Aetna Medicare Provider Phone Number

Need the Aetna Medicare provider phone number? Cut straight to the chase with our straightforward resource—no frills, just quick and direct access to the contact details that connect you to Aetna’s dedicated support for billing, coverage, and service plan inquiries.

 

Key Takeaways

 

  • The Availity Portal and the Aetna Provider website are key online platforms for providers to manage claims, check patient eligibility, submit, and track authorizations, referrals, and access numerous resources efficiently.

 

  • Aetna Medicare provides comprehensive support for claims submission and billing, offering dedicated phone lines for direct assistance and ensuring a standard processing time for claims, facilitating prompt reimbursements for providers.

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Aetna Medicare Provider Contact Information

 

Aetna Medicare Provider Phone Number, Aetna Medicare Provider Contact Information

 

Starting with the basics, how does one get in touch with Aetna Medicare when assistance is needed or when there are questions or concerns? Fortunately, Aetna Inc has established a comprehensive system to ensure that providers can swiftly connect with them.

Whether it’s about coverage, services, or hospital-related inquiries, Aetna makes it easy to reach out to them. They offer various means of contact, including toll-free phone numbers, fax, and online forms, and are accessible 7 days a week.

Aetna has dedicated phone lines for the following:

  • Medicare Advantage

 

 

  • Individual and Family Plans

 

  • Group Coverage

 

This way, you can be sure that your inquiry will be handled by the appropriate department, ensuring a smooth and efficient resolution process with helpful information.

 

Aetna Medicare Advantage and Prescription Drug Plans Phone Number

For providers, readily accessible and accurate contact information can be pivotal. This is especially true when dealing with complex plans like Medicare Advantage and Prescription Drug Plans.

Aetna has established dedicated phone lines for these services, providing a direct link to the knowledgeable representatives who can provide the assistance you need.

The customer service line for Aetna Medicare Advantage and Prescription Drug Plans is 1-800-282-5366. Furthermore, the phone line is operational from Monday to Friday, between 9 AM and 7 PM ET.

Should you need assistance outside these hours, take note that Aetna Medicare Prescription Drug Plans customer service is reachable 24/7 at 1-866-235-5660.

 

Individual and Family Plans Phone Number

In managing individual and family plans, it’s reassuring to know that help is always within reach. Aetna has ensured that this is the case by offering a dedicated phone line for these plans.

The customer service phone number for Aetna Individual and Family Plans is 1-800-US-AETNA (1-800-872-3862) and is available between 8:00 AM and 6:00 PM ET. And if you’re looking to enroll, you can dial 1-888-MD AETNA for assistance.

 

Group Coverage Phone Number

Group coverage plans are typically characterized by a unique set of circumstances and requirements. Recognizing this, Aetna has established a specific phone number for Aetna Medicare group coverage. The line is open from 8 AM to 8 PM ET, Monday to Friday.

Just dial 1-888-423-4632 (TTY: 711) to access their customer service. From inquiries about Medicare Advantage plans to Prescription Drug Plans (PDP), and even Medicare Supplement Insurance plans, the group coverage customer service can assist you with all your queries.

Online Support for Aetna Medicare Providers

 

Aetna Medicare Provider Phone Number, Online Support for Aetna Medicare Providers

 

In our digital age, online support isn’t merely convenient—it’s a necessity. Aetna has embraced this necessity by offering a robust online support structure for Medicare providers.

Whether it’s about submitting claims, obtaining authorizations and referrals, or accessing a variety of tools and resources, Aetna’s online platforms have got you covered.

Among these online resources are the Availity Portal and the official Aetna Provider website. These platforms have been designed for providers to submit claims, check patient information, and conduct daily operational tasks with ease. Let’s further explore these online support avenues.

 

Availability Portal

Serving as a one-stop platform for providers, the Availability Portal offers an array of resources and tools, including an online form. This comprehensive platform allows providers to submit claims and obtain authorizations and referrals, streamlining the administrative side of healthcare provision.

