Aetna US Healthcare (Medicare HMO)
Aetna has been one of the leading providers of quality health insurance in the United States for the last 150 years. There dedication to providing families with safe, cost effective health insurance plans places this provider amongst the crème de la crème of customer service firms. They maintain their position as a leader in the health industry through the practice of these core values:
* Quality service and value.
* Excellence and accountability.
* Employee engagement.
Aetna US Healthcare provides effective service and easy to understand information regarding the benefits involved with choosing one of their many, high quality health insurance plans. This is a smart choice when it comes to health insurance.
Available in certain areas of California, New Jersey, New York and Pennsylvania, the Golden Medicare is a managed care plan like an HMO. This plan doesn’t allow for as much flexibility as a fee-for-service plan, only offering coverage within an established network of doctors, specialists and hospitals. A PCP, or primary care physician, is selected. This PCP will have access to all your medical history and manage your care. To be eligible for Aetna US Healthcare's Golden Medicare plan you must, first and foremost, live in the designated area: you need to qualify for Medicare Part A, and enrolled in Medicare Part B. Aetna US Healthcare's Golden Choice plan allows for a little more flexibility. This is a Medicare + Choice plan with out of the network benefits. These benefits include: visit any licensed out-of-network physician, and pay applicable deductible and coinsurance, visit any in-network physician and pay applicable specialist copay, or visit your PCP and pay the applicable PCP copay.
Medicare Guideline posts
- Finding Medicare fee schedule - HOw to Guide
- LCD and procedure to diagnosis lookup - How to Gui...
- Medicare Fee Schedule, Payment and Reimbursement Benefit Guideline,
- Step by step Guide Medicare participation program
- Medicare Fee for Office Visit CPT Codes - CPT Code 99213, 99214, 99203
- Medicare revalidation FAQ
- Gastroenterology, Colonoscopy, Endoscopy Medicare CPT Code Fee
- Medicare claim address, phone numbers, payor id - revised list
Top Medicare billing tips
URIBEL- methenamine, sodium phosphate, monobasic, monohydrate, phenyls alicylate, methylene blue, and hyoscyamine sulfate capsule Uribel i...
procedure code and description 71250 - Ct thorax w/o dye - average fee payment - $180 - $190 71275 CTA chest (noncoronary) 71260 CT ...
Procedure code and description 93000 - Electrocardiogram, routine ECG with at least 12 leads; with interpretation and report -average fee...
This post has Most used J code list and we are constantly updating with example . If you are looking particular J code, use search button. ...
Procedure Codes and Definitions 36415 Collection of venous blood by venipuncture - Fee schedule amount $3.10 36416 Collection of capi...
Procedure code and description 93015 (cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous ele...
Coverage Indications, Limitations, and/or Medical Necessity This LCD describes conditions under which the coverage of nail avulsion/ex...
Procedure code and description 95004 Percut Tests w/ Extrac Immed React # Allergy testing - Percut allergy skin tests - Percutaneous ...
CPT CODES and Description 81000 Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitr...
PR 1 Deductible Amount PR 2 Coinsurance Amount PR 3 Co-payment Amount OA 4 The procedure code is inconsistent with the modifier used ...