Advantra Medicare Provider Phone NumberGeneral Medicare Coverage Information. Any organization determination requested by a Medicare Advantage member, appointed representative* or physician for a coverage decision. Worldwide Coverage: Copayment for Worldwide Urgent Coverage $110. Contact Aetna It's easy to get in touch with us Have questions or need to connect with us? Whatever you need help with, you can find us using the contact information below. Information in this page cannot respond to individual Medicare concerns. We’re available 7 days a week, 8 AM to 8 PM. Instant Quote (888) 620-8988 Mon-Fri 9 to 5 Advantra Medicare plans for 2021 available to Pennsylvania Seniors and Medicare beneficiaries. Or you can download the print version of the Aetna Better Health Kids (CHIP) provider directory. Oct 01, 2021 · Provider Portals Provider Portal MRA OUR PHONE NUMBER: Toll Free: 1-800-401-2740 or TTY: 711. A PPO is a type of Medicare Advantage Plan (Part C) offered by a private insurance company. Advantra also offers a D-SNP option for people dually enrolled in Medicare and Medicaid. With our HMO-POS plans, you can enjoy all the benefits of receiving medical care through a network provider. Maximum Plan Benefit of $250000. PPOs have networks of doctors, other health care providers, and hospitals. Access Coventry Provider tools here. Find a form Find forms for claims, payment, billing, Medicare, pharmacy and more. Find a seminar Extra benefits From a 24-hour nurse line to vision and fitness, you're covered. Address, phone number and practice changes Behavioral. Not all plans offer all of these benefits. Contact Medicare Phone 1-800-MEDICARE (1-800-633-4227) For specific billing questions and questions about your claims, medical records, or expenses, log into your secure Medicare account, or call us at 1-800-MEDICARE. Aetna Medicare Advantage HMO-POS plans. Box 151137 ATTN: Freedom Health Tampa, … See Also: Phone Number Preview / Show details Contact Coventry Coventry 800. Contact CMS This page provides a list of contact phone numbers and web links to help you find answers to your Medicare questions or program issues. You should only need to file a claim in very rare cases. We are an independent education, research, and technology company. Just call 1-800-624-0756 (TTY: 711). TTY users should call, 1-800-325-0778; or your state Medicaid Office. You can call us, fax or mail your information. gov or 1-800- MEDICARE (TTY users should call 1-877-486-2048) 24 hours a day/7 days a week to get information on all of your options. Aetna Medicare Advantage plans include HMO, PPO and D-SNP A D-SNP (Dual Special Needs Plan) provides benefits to Medicare-qualified members who also receive Medicaid benefits and/or assistance with Medicare premiums or Parts A & B cost-sharing. All Aetna Medicare Advantage plan members will have 12-digit member ID numbers beginning with “10. General Medicare Coverage Information. Phone numbers & websites Privacy practices Contact Medicare Twitter Twitter link for Medicare. Medicare Supplement Insurance plans. Prime plan members only Other pharmacies, physicians and providers are available in our network. The best matching results for Advantra Freedom Provider Portal are listed below, along with current status, FAQs, and comments. Check our precertification lists. Mail claim appeals to: Freedom Health. General Medicare Coverage Information. If you have questions regarding Part D Prescription Drugs, please call 1-800-727-9712, and press Option 1. In order to better serve you, please have the following information available when you call: Your Medicare provider number (UPIN/OSCAR/NSC). If you need help, please call 1-888-245-3934 (TTY User: 711) Mon - Fri, 8am - 9pm ET for Customer Service Representatives and licensed insurance agents who can assist with finding information on. 1-800-358-8749 (TTY: 711) , Monday to Friday, 8 AM to 8 PM ET. Just call 1-800-624-0756 (TTY: 711). * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. Aetna Medicare Advantra Silver (HMO) – $0 monthly premium with $7,550 maximum out-of-pocket expenses. You can reach us toll-free at 1-800-282-5366 (TTY: 711), 7 days a week, 8 AM to 8 PM. You can also visit us at aetnamedicare. For general questions, call Optum at 800-711-4577. PT, Monday through Friday, for help with medical and payment policies. Urgent Care: Copayment for Urgent Care $50. 