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Submission: On March 20 via manual from IN — Scanned from DE
Effective URL: https://www.aetna.com/employers-organizations.html?cid=eml-DemandGen-Mar-02-footer_aetna-CED000000013&mduns=804526515&...
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* Member programs
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* Aetna Health app
* Behavioral health
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* Diabetes
* Member Engagement Platform
* Telehealth
* Women's health
* Administration offerings
* All administration tools
* PayFlex
* Get a quote
* Solutions
* By company size
* Individuals and families
* Small business (100 or less employees)
* Mid-size business (101-4,999 employees)
* Large business (5,000+ employees)
* By industry
* Education
* Healthcare organizations
* High tech
* Hospitality and Retail
* Labor
* Private equity
* Professional employer organizations
* Public governments
* International
* Wellness programs
* Get a quote
* Resources
* Pay your bill
* Pay your Aetna bill
* Pay your Innovation Health premiums
* Manage employee administration
* Tools, manuals and forms
* Resources by region
* Summary of Benefits
* Find a doctor or hospital
* Crisis response support
* Contact Aetna
* Trends and Insights
* Webcast speaker series
* Health equity
* Health Trends
* Health Trend reports
* Health Care insights
* Personalized medicine
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Your employees may have questions about the next phase of the coronavirus. We’re
here to help with news on vaccine availability and resources to help them stay
healthy and safe.
Find COVID-19 resources
WE’RE HERE TO LISTEN
Our crisis response lines, which are available to anyone in the U.S., offer 24/7
confidential counseling and support to your employees. Just have them call
1-833-327-AETNA (1-833-327-2386) (TTY: 711).
FOR OUR CURRENT EMPLOYER GROUPS
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OUR MISSION AND OUR PROMISE TO YOU
OUR MISSION AND OUR PROMISE TO YOU
Our customers come first, so health is front and center. But delivering on that
promise isn’t just about products or process. It’s about total integration.
Everyone and everything working better, together
You get the total package: Local, flexible, integrated and affordable benefits.
So you and your employees have the solutions on hand to manage health
priorities. For a happier, healthier workforce, and a healthier bottom line.
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DELIVERING ON OUR PROMISE
We put our unique capabilities to work for employers in five, key areas.
CUSTOMER EXPERIENCE
We put you and your members first, so you can reach your health goals and
priorities.
INTEGRATED HEALTH SOLUTIONS
Our medical products and wellness programs work together to enhance care at
every stage.
SPEED AND SERVICE
We're partnering with you to build a healthy workforce, from onboarding you
quickly to delivering timely, competitive quotes.
COST AND QUALITY MANAGEMENT
Clinical workflows promote preventive care, address emergency room use and more
to help contain costs.
PRODUCT INNOVATION
We’re investing in digital health apps and resources to give members quality
care that fits their lives.
FIND YOUR PERFECT FIT
Your business is unique, so you’ll never get a one-size-fits-all solution. We’ll
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WORKING BETTER, TOGETHER
WORKING BETTER, TOGETHER
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affiliates (Aetna).
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YOU ARE NOW LEAVING THE AETNA MEDICARE WEBSITE.
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GET A LINK TO DOWNLOAD THE APP
Just enter your mobile number and we’ll text you a link to download the Aetna
Health app from the App Store or on Google Play.
Message and data rates may apply*
Error or missing data. Please check your entries for an error message.
MOBILE NUMBER Please be sure to add a 1 before your mobile number, ex:
19876543210
THIS SEARCH USES THE FIVE-TIER VERSION OF THIS PLAN
Each main plan type has more than one subtype. Some subtypes have five tiers of
coverage. Others have four tiers, three tiers or two tiers. This search will use
the five-tier subtype. It will show you whether a drug is covered or not
covered, but the tier information may not be the same as it is for your specific
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APPLIED BEHAVIOR ANALYSIS MEDICAL NECESSITY GUIDE
By clicking on “I Accept”, I acknowledge and accept that:
The Applied Behavior Analysis (ABA) Medical Necessity Guide helps determine
appropriate (medically necessary) levels and types of care for patients in need
of evaluation and treatment for behavioral health conditions. The ABA Medical
Necessity Guide does not constitute medical advice. Treating providers are
solely responsible for medical advice and treatment of members. Members should
discuss any matters related to their coverage or condition with their treating
provider.
Each benefit plan defines which services are covered, which are excluded, and
which are subject to dollar caps or other limits. Members and their providers
will need to consult the member's benefit plan to determine if there are any
exclusions or other benefit limitations applicable to this service or supply.
The conclusion that a particular service or supply is medically necessary does
not constitute a representation or warranty that this service or supply is
covered (i.e., will be paid for by Aetna) for a particular member. The member's
benefit plan determines coverage. Some plans exclude coverage for services or
supplies that Aetna considers medically necessary.
Please note also that the ABA Medical Necessity Guide may be updated and are,
therefore, subject to change.
Medical necessity determinations in connection with coverage decisions are made
on a case-by-case basis. In the event that a member disagrees with a coverage
determination, member may be eligible for the right to an internal appeal and/or
an independent external appeal in accordance with applicable federal or state
law.
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