Providers can access the Availability Portal by visiting the website and inputting their User ID and Password.

The portal provides resources such as eligibility checks, claim submissions and tracking, and remittance information, making it a crucial tool for Aetna Medicare providers.

 

Aetna Provider Website

Another valuable resource for healthcare professionals is the Aetna Provider website. It offers a portal for claim submission, authorizations, referrals, and even direct communication with Aetna.

The website is easy to navigate, with comprehensive information available for both medical and dental professionals. It provides tools and guidelines to assist Medicare providers in managing claims, payments, and reimbursements, ensuring that you can focus more on patient care and less on administrative tasks.

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Dental Plans and Network Information

 

Aetna Medicare Provider Phone Number, Dental Plans and Network Information

 

Aetna’s commitment to comprehensive healthcare services extends to dental care as well. Their dental plans offer preventive care at no out-of-pocket cost, making dental health more accessible for many individuals.

But how can dental providers become part of the Aetna dental network? And what are the benefits of doing so? Let’s explore these questions in the following subsections.

 

Dental Provider Phone Number

Contacting Aetna’s dental provider customer service is as straightforward as reaching out to their other departments. Whether it’s for general inquiries or specific concerns, Aetna’s dental provider customer service can be reached on 1-800-451-7715.

It’s worth noting that there are also other numbers available for different inquiries. For instance, if you need assistance with dentist contracting and PPO contract details, you can dial the Dentist Contracting Hotline at 1-800-776-0537.

 

Joining the Aetna Dental Network

Joining the Aetna Dental Network involves a simple process. It involves completing an application form available on the Aetna Dental website or the Aetna Dental Professionals website.

But why join the Aetna Dental Network? Apart from offering high-quality and cost-effective care, providers also gain access to discount dental programs. This not only benefits the providers but also their patients, ensuring that more people can access affordable dental care.

Claims and Billing Support

 

Aetna Medicare Provider Phone Number, Claims and Billing Support

 

Within the administrative sphere of healthcare, claims and billing frequently occupy a central role. Recognizing this, Aetna Medicare provides robust support for providers to manage their claims and billing issues.

Providers can submit claims via the Availity portal, choose electronic submission through a vendor, or provide proof of payment with detailed purchase information.

Aetna Medicare generally processes claims within a 15-day timeframe, and providers can expect to receive payment within 30 days of claim submission.

 

Claims Submission Phone Number

Occasionally, direct conversation might be necessary regarding your claim’s submission. For these instances, Aetna has dedicated a phone line to assist providers with their claim’s submission.

You can reach Aetna Medicare claims submission service by dialing 1-800-245-1206. So, if you have any questions or concerns regarding your claims, you know exactly where to call.

 

Billing Inquiries Phone Number

In addition to claims submission, Aetna also provides support for billing inquiries. Whether it’s about an error message you’ve received or missing data on your billing statement, Aetna is just a phone call away.

For any billing inquiries related to Aetna Medicare Providers, you can reach them at 1-800-624-0756. The billing department operates from 8:00 AM to 6:00 PM ET, ensuring you can get the help you need during regular business hours.

Hours of Operation and Accessibility

Being aware of when and how to contact customer service is vital, especially in the time-sensitive healthcare industry.

Aetna Medicare ensures that providers can access their support services seven days a week, making sure that assistance is always available when needed.

Aside from the general operating hours, specific services also have their dedicated operating hours.

Whether it’s for Medicare Advantage, Prescription Drug Plans, Individual and Family Plans, or Group Coverage, Aetna has set specific hours to ensure that providers get the help they need when they need it.

 

Monday to Friday Support

From Monday to Friday, Aetna Medicare support is available from 7 AM to 11 PM ET. This wide window ensures that providers can get the assistance they need during regular business hours.

So, whether you’re a primary care provider or a specialist, you can contact Aetna for support during these hours. Just call 1-833-331-1573 between 9 AM to 8 PM local time, excluding Hawaii.