888-620-8988, Understanding Medicare Advantage Plans, Medicare Advantage plans are a type of Medicare health plan offered by a private … See Also: Aetna medicare provider services phone number Preview / Show details ADVERTISEMENT. Need help with Medicare enrollment? Call a licensed agent at 1-855-335-1407 (TTY: 711) , Monday to Friday, 8 AM to 8 PM. Contact us online Contact us by phone For non-participating health care professionals Network applications (behavioral health, dental, facility, and pharmacy) Practice changes and provider termination Request a medical application Request Part D pharmacy participation Request workers' compensation, auto injury, First Health participation. Address: Member Services and DSNP Customer Service. If you need help, please call 1-888-245-3934 (TTY User: 711) Mon - Fri, 8am - 9pm ET for Customer Service Representatives and licensed insurance agents who can assist with finding information on. OUR PHONE NUMBER: Toll Free: 1-800-401-2740 or TTY: 711 OUR FAX NUMBER: 813-506-6150 OUR MAILING ADDRESS: P. Contacting the Medicare Claims Office Contact your local Medicare Claims Office to: Answer your questions regarding Medicare claim or service denials and adjustments. to 6:00 PM, Central Time, and from November 15 th. Mail: Aetna Medicare Precertification Unit P. Email a copy of the Aetna Medicare Advantra Gold (HMO) benefit details. Contact us online Contact us by phone For non-participating health care professionals Network applications (behavioral health, dental, facility, and pharmacy) Practice changes. Advantra also offers a D-SNP option for people dually enrolled in Medicare and Medicaid. Pennsylvania Medicare beneficiaries may want to consider reviewing their Medicare Advantage (Medicare Part C) plan options. Pennsylvania Medicare beneficiaries may want to consider reviewing their Medicare Advantage (Medicare Part C) plan options. To find a provider in our network You can also search for a provider. Medicare Helpful Contacts Page. OUR FAX NUMBER: 813-506-6150. File a claim Get information on how and when to file a claim for your Medicare bills (sometimes called "Medicare billing"). 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. Medicare Plans. Contact Aetna It's easy to get in touch with us Have questions or need to connect with us? Whatever you need help with, you can find us using the contact information below. Please contact Medicare. Oct 01, 2021 · Provider Portals Provider Portal MRA OUR PHONE NUMBER: Toll Free: 1-800-401-2740 or TTY: 711. 1-855-335-1407 (TTY: 711), 7 days a week, 8 AM to 8 PM Medicare Supplement Insurance plans 1-800-358-8749 (TTY: 711) , Monday to Friday, 8 AM to 8 PM ET Employer or Group coverage 1-800-307-4830 (TTY: 711), Monday to Friday, 8 AM to 9 PM ET See more ways to contact Aetna Select an option below Contact Member Services Page last updated:. Learn about rules Medicare plans must follow when they contact you. Medicare Acronyms Lookup Tool. Directory or about the Advantra network of providers, call the Advantra Member. OUR FAX NUMBER: 813-506-6150. A Medicare Advantage plan combines your. New and existing participating providers in our Medicare Advantage (MA), Medicare-Medicaid (MMP), Dual Eligible (D-SNP) or Fully Integrated. Medicare Coverage Determinations Information. Advantra-Medicare-Pennsylvania Instant Quote (888) 620-8988 Mon-Fri 9 to 5 Advantra Medicare plans for 2021 available to Pennsylvania Seniors and Medicare beneficiaries. Forms for health care professionals Find all the forms you need Find forms and applications for health care professionals and patients, all in one place. Lab services and diagnostic procedures have $0-$10 copays. For more information. Aetna Medicare Advantage plans can provide coverage of dental care, and as one of the nation’s largest insurers, Aetna’s network of dental providers can be found scattered about the country in nearly every county. This eliminates the need for multiple organizations to contact the provider for the same information. Quality, Safety & Oversight - General Information. 888-620-8988, Understanding Medicare Advantage Plans, Medicare Advantage plans are a type of Medicare health plan offered by a private … See Also: Aetna medicare provider services phone number Preview / Show details. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. We can call you Schedule a call to. 00 (see Plan Premium Details below) Annual Deductible: $0. Need help with Medicare enrollment? Call a licensed agent at 1-855-335-1407 (TTY: 711) , Monday to Friday, 8 AM to 8 PM. For questions about your Aetna Medicare Plan (HMO) (PPO) or if you need help selecting a PCP, call us. Aetna Medicare Advantage plans can provide coverage of dental care, and as one of the nation’s largest insurers, Aetna’s network of dental providers can be found scattered about the country in nearly every county. Consol Energy will transition from ID numbers beginning with “ME” to those beginning with “10” on April 1, 2022. Box 151137 ATTN: Freedom Health Tampa, See Also: Phone Number Preview / Show details Contact Coventry Coventry 800. Online By phone Get the answers you need here. Click the Contacts link for BCRC contact information. Plan Documents Links to plan documents Summary of benefits Star ratings Pennsylvania Counties Served. Medicare Contact Information: 1-800-MEDICARE (1-800-633-4227) TTY users 1-877-486-2048. Box 14079 Lexington, KY 40512-4079 When you’ll hear back We’ll get back to you within:. Claims Department P. You can generally go to out‑of‑network providers for covered services, but you’ll. For information on Aetna Medicare Plan (HMO) (PPO) network providers in your area, just call us toll-free at 1-800-282-5366 (TTY: 711). Plan ID: H3959-035-000. Behavioral Health Provider Network To join this network, call Christine Rae at 206-926-0224 or email christine. If your practice is new to Availity, you can use the registration link below to set up your account. National Provider Identifier Standard (NPI) Medicare Coverage Determination Process. ” We will no longer use the “ME” prefix for Medicare Advantage plans after that date. Medicare Contact Information: 1-800-MEDICARE (1-800-633-4227) TTY users 1-877-486-2048. Contact us online Contact us by phone For non-participating health care professionals Network applications (behavioral health, dental, facility, and pharmacy) Practice changes and provider termination Request a medical application Request Part D pharmacy participation Request workers’ compensation, auto injury, First Health participation. Address: Member Services and DSNP Customer Service. A Medicare Advantage plan combines your Original Medicare. See how to get started 1 If you don't have creditable coverage for 63 days or more, you may have to pay a late enrollment penalty. Medicare Service Center: 800-MEDICARE (800-633-4227) Medicare Service Center TTY: 877-486-2048. Important: Annual Medicare Compliance Program Requirements. To learn more and enroll for electronic payments and remittance, please click here. Contact your State Health Insurance Assistance Program (SHIP) for local, personalized Medicare counseling. Directory or about the Advantra network of providers, call the Advantra Member Service. Medicare FAQs Get answers to common Medicare questions. Centers for Medicare and Medicaid Services. A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. Find your plan's contact details SELECT PLAN TYPE Email us Send us an email and we'll get back to you as soon as possible. Call us Talk to a licensed agent at 1-855-335-1407 (TTY: 711) 7 days a week, 8 AM to 8 PM. Page last updated: April 12, 2023. Page last updated: January 18, 2023. Call us at 1-855-335-1407 (TTY: 711) to talk to a licensed Aetna® representative. “Group #” will be known as “Plan #. what is Medicare prior authorization Medicare prior authorization is a way for your doctor or other health care provider to get approval from Medicare before providing certain services or medical supplies to you they do this by submitting a request for prior authorization to the company that administers your Medicare Plan this will ensure that the services or. Telephone numbers and web link information related to specific Medicare questions. PPOs have networks of doctors, other health care providers, and hospitals. National Coverage Determination (NCD) for Routine Costs in Clinical Trials. Medicare Plans Questions? Call 1-800-401-2740 TTY/TDD: 711 Monday through Friday, 8am to 8pm EST Toll Free 1-800-401-2740 TTY/TDD: 711 Providers and Pharmacies. Contact us online Contact us by phone For non-participating health care professionals Network applications (behavioral health, dental, facility, and pharmacy) Practice changes and provider termination Request a medical application Request Part D pharmacy participation Request workers’ compensation, auto injury, First Health participation. 