required to use Aetna network doctors, you may want to see if they are in the Aetna Network. view the status of a claim get patient eligibility submit or inquire on a referral find Clinical Policy Bulletins, •. File disputes and appeals. Check our precertification lists Aetna Health members, log-in securely to your account to access??all of your health and benefits information, or get your user name and/or password if you've forgotten it. Learn about your Medicare insurance options and find an Aetna Medicare plan. Allina Health is a leading not-for-profit health system with over 27,000 employees that make a difference in the lives of the millions of patients seen each year at our convenient clinics and hospitals, and through a wide variety of specialty care services. We're here for you, if you need help understanding your care, your plan benefits, or if you ever have questions. Please check back mid-October for updates. The Aetna Medicare Advantage Plan lets you use doctors and hospitals in or out of the Aetna Medicare network. They can reached at 1-855-223-4807 (TTY: 711. Check patient benefits and eligibility. o Upon submission of Dispute Claim, the claim is assessed to identify as Medicare non -par. • Aetna Medicare Advantage: 1-800-624-0756 (TTY: 711) Log in or register now Health care providers: clinical policy bulletins; Health care professionals: dispute process FAQs; Health care professionals: pharmacy management FAQs; Main FAQs;. For a fast appeal, fax: 1-724-741-4958. view the status of a claim get patient eligibility submit or inquire on a referral find Clinical Policy Bulletins, •. The information in this document supports Commercial and Medicare products Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates. You get a one-stop portal to quickly perform key functions you do every day. Every year, all providers who participate in our MA plans are required to meet the Centers for Medicare & Medicaid Services (CMS) compliance program requirements for first-tier, downstream and related entities (FDR). If you are a member, you can log in to access the exact list of available providers based on your specific plan, network or state. If you haven't already done so, register for the Availity portal If you need assistance, please call Availity Client Services at 1-800-282-4548, 8 AM-8 PM Eastern, Monday-Friday (excluding holidays). Applications and forms for health care professionals and their patients. MedicareComplete plans, marketed by UnitedHealthcare and usually carrying the AARP brand, are Medicare Advantage plans available only to Medicare participants. MedicareComplete is. Use your secure website to: Refill your prescriptions. File disputes and appeals. This includes HMO, PPO or HMO-POS plans. Search for a provider now ». Referral requirements To request a referral, you must be: • A participating Aetna® provider designated as a PCP. We can fax the information to your office within minutes. File disputes and appeals. Aetna Providers in the Aetna network have the right to appeal denied medical item or service authorizations or Medicare Part B prescription. Some users are currently experiencing difficulties with registration. on our website, call our Provider Service Center at. From October 15 to December 7, Medicare allows subscribers to ch. You can enroll for Medicare benefits three months before the mon. Call 833-567-4268 By Tama. By clicking "TRY IT", I agree to receive newsletters and promotions from Money and its partners. Find a dentist or dental specialist in the Aetna Medicare network in your area. Check patient benefits and eligibility. Update your office's contact information online Patient cost estimator is available on our provider portal on Availity. Aetna Medicare Advantra Plan (HMO) is a HMO Medicare Advantage (Medicare Part C) plan offered by Aetna Inc. $0 Copay for preventive services. great south bay water temperature To access our digital hearing experience from your computer or mobile device, sign into the member portal using your member ID, last name, date of birth, and validate your health plan. Insurance agents and brokers, log in to Producer World to get quotes, find compensation information, check license status, setup direct deposit and more. Through your Aetna® member account you can manage claims, view plan details and more. To get started, complete the facility request form. ©2024 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 and its affiliates (Aetna). Check our precertification lists Jun 13, 2024 · Members with Aetna Medicare Advantage (MA) and Aetna Medicare Advantage with Prescription Drug (MAPD) plans can log in or register for an account below. Aetna is one of the most trustworthy health insurers with more than 160 years of experience and offers health plans for a variety of needs and situations. At Aetna Assure Premier Plus (HMO D-SNP), we're changing the way people in New Jersey get health care Learn more about the benefits of being an Aetna ® provider or about. While you are not required to use Aetna network doctors, you may want to see if they are in the Aetna Network. Find a pharmacy near you or get your prescription drugs through our mail order pharmacy. Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider. Beginning 7/23/19 the Allina Health | Aetna member portal has changed to the new Aetna Health portal. One option that you may have heard about is Medicare Part C, also known as Med. sheriff sale bergen county nj If you're in a Medicare Advantage plan, your plan name is listed on your member ID card. Upload medical records and supporting documentation. Upload medical records and supporting documentation. Choose a login option based on your location and get the latest updates, tools and support from Optum. Aetna Medicare Advantage login varies by location, but many programs offer ways to make your daily needs as easy as possible. You can: Submit claims. Aetna Medicare Advantage plans*. Get authorizations and referrals. You can: Submit claims. You can: Submit claims. view the status of a claim get patient eligibility submit or inquire on a referral find Clinical Policy Bulletins, •. Our main goal is to help you live your healthiest life possible, body and mind. NOTE: To obtain a review, you'll need to include this form along with the completed Waiver of Liability form. You can sign up for a portal account through the login widget located on this webpage. Insurance agents and brokers, log in to Producer World to get quotes, find compensation information, check license status, setup direct deposit and more. review claim payment policies and code editing logic and much more! Find out about all of the resources available to health care professionals and learn how to join the Aetna providers network. Plan ID: H1692-005-000 * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. Treating providers are solely responsible for medical advice and treatment of members. The Aetna Medicare Advantage Plan lets you use doctors and hospitals in or out of the Aetna Medicare network. Aetna Medicare offers 3 options of Medicare Part D Prescription Drug Plans. We make using vision benefits as easy as 1-2-3! 1 2. how to get virtual affirm card secure provider portal. Treating providers are solely responsible for medical advice and treatment of members. Your letter from us includes steps to request a formal appeal. Search for a provider now ». One option that you may have heard about is Medicare Part C, also known as Med. Learn more about your Medicare Advantage plan options. Not yet a member? Find doctors and other providers. Medicare Advantage plans—or Medicare part C—are provided by private insurance companies like Aetna. File disputes and appeals. We encourage you to take advantage of this easy-to-use feature. In today’s fast-paced healthcare environment, effective communication and collaboration between healthcare providers is crucial to delivering high-quality patient care When you’re exploring insurance options for your retirement, Medicare Advantage Plans can be worth considering. review claim payment policies and code editing logic and much more! Find out about all of the resources available to health care professionals and learn how to join the Aetna providers network. Get organized with paperless EOBs Your EOB is a summary of your prescription drug claims and costs. Call 833-567-4268 By Tama. our provider portal with Aetna. • S ee our Medicare online resources. The provider must be eligible to receive Medicare payment and accept your plan79% of providers used by REHP members already accept the plan. Whether you're looking for low premiums, low copays, or a broad selection of generic and brand name drugs, Aetna Medicare has the plan for you. Not yet a member? Find doctors and other providers. Tier exception (cost-share reduction) request. Access resources, including our preauthorization list, claims and payments, patient care, our newsletter, Value-based Care Report, compliance training and webinars. By clicking "TRY IT", I agree to receive newsletters and promotions from Money and its partners.
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*NOTE: The secure provider portal is for participating Wellcare/Fidelis Care providers only. Aetna Medicare Advantage plans take a total, connected approach to your health. Log in to find doctors and providers in your plan. There are different ways to compare provider networks, including analyzing what providers people use. Banner Medicare Advantage includes preventive dental health benefits at no additional cost to members. Find a Doctor Location Search CoxHealth is the only locally owned, not-for-profit health system based in Springfield, MO. You'll find programs we offer that could benefit your provider portal. Medicare Advantage PPO Plans Accessed 7/14. (ACI) and Continental Life Insurance Company of Brentwood, Tennessee (CLI), both Aetna Companies; Medicare Supplement underwritten by Aetna Health and Life Insurance Company (AHLIC), Aetna Life Insurance Company (ALIC) and Aetna Health Insurance Company (AHIC), all Aetna. You are a primary care physician with 50 to 749 attributed Aetna Medicare Advantage members; You are not participating in another Aetna value-based contract or program; Quality Incentive Program details (PDF) 87% of Aetna ® Medicare Advantage members are in 4-star plans or higher for 2024. DocFind, Aetna's online participating provider directory, allows you to locate physicians and other health care providers such as dentists, optometrists, hospitals and pharmacies. We're here for you, if you need help understanding your care, your plan benefits, or if you ever have questions. 