 

Weekend Support

It’s widely acknowledged that healthcare services are required even on weekends. Recognizing this, Aetna Medicare provides support services even on Saturdays, ensuring that providers can get the help they need, even outside regular business hours.

Aetna’s weekend support can be accessed by calling 1-800-624-0756 for Medicare medical and dental plans, or 1-888-MD AETNA for non-Medicare plans. So, even on weekends, you can count on Aetna to be there for you.

Special Programs and Services

 

Aetna Medicare Provider Phone Number, Special Programs and Services

 

In addition to standard coverage and support services, Aetna Medicare also caters to the diverse needs of their providers through special programs and services. One of these is the D-SNP, or Dual Eligible Special Needs Plan, which is designed to complement Medicare and Medicaid benefits.

From providing a care team for support to offering additional benefits such as the Extra Benefits Card, Aetna’s D-SNP program is just one of the many ways they go above and beyond for their providers. Let’s explore more about this program and other services that Aetna offers.

 

D-SNP Phone Number

For providers involved in the D-SNP program, access to a dedicated assistance hotline proves to be incredibly beneficial. Aetna’s customer service for D-SNP can be reached at 1-866-409-1221. And for those with hearing impairments, TTY is available at 711.

Not only that, but the D-SNP customer service line also offers language assistance, including bilingual staff and interpreter services, ensuring that providers and those seeking member services can receive the necessary support, regardless of the language they speak.

 

Additional Programs and Services

Aside from the D-SNP program, Aetna Medicare provides a range of other programs and services for providers.

From assisting providers in maintaining compliance with Medicare regulations to providing resources for healthcare professionals to join the Aetna provider network, Aetna truly has their providers covered.

And that’s not all. Aetna Medicare also offers continuing education and training programs for providers, ensuring that they stay up to date with the latest industry standards and practices. With all these additional programs and services, Aetna Medicare is indeed a partner that healthcare providers can rely on.

Summary

In conclusion, Aetna Medicare offers an impressive array of support services and resources for healthcare providers. From their comprehensive contact information and robust online support platforms to their special programs and dedicated support for dental providers, Aetna has shown a deep commitment towards supporting their providers.

With such support, providers can focus more on patient care and less on administrative tasks, ultimately leading to better health outcomes for patients.

Indeed, with Aetna Medicare, providers are not just part of a network—they’re part of a community that values their role in healthcare.

 

Frequently Asked Questions

 

→  Is Aetna different than Aetna Medicare?

Yes, Aetna Direct is not Medicare, but it works seamlessly with Medicare to coordinate coverage, offering features like low plan premiums and a fund to help pay for prescriptions or Medicare Part B premiums.

 

  Why is Aetna Medicare calling me?

Aetna Medicare may be calling you for legitimate reasons, such as needing more information about a claim or for care management programs.

However, if you are hesitant, it is best to call the Member Services number on your ID card to verify the call’s authenticity.

 

→  Where is the main office for Aetna?

The main office for Aetna is located at 151 Farmington Avenue, Hartford, CT. It is the company’s corporate headquarters.

 

  What is the phone number for Aetna Medicaid in Louisiana?

To find the phone number for Aetna Medicaid in Louisiana, you can call Medicaid Customer Service at 1-888-342-6207.

 

 Is Aetna commercial insurance?

Yes, Aetna offers commercial insurance for employer groups, individuals, college students, part-time and hourly workers, and labor groups.

They provide a range of provider network options and traditional and consumer-directed health plans.

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 ZRN Health & Financial Services, LLC, a Texas limited liability company

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Speak with a licensed insurance agent

 1-833-641-4938
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Russell Noga
( Medicare Expert )

Russell Noga is the CEO of ZRN Health & Financial Services, and head content editor of several Medicare insurance online publications. He has over 15 years of experience as a licensed Medicare insurance broker helping Medicare beneficiaries learn about Medicare, Medicare Advantage Plans, Medigap insurance, and Medicare Part D prescription drug plans.