00 Copayment for Routine Foot Care $30. Plan Documents Links to plan documents Summary of benefits Star ratings Bucks Chester Delaware Montgomery Philadelphia Every 60 seconds, we help someone enroll in a Medicare Advantage plan. • Aetna Medicare Advantage: 1-800-624-0756 (TTY: 711). Access Coventry Provider tools here. You can all Member Services at 1-866-638-1232, TTY PA Relay 7-1-1 , TTY 711, for help finding a provider. If you have any questions about Advantra benefits, how to use this Advantra Provider. In-Network: Podiatry Services: Copayment for Medicare-Covered Podiatry Services $30. Any organization determination requested by a Medicare Advantage member, appointed representative* or physician for a coverage decision. Box 151137 ATTN: Freedom Health Tampa, FL 33684 We have free interpreter services to answer any questions you may have about our health or drug plan. Medicare Advantage and Prescription Drug Plans. Contact Medicare Phone 1-800-MEDICARE (1-800-633-4227) For specific billing questions and questions about your claims, medical records, or expenses, log into your secure Medicare account, or call us at 1-800-MEDICARE. Box 151348 Tampa, FL 33684 Claim Appeals For claim denials regarding untimely filing, incidental procedures, bundling, unbundling, unlisted procedure codes, non-covered codes, etc. Plan Documents Links to plan documents Summary of benefits Star ratings Pennsylvania Counties Served Bucks Chester Delaware Montgomery Philadelphia Every 60 seconds, we help someone enroll in a Medicare Advantage plan. You can generally go to out‑of‑network providers for covered services, but you'll. Call us at the number on your member ID card, or learn more first. To learn more and enroll for electronic payments and remittance, please click here. Important Plan Information Prior Notification Is Requested for Inpatient and Outpatient Procedures by calling 1 (866) 865-3148. The in-hospital stay copay is $160 for 5 days and the ER copay is $90. Any information we provide is limited to those plans we do offer in your area. Get member help Aetna members have access to contact information and resources specific to their plans. A PPO is a type of Medicare Advantage Plan (Part C) offered by a private insurance company. Monday to Friday, 8 AM to 8 PM. Please call us for a free information. Get member help Aetna members have access to contact information and resources specific to their plans. A PPO is a type of Medicare Advantage Plan (Part C) offered by a private insurance company. Answer your questions concerning how to bill for payment. To enroll in Advantra Cares D-SNP, you may have to supply Aetna with documentation that confirms you're enrolled in both Medicare and Medicaid. Find your plan’s contact details SELECT PLAN TYPE Email us Send us an email and we’ll get back to you as soon as possible. You can also visit us on aetnamedicare. Contact CMS This page provides a list of contact phone numbers and web links to help you find answers to your Medicare questions or program issues. Out-of-Network: Podiatry Services: Coinsurance for Medicare Covered Podiatry Services 30% Podiatry Services: Coinsurance for Non-Medicare Covered Podiatry Services 30%: Skilled Nursing Facility (SNF) care: $0 per day, days 1-20; $196 per day, days 21-100 in-network/ 30% per stay out-of-network, for more information see Evidence of Coverage. — Medicare Plan Features —. PT, Monday through Friday Urgent (after-hours and holidays), call 866-322-6287 Fax (24-hour) at 866-809-1370 Technical issues For technical issues related to: Medicare Advantage homepage, Find A Doctor, and forms, call 800-722-9780 Medicare Advantage secure pages and online tools, call 888-850-8526. Some of these plans include alternative care services like chiropractic care or acupuncture. For questions about your Aetna Medicare Plan (HMO) (PPO) or if you need help selecting a PCP, call us. gov twitter account opens a new tab Youtube Youtube link for Medicare. We can call you Schedule a call to answer your questions. Download claims with Medicare's Blue Button; Coordinating your care; Information for my situation; I have a disability; I have End-stage Renal disease (ESRD) Forms, Help, & Resources Find doctors, hospitals, & providers; Medicare Forms; Free Medicare Publications "Medicare & You" Handbook; Mail you get about Medicare; Lost/incorrect Medicare card. Accept the return of inappropriate Medicare payment. PO Box 982980 El Paso, TX 79998-2980. Directory or about the Advantra network of providers, call the Advantra Member Service. If you don’t know who your administrator is, call Availity Client Services at 1-800-282-4548 for help. D-SNPs often have no or very low premiums,. Out-of-Network: Podiatry Services: Coinsurance for Medicare Covered Podiatry Services 30% Podiatry Services: Coinsurance for Non-Medicare Covered Podiatry Services 30%: Skilled Nursing Facility (SNF) care: $0 per day, days 1-20; $196 per day, days 21-100 in-network/ 30% per stay out-of-network, for more information see Evidence of Coverage. Aetna Medicare Advantage plans include HMO, PPO and D-SNP A D-SNP (Dual Special Needs Plan) provides benefits to Medicare-qualified members who also receive Medicaid benefits and/or assistance with Medicare premiums or Parts A & B cost-sharing. Please contact Medicare. Star Ratings are calculated each year and may change from one year to the next. Instant Quote (888) 620-8988 Mon-Fri 9 to 5 Advantra Medicare plans for 2021 available to Pennsylvania Seniors and Medicare beneficiaries. Process claims for primary or secondary payment. Urgent Care: Copayment for Urgent Care $50. 1-855-335-1407 (TTY: 711), 7 days a week, 8 AM to 8 PM. Important: Annual Medicare Compliance Program Requirements. 1-800-307-4830 (TTY: 711), Monday to Friday, 8 AM to 9 PM ET. Report Medicare Fraud & Abuse: 800-HHS-TIPS (1-800-447-8477) Medicare. Advantra Customer Service department at 1-800-727-9712 Monday thru Friday from 8:00 AM. Call 1-877-890-1409 TTY 711, 24/7 to speak with a licensed insurance agent who can help you compare plans. For additional support, please call 844-280-5555, TTY 711 WORKING WITH GLOBALHEALTH GlobalHealth has been a provider- and member-centric organization since its beginning in the state of Oklahoma. This eliminates the need for multiple organizations to contact the provider for the same information. Plan Documents Links to plan documents Summary of benefits Star ratings Bucks Chester Delaware Montgomery Philadelphia Every 60 seconds, we help someone enroll in a Medicare Advantage plan. If you have any questions about Advantra benefits, how to use this Advantra Provider. gov Youtube channel opens a new tab RSS RSS link for Medicare. Draft a message Aetna member seminars Aetna members can attend a local seminar to understand how to get the most from their plans. AdvantraMedicarePennsylvania pahealthbenefits 888-620-8988 Please call us for a free information packet. You can submit a precertification by electronic data interchange (EDI),. Call me Helpful resources Explore our plans Medicare Advantage Dual Eligible Special Needs Plans (D-SNP) Prescription drug plans (PDPs) Medicare Supplement Insurance. Email a copy of the Aetna Medicare Advantra Gold (HMO) benefit details. Medicare medical and dental plans - 1-800-624-0756 (TTY: 711) Non-Medicare plans, including individual and family plans - 1-888-MD AETNA (1-888-632-3862) (TTY: 711) Dental for non-Medicare plans - 1-800-451-7715 (TTY: 711) Voluntary plans - 1-888-772-9682 (TTY: 711) Worker's comp - 1-800-238-6288 (TTY: 711). Contacting the Medicare Claims Office Contact your local Medicare Claims Office to: Answer your questions regarding Medicare claim or service denials and adjustments. Phone numbers & websites Privacy practices Contact Medicare Twitter Twitter link for Medicare. Claims must be submitted to Freedom Health within 90 days of date of denial from EOB. Call: 1-800-245-1206 ${tty}, ${hours}. to 6:00 PM, Central Time, and from November 15 th through March 1 st, Monday Thru Friday 8:00 AM to 8:00 PM CST, Saturday between 9:00 AM. Learn more about our Multi-Language Interpreter Services. AdvantraMedicarePennsylvania pahealthbenefits 888-620-8988 Please call us for a free information packet. Primary care physician and specialist visit copays are $5 and $40. Members must live in a county where Aetna Medicare offers a D-SNP. department at 1-800-727-9712 (TTY/TDD for the hearing impaired is 1-866-347-2459), Monday thru Friday from 8:00 AM. Behavioral Health Provider Network To join this network, call. If you have Part A and Part B, you can join a Medicare Advantage Plan, sometimes called “Part C” or an “MA plan. If you are facing any