4 years for claims and non-claims issues — (complaints are handled as appeals in TX) TAC 21. File disputes and appeals. Slide 9 - It is well-known that barriers to culturally appropriate care have an adverse effect on health outcomes. aamc free practice test answers Medicare is our country’s health insurance program for people age 65 or older, and for younger people receiving Social Security disability benefits. All available free of charge! Learn more. Find out what OTC items are available to you and order them online, by phone, or by mail. Providers are independent contractors and are not agents of Aetna. For Aetna Commercial, Individual & Family Plan and Medicare: Providers may use another approved EDI clearinghouse vendor, medical provider portal hosted by or our dental provider portal hosted by. Aetna Medicare Advantage plans take a total, connected approach to your health. And the services you need to easily manage your benefits Online tools to help you get the most value from your prescription drug coverage. In the meantime, our representatives are available to answer your questions. You'll receive this code via phone or email. This includes Medicare and Medicaid numbers, and other payer numbers. Through your Aetna® member account you can manage claims, view plan details and more. review claim payment policies and code editing logic and much more! Use your secure website to: Refill your prescriptions. Louisiana providers: If you're a provider in Louisiana in the process of credentialing with us — and need to find out if a service requires prior authorization — call the precertification phone number on the member's ID card. The Availity portal makes it easier to support the day-to-day needs of your patients and office. Schedule an appointment Use your benefit and start saving. Living with a chronic condition can be challenging. Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider. Resources For Living helped him find transportation services, explained what home medical equipment might be needed to help keep his father safe, and provided referrals to local home medical suppliers. Find a doctor or provider. Upload medical records and supporting documentation. ©2024 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 and its affiliates (Aetna). Aetna's additive effects on CVS' earnings might be front and center, but it isn't fully actualized just yetCVS As CVS Health (CVS) continues to tout its Aetna acqui. Aetna's additive effects on CVS' earnings might be front and center, but it isn't fully actualized just yetCVS As CVS Health (CVS) continues to tout its Aetna acqui. 2600 sw 39th street In some states, Ob/Gyns may act as the PCP. The availability of any particular provider cannot be guaranteed, and provider network composition is subject to change Y0001_NR_33727_2023_C Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates (Aetna) 18825. As an Aetna Medicare Advantage member, you have a lot of resources available for managing your health and your health care Ways to find a local in-network provider. Aetna Medicare Advantage plans take a total, connected approach to your health. Select or change your doctor. Medicare uses member eligibility files to verify secondary insurance carriers and routes the appropriate secondary claims to us for processing and payment You can use our provider payment portal to access payments and request remittance advice for payments issued after. Treating providers are solely responsible for medical advice and treatment of members. File disputes and appeals. Aetna Medicare is a PPO plan with a Medicare contract. You can also send requests for. Get authorizations and referrals. While you are not required to use Aetna network doctors, you may want to see if they are in the Aetna Network. At Aetna Assure Premier Plus (HMO D-SNP), we're changing the way people in New Jersey get health care Learn more about the benefits of being an Aetna ® provider or about. Navigate the Aetna network with the Aetna provider search tool. A/ If you're an Aetna Medicare provider, and your practice is open to new patients,. Find a dentist or dental specialist in the Aetna Medicare network in your area. Your provider can also share more medical information. Upload medical records and supporting documentation. You can also use this form with health plans for which Aetna provides certain management services Access our provider portal via Availity; enter the Reference number provided and attach this form and all Provider Portal Login Medicare Advantage Provider Assistance Center: 715-631-7412 or Toll-free 1-855-931-4851 Monday through Friday, 8 am to 5 pm. For a fast appeal, fax: 1-724-741-4958. This includes HMO, PPO or HMO-POS plans. Aetna offers employees self-service access to their benefits and services online, with options for new users to register or get help with login credentials. Aetna Medicare Advantra Cares (HMO D-SNP) is a HMO D-SNP Medicare Advantage (Medicare Part C) plan offered by Aetna Inc. distance from myrtle beach sc to orlando fl This includes HMO, PPO or HMO-POS plans.
