If you have any questions, call Aetna Assure Premier Plus (HMO D-SNP) atġ-84 (TTY: 711) Monday to Friday, 8 AM to 5 PM ET.īy clicking on “I Accept”, I acknowledge and accept that: More resources for you and your office staffĪetna Assure Premier Plus (HMO D-SNP) plan website Simply use the Medicaid Web Portal or select Aetna Better Health® in Availity® to see all the ways that we support you. You can use the provider portal to access eligibility, panel rosters, claims status and much more.Members should not be balanced billed for any covered benefit. Use submitter ID #46320 when submitting claims. Your claims will automatically be processed first under the Medicare benefits and then under the Medicaid benefits. Using the member’s ID number from the plan ID card, you will need to submit one claim.In-network primary care provider (PCP) selection required.A dedicated Aetna® care manager for all members.One member ID card to access all covered services.$0 cost sharing for all plan-covered services and prescription drugs.It carries a $0 cost share for all members.Īs a participating provider in this new plan, you will want to be aware of the following: It covers all Medicare and Medicaid services, including prescription drugs, behavioral health, Managed Long Term Services and Supports (MLTSS) and additional supplemental benefits. This is a Medicare Advantage managed care plan option for individuals with Medicare and full NJ Famil圜are/Medicaid coverage. On January 1, we launched Aetna Assure Premier Plus (HMO D-SNP), a new Fully Integrated Dual Eligible Special Needs Plan (FIDE SNP) in these New Jersey counties: We appreciate the opportunity to continue serving you and invite you to call our customer service department at 40 with any questions regarding payments.New Medicare plan: Aetna Assure Premier Plus (HMO D-SNP) effective January 1, 2021 However, they should not receive a statement for out-of-network services. Will receive a statement for the balance due. If any balance is not collected at the time of service, they Please note: Patients with the Aetna Medicare Advantage PPO ESA (Extended Service Area) plan should not have any increase in their “out-of-pocket” costs. UTMB will not have this information until we file your claim with Aetna. Responsibility for your visit, once we have confirmed your individual plan benefits for out-of-network services. Please be aware you may also receive a statement from UTMB in the mail or through M圜hart to cover any additional financial Our clinic staff will work with you to collect payment to meet your patient financial responsibility at the time services are rendered. Please contact Aetna Member Services at the number on your ID card. The ability to continue to seek care at UTMB under your Aetna benefit plan will depend on any out-of-network benefits included in your particular plan. TheĬontract termination goes into effect on July 1, 2021.Īs of July 1, Aetna members are out-of-network when seeking care at UTMB Health. As you may recall, we announced in November 2020 that the UTMB contract within the Aetna provider network was being terminated. We greatly value our relationship with you. Thank you for continuing to choose UTMB Health for your health care needs.
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