What is the deductible for Aetna PPO?
What is the overall deductible? For each Plan Year, In-network: Individual $500 / Family $1,000. Out-of-network: Individual $6,000 / Family $12,000. Generally, you must pay all of the costs from providers up to the deductible amount before this plan begins to pay.
What is Aetna timely filing limit?
We’ve changed the standard nonparticipating-provider timely filing limit from 27 months to 12 months for traditional medical claims.
What is the Medicare timely filing rule?
Medicare claims must be filed no later than 12 months (or 1 full calendar year) after the date when the services were provided. If a claim isn’t filed within this time limit, Medicare can’t pay its share.
What is a payer ID?
The Payer ID or EDI is a unique ID assigned to each insurance company. It allows provider and payer systems to talk to one another to verify eligibility, benefits and submit claims. The payer ID is generally five (5) characters but it may be longer. It may also be alpha, numeric or a combination.
Is Aetna a good insurance company?
Aetna is an especially good fit for Medicare beneficiaries, employers, and individuals qualifying for Medicaid. Individual plans are not currently available, though the company plans to offer them in the future.
What is the difference between Aetna DMO and PPO?
Use our provider search tool to search,in the network,by name,specialty or procedure
Is Aetna PPO a Medicare Advantage plan?
Aetna ® offers several types of Medicare Advantage plans, including Aetna Medicare Advantage PPO plans. These plans give you the freedom to choose your health care providers. Aetna Medicare Advantage PPO plans also often include prescription drug coverage and other additional benefits. And it’s all for a monthly premium as low as $0.
Does Aetna have a good dental plan?
When you have an Aetna Dental plan, you know you’re taking the right steps toward being healthy. You get a broad choice of dentists and dental providers, wellness discounts and offers that stretch your health care dollar, digital tools to easily manage your care, and more. We make dental care convenient.