Access Your Provider Portal Account. In the meantime, our representatives are available to answer your questions. You'll be able to enter in new contact information to receive the code. Network Providers Information (pdf) TRS-Care Medicare Rx (Express Scripts) 2024 Prescription Benefits. Take advantage of shopping portal bonuses to earn bonus miles on Samsung purchases today, including the buzzy Galaxy S20 smartphone. Find doctors, hospitals and other providers that accept your plan. Applies to: Aetna Choice ® POS, Aetna Choice POS II, Aetna Medicare ℠ Plan (PPO), Aetna Medicare Plan (HMO), all Aetna HealthFund. Navigate the Aetna network with the Aetna provider search tool. The Availity portal makes it easier to support the day-to-day needs of your patients and office. Delegated services include Utilization Management, Network Management, and Claims Reimbursement. The Availity portal makes it easier to support the day-to-day needs of your patients and office. Upload medical records and supporting documentation. We've ranked and compared the best HSA accounts and listed all the account features from the top health savings account providers.payer, or you have Medicare and Aetna is the secondary payer) Network versus National Advantage Program — which providers cost less? Find a Provider; Adobe Reader Download; Instructions for Accessing Aetna Supplemental Criteria Guidelines (PDF) Aetna Clinical Policy Bulletin; Medicare Part B Drug Requirements/ Guidelines; Become a Member. The Availity portal makes it easier to support the day-to-day needs of your patients and office. The NALC High Option Plan - Aetna Medicare Advantage is an enhanced level of benefits for NALC Health Benefit Plan High Option annuitants with Medicare Parts A and B. If you haven't already done so, register for the Availity portal If you need assistance, please call Availity Client Services at 1-800-282-4548, 8 AM-8 PM Eastern, Monday-Friday (excluding holidays). If you encounter any trouble or have questions during. Find a form. goodsam comenity Plans Overview; PPO Plans; HMO Plans; D-SNP Plans; C-SNP Plans; Prescription Drug Plans (PDP) PDP Overview; Enrollment. Your provider can also share more medical information. General Prior Authorization. If you'd rather call us than go online, Aetna Voice Advantage ® lets you check patient benefits, claim status and precertification requirements. They combine all of the benefits from Original Medicare parts A and B, and may include other benefits like prescription drug, dental and vision coverage. Any organization determination requested by a Medicare Advantage member, appointed representative* or physician for a coverage decision; You can submit a precertification by electronic data interchange (EDI), through our secure provider website or by phone, using the number on the member’s ID card. Check our precertification lists If you’re a Medicare beneficiary, you know how important it is to find the right healthcare provider. Includes PPO, HMO, HMO-POS medical plans with or without drugs You may see any licensed provider who accepts Medicare patients in the U, and you must provide the name of the individual practitioner who performed the service. zahnd wildlife management area trails review claim payment policies and code editing logic and much more! Find out about all of the resources available to health care professionals and learn how to join the Aetna providers network. CALIFORNIA 州 ALAMEDA 縣 Aetna Medicare Plus Plan (HMO. The Aetna Medicare Advantage Plan lets you use doctors and hospitals in or out of the Aetna Medicare network. There are different ways to compare provider networks, including analyzing what providers people use. First time users can also sign up and register for an account. is joel eisenbaum married Upload medical records and supporting documentation. Any organization determination requested by a Medicare Advantage member, appointed representative* or physician for a coverage decision; You can submit a precertification by electronic data interchange (EDI), through our secure provider website or by phone, using the number on the member’s ID card. Log in to find doctors and providers in your plan. Get authorizations and referrals. Our main goal is to help you live your healthiest life possible, body and mind. The provider network may change at any time.
Use of any robot, spider or other intelligent agent to copy content from Provider Search, extract any portion of it or otherwise cause Provider Search to be burdened with unwarranted high access or transaction activity. Our Plans. If you login through a different web browser we will send you a verification code to confirm your identity. Federal provider directory regulations require Aetna and providers to work together to maintain accurate provider. You'll be able to enter in new contact information to receive the code. You get a one-stop portal to quickly perform key functions you do every day. First-time users can register. Not yet a member? Find doctors and other providers. Member Portal For Providers. Medicare is a critical component of healthcare, and it’s an essential piece of millions of people’s lives. You