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Jul 1, 2023

It contains information for health care professionals. DCBSapproveseligibility for theSKYprogram. New Business Support Hours: M-F 7:30 AM-5:00 PM CT Make all checks payable to the appropriate underwriting company Fax: (855) 447-0391 Fax only documents that a case manager specifically requests Case Management Hours: M-F 7:30 AM-5:00 PM CT Phone: (866) 272-6630 Fax: (855) 411-9633 Email**: AetSSIUnderwriting@aetna.com Underwriting Just call yourlocal DCBS office at18553068959. Website Technical Support www.aetnaseniorproducts.com For technical assistance (including registering your username and password) 1-800-587-5139, (TTY: 711) Hours: Monday through Friday, 8 AM to 5 PM CT Claims Medicare Supplement Claims 1-800-587-5139, (TTY: 711) Hours: Monday through Friday, 7 AM to 7 PM CT Agents . Please note also that Dental Clinical Policy Bulletins (DCPBs) are regularly updated and are therefore subject to change. The DAA has a web site where you canopt out from getting targeted adsfrom some or all of the companies in the program. Simple, direct answers to common questions about health care privacy. The AMA disclaims responsibility for any consequences or liability attributable or related to any use, nonuse or interpretation of information contained in Aetna Clinical Policy Bulletins (CPBs). Lexington, KY 40512-4079, You may also write to the Secretary of the U.S. Department of Health and Human. However, BBB does not verify the accuracy of information provided by third parties, and does not guarantee the accuracy of any information in Business Profiles. And we may use your details for our business purposes, along with data analysis, audits, fraud monitoring and prevention, and new product and service development. 24 hours a day, 7 days a week, You can reach us at: It can damage your credit rating. All complaints are handled by the BBB where the company is Headquartered or a central customer complaint processing location. Reconsideration. Examples of member information are information collected when you enroll in an Aetna health plan or access services related to your health plan. Reprinted with permission. Aetna Inc. and its affiliated companies are not responsible or liable for the content, accuracy, or privacy practices of linked sites, or for products or services described on these sites. We may use analytics providers that use cookies, pixel tags and other, similar technologies to collect information about your use of the Services and your use of other websites and online services. The arbitration will be administered by the American Arbitration Association (AAA) under its Consumer Arbitration Rules (currently available at the Consumer Arbitration Rules PDF), as amended by this Agreement. For help in a crisis or emergency:1-888-604-6106 (TTY: 711),24 hours a day, 7 days a week. Who are the stakeholders in an insurance company, How do I find the phone number for my house insurance agent. If you need to search for a doctor or other health care provider who will accept your Aetna Medicare Advantage or Aetna Medicare Part D plan, you can use the Aetna provider lookup tool to find an Aetna Medicare doctor near you. Each insurer has sole financial responsibility for its own products. Encrypted e-mails from Aetna include instructions on how to decrypt the message for viewing - this requires the recipient to perform a few simple clicks. This business is in an industry that may require professional licensing, bonding or registration. In the event that a member disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision. If information collected through the Services is member information, please refer to the "Notice of Privacy Practices" and not this Privacy Statement. Aetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. Please click on the country abbreviation in the search box below to change to a different country location. International Association of Better Business Bureaus. Dont email us information you consider confidential. 15. If you don't want to leave the member site, click or tap the "x" in the upper right-hand corner. Keep your information safe. The arbitrator will have authority to award temporary, interim, or permanent injunctive relief, or relief providing for specific performance of this Agreement, but only to the extent necessary to provide relief warranted by the individual claim before the arbitrator. I enjoy being a part of the community, and building local relationships is one of the best parts of my job. Box 14770 Lexington, KY 40512-4770 Home oce directory - Final Expense Things were taken care of immediately. BBB Business Profiles generally cover a three-year reporting period. If you have any questions or concerns about this statement, or the way your information is collected and used, please contact the Aetna Privacy Office at PrivacyAetna@Aetna.com. All Rights Reserved. Lexington, Ky 40512 Plan sponsor services and enrollment department Enrollment: New or termination, changes and questions. P.O. Thank you Thank you Thank you! When considering complaint information, please take into account the company's size and volume of transactions, and understand that the nature of complaints and a firm's responses to them are often more important than the number of complaints. To find out whether to address a privacy issue with your employer or with Aetna, call the number on your member ID card or talk to your company HR representative. Our Services use tracking technologies to collect and record your activities and movements across our websites throughout your browsing session, including page hits, mouse movements, scrolling, typing, out-of-the-box errors and events, and API calls (session data). We use this information for various purposes: A "cookie" is a bit of data that we can send to your browser when you link to our apps. U.S. Government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer data bases and/or computer software and/or computer software documentation are subject to the limited rights restrictions of DFARS 252.227-7015(b)(2) (June 1995) and/or subject to the restrictions of DFARS 227.7202-1(a) (June 1995) and DFARS 227.7202-3(a) (June 1995), as applicable for U.S. Department of Defense procurements and the limited rights restrictions of FAR 52.227-14 (June 1987) and/or subject to the restricted rights provisions of FAR 52.227-14 (June 1987) and FAR 52.227-19 (June 1987), as applicable, and any applicable agency FAR Supplements, for non-Department of Defense Federal procurements. Make sure you click Allow or Grant Permission if your browser asks for your location. Aetna Better Health of Kentucky complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex. You wont know unless you check your report. Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. No additional text alerts will be sent unless you re-activate your enrollment to the text alert program. This helps us identify you and your device to prevent fraud and data loss and keep our app secure. We may present products and offers tailored to you. Any use of CPT outside of Aetna Clinical Policy Bulletins (CPBs) should refer to the most current Current Procedural Terminology which contains the complete and most current listing of CPT codes and descriptive terms. Username Location 0 0 User does not have to select a country if they click this link. Aetna Better Health of Kentucky complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex. Notwithstanding any of the foregoing, nothing in this Agreement will preclude you from bringing issues to the attention of federal, state, or local agencies and, if the law allows, they can seek relief against us for you. Copyright 2023 Aetna Better Health of Kentucky. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. I admire your faithfulness to your customers. Applicable FARS/DFARS apply. You, your employees and agents are authorized to use CPT only as contained in Aetna Precertification Code Search Tool solely for your own personal use in directly participating in health care programs administered by Aetna, Inc. You acknowledge that AMA holds all copyright, trademark and other rights in CPT. You should expect the same from your insurance agency. Let us know if