issues, please write detail in the comments section for the solution. London, KY 40742 Pennsylvania Institutional Special Needs Plan (PA I-SNP) 1-844-826-5291 ${tty} 7 days a week, 8 AM to 8 PM Address: Aetna Duals COE Member Correspondence. New and existing participating providers in our Medicare Advantage (MA), Medicare-Medicaid (MMP), Dual Eligible (D-SNP) or Fully Integrated (FIDE) Special Needs Plans are required to meet the Centers for Medicare & Medicaid Services (CMS) compliance program requirements for first-tier, downstream and related entities (FDR) as. To request a coverage decision for Part D Prescription Drugs, contact GlobalHealth's Pharmacy Benefit Manager, CVS Caremark, by calling (866)-494-3927 (TTY users call 711), 24 hours a day, 7 days a week, or by writing to: CVS Caremark Part D Services. TTY users should call, 1-800-325-0778; or your state Medicaid Office. Medicare Advantage and Prescription Drug Plans. Call 1-877-890-1409 TTY 711, 24/7 to speak with a licensed insurance agent who can help you compare plans. You pay less if you go to providers and facilities that are belong to the plan's network. Updated: April 25, 2022 Directprovider. Advantra-Medicare-Pennsylvania Instant Quote (888) 620-8988 Mon-Fri 9 to 5 Advantra Medicare plans for 2021 available to Pennsylvania Seniors and Medicare beneficiaries. For more information regarding the appeal process, please call 1-866-269-3692 (TTY: 711) Hospital discharge appeal notices (CMS website) Log in Use our secure provider website to access electronic transactions and valuable resources to support your organization. gov or 1-800- MEDICARE (TTY users should call 1-877-486-2048) 24 hours a day/7 days a week to get information on all of your options. We do not offer every plan available in your area. Medicare evaluates plans based on a 5-Star rating system. 888-620-8988 Understanding Medicare Advantage Plans. In order to better serve you, please have the following information available when you call: Your Medicare. gov or 1-800-MEDICARE (TTY users should call 1-877-486-2048) 24 hours a day/7 days a week to get information on all of your options. National Provider Identifier Standard (NPI) Medicare Coverage Determination Process. OUR PHONE NUMBER: Toll Free: 1-800-401-2740 or TTY: 711 OUR FAX NUMBER: 813-506-6150 OUR MAILING ADDRESS: P. Find a form Find forms for claims, payment, billing, Medicare, pharmacy and more. $110 If you are admitted to the hospital within 24 hours your cost share may be waived, for more information see the Evidence of Coverage. Please call us for a free information packet. Tools and resources for Freedom Health Medicare Advantage Providers, Doctors, Healthcare Administrators. Need help with Medicare enrollment? Call a licensed agent at 1-855-335-1407 (TTY: 711) , Monday to Friday, 8 AM to 8 PM. Maximum 1 visit every three months; Skilled Nursing Facility (SNF) care: $0 per day, days 1-20; $196 per day, days 21-100 in-network/ 40% per stay out-of-network, for more information see Evidence of Coverage. Click the Contacts link for BCRC contact information. For more information regarding the appeal process, please call 1-866-269-3692 (TTY: 711) Hospital discharge appeal notices (CMS website) Log in Use our secure provider website to access electronic transactions and valuable resources to support your organization. Contact Medicare Phone 1-800-MEDICARE (1-800-633-4227) For specific billing questions and questions about your claims, medical records, or expenses, log into your secure. Please contact Medicare. Medicare Advantage Plans. Plan Documents Links to plan documents Summary of benefits Star ratings Louisiana Counties Served Ascension East Baton Rouge Iberville Jefferson Lafourche Orleans Back to plans in Louisiana. 1-855-335-1407 (TTY: 711), 7 days a week, 8 AM to 8 PM Medicare Supplement Insurance plans 1-800-358-8749 (TTY: 711) , Monday to Friday, 8 AM to 8 PM ET Employer or Group coverage 1-800-307-4830 (TTY: 711), Monday to Friday, 8 AM to 9 PM ET See more ways to contact Aetna Select an option below Contact Member Services Page last updated:. For more information on your Medicare coverage, please be sure to seek legal, medical, pharmaceutical, or financial advice from a licensed professional or telephone Medicare at 1-800-633-4227. C/O:Coverage Determination & Appeals. ” A federal government website managed and paid for by the U.