will have a single health plan that gives you the same comprehensive benefits you had prior to becoming a SERS/Aetna Medicare Advantage member. Log in to find doctors and providers in your plan. also supported by dedicated Account Management and Compliance resources. While you are not required to use Aetna network doctors, you may want to see if they are in the Aetna Network. Schedule an appointment Use your benefit and start saving. Upload medical records and supporting documentation. The Aetna Medicare Advantage Plan lets you use doctors and hospitals in or out of the Aetna Medicare network. View or print your ID card View your claims. Those approaching the age of 65 face the responsibility of enrolling in Medicare, the health insurance program for seniors and people with disabilities. To get started, complete the facility request form. This includes HMO, PPO or HMO-POS plans. About Medicare Advantage Your Verizon Advantage plan. That's because National Advantage Program providers have agreed to accept lower rates on certain covered services. Then, choose the Provider Data Management option from the drop-down list and follow the onscreen prompts. junk in the trunk salina ks Lorem Ipsum has been the industry's standard dummy text ever since the 1500s, when an unknown printer took a galley of type and scrambled it to make a type specimen book. Aetna is one of the most trustworthy health insurers with more than 160 years of experience and offers health plans for a variety of needs and situations. Welcome to Aetna's Provider Onboarding Center, where health care professionals and physicians can request to join the Aetna network, update information for an existing participating provider, and much more. Log in to find doctors and providers in your plan. Availity provider portal ; Update your data ; Utilization management. You can: Submit claims. Upload medical records and supporting documentation. Welcome to Aetna Medicare Advantage Routine Vision Benefit. Beginning January 1, 2024, all TWU Local 100 / MTA Bus Medicare-eligible retirees and their Medicare- eligible dependents will be automatically enrolled in the Aetna Medicare℠ Plan PPO ESA - also known as the Aetna Medicare Advantage PPO ESA Option 1 plan. Aetna Medicare Advantage plans: call. As a provider, you have access to a portal that streamlines your work, keeps you up-to-date more than ever before and. EviCore offers providers easy access to clinical guidelines and online educational resources that guides them towards appropriate care. Optum Care providers can access secure information and resources online. Participating health care providers are independent contractors and are neither agents nor employees of Aetna. View or print your ID card View your claims. ; To view RCBP, select 'View your plan offered through an. Check patient benefits and eligibility. Enjoy personalized member services, connecting you to the information you need. You can access Aetna Voice Advantage ® by calling our Provider Service telephone numbers:. Find doctors, hospitals and other providers that accept your plan. Check patient benefits and eligibility. irving tx accident Find out what OTC items are available to you and order them online, by phone, or by mail. Not yet a member? Find doctors and other providers. Make sure you use a pharmacy in our network. Any organization determination requested by a Medicare Advantage member, appointed representative* or physician for a coverage decision; You can submit a precertification by electronic data interchange (EDI), through our secure provider website or by phone, using the number on the member’s ID card. If there isn't an available NCD or LCD to review, we'll use the Aetna Medicare Part B Drug Criteria, Clinical Policy Bulletin and Precertiications List. Aetna offers a few different Medicare Advantage plans, including HMO-POS plans, PPO plans, and Dual Special Needs Plans (DSNP). Learn how Part A and Part B coverage works, check coverage for specific items and services, and learn about coordinating your care. We'll mail you: Read your plan documents to learn more about your plan and how it works. You can: Look up the status of a claim, or submit new claims through Change Healthcare Find Medicare-approved providers near you & compare care quality for nursing homes, doctors, hospitals, hospice centers, more. Turning 65 - TRS-Care Medicare Enrollment UnitedHealthcare TRS-Care Website. If you're in a Medicare Advantage plan, your plan name is listed on your member ID card. Check our drug list ;. For any questions regarding Medicare individual coverage or benefits, please call Member Services: • Medicare Advantage plans - Call us at 1-800-282-5366 (TTY: 711) 7 days a week, 8 AM to 8 PM The Provider Portal helps you spend less time on administration. Speak with a licensed insurance agent 1-877-890-1409 TTY 711, 24/7 Provider instructions for your Aetna MedicareSM PPO ESA Plan SCEMAPlanscom 2027700-01-01 (03/23). And, these plans provide you with flexibility to go to licensed dentists either in or out of our network for routine dental care. Participating physicians, hospitals and other health care providers are independent contractors and are neither agents nor employees of Aetna.