Medicare Blog

how to file a dental claim for aetna medicare advantage plan

by Andreanne Bednar Published 2 years ago Updated 1 year ago
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Claim Form for Dental Treatment Reimbursements For the quickest way of submitting your claim, log into Health Hub at www.aetnainternational.com and submit your claim online. How to complete this form

Full Answer

What are the benefits of Aetna Insurance?

• 60% of base monthly earnings, as defined by Aetna, to a maximum benefit of $5,000 per month • 180-day elimination period • 6-month waiting period before you’re eligible for this benefit, based on start work date San Francisco Superior Court: Superior Court Reporters Superior Court Local 1021 Superior Court Unrepresented Clerical Workers

What is the timely filing limit for Aetna?

What is Aetna's timely filing limit? We require providers to submit claims within 180 days from the date of service unless otherwise specified within the provider contract.

What is Aetna value plan?

  • Tier 1 ( Preferred Generic) contains 336 drugs and has a co-payment of $0.00.
  • Tier 2 ( Generic) contains 606 drugs and has a co-payment of $5.00.
  • Tier 3 ( Preferred Brand) contains 893 drugs and has a co-payment of $47.00.
  • Tier 4 ( Non-Preferred Drug) contains 1,155 drugs and has a co-payment of $100.00.

Medicare Value Plan (HMO-POS) - H3748-005-0 More items...

How to find Aetna Medicare providers?

  • Your plan may pay less toward your care. ...
  • The fees for health services may be higher. ...
  • Any amount you pay might not contribute to your plan deductible, if you have one.
  • You may need preauthorization for any services you receive in order for any coverage to apply.

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Electronic solutions for easy claim submission

Want to get paid faster? Submit your claims electronically! You should:

Explanation of Benefits (EOB)

EOBs have detailed claim payment information. Our sample EOB and key make them easy to understand.

Policies that affect payments

We recommend pretreatment estimates for some services. They explain how much we will pay based on a member's benefits.

What is Aetna Dental?

Aetna is the brand name used for products and services provided by one or more of the Aetna group of subsidiary companies (A etna ). Dental benefits and dental insurance plans are underwritten by Aetna Dental Inc., Aetna Dental of California Inc., and Aetna Health Inc. and/or Aetna Life Insurance Company (Aetna).

Is Aetna a vendor?

Vendors are independent contractors and not employees or agents of Aetna or participating providers of Aetna. Aetna does not endorse any electronic connectivity tools and services provided by vendors. This information is subject to change without notice and does not constitute a guarantee by Aetna of any kind.

Medicare compliance training

This training is required for providers and staff. It’s also for those who provide services to patients on a Medicare Advantage plan or Medicare prescription drug plan.

Spanish for the dental office

We’ve put together a list of common dental-related phrases that may help you talk to Spanish-speaking patients.

What dental services are covered by Aetna?

What dental services may be covered by an Aetna Medicare plan? If you enroll in an Aetna Medicare Advantage plan that includes dental coverage, some of the services that may be covered include: Teeth cleaning, scaling and polishing. Office visits for oral examinations. Non-surgical extractions. Fillings.

How to contact Medicare 2021?

If you'd like to speak with an agent right away, we're standing by for that as well. Give us a call! 1-877-890-1409 TTY 711, 24/7 LICENSED AGENTS AVAILABLE NOW.

What is EOC dental?

Check your plan’s Explanation of Coverage (EOC) to see exactly what dental coverage benefits may be offered by your plan. If your Aetna Medicare Advantage plan offers dental benefits, the costs for your covered dental services may be included in the plan’s premium or as an Optional Supplemental Benefit, which means you would need ...

Does Aetna Medicare cover dental?

Medicare Part A will pay for certain dental services when you’re in the hospital. It doesn’t cover routine dental care. Aetna Medicare Advantage plans offer the same coverage as Original Medicare, and some plans may offer additional benefits that cover routine dental ...

How to submit a claim

Submitting your claims electronically is quick, convenient and easy. Choose the option that works best for you.

Tools that save you time and money

Receive payments directly to your account. And review claims payment information online any time.

Legal notices

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).

How to add electronic signature to Aetna claim?

In order to add an electronic signature to a aetna dental claim forms download, follow the step-by-step instructions below: Log in to your signNow account. If you haven’t made one yet, you can, through Google or Facebook. Add the PDF you want to work with using your camera or cloud storage by clicking on the + symbol.

How to sign a dental claim?

Follow the step-by-step instructions below to eSign your aetna dental claim forms download: 1 Select the document you want to sign and click Upload. 2 Choose My Signature. 3 Decide on what kind of eSignature to create. There are three variants; a typed, drawn or uploaded signature. 4 Create your eSignature and click Ok. 5 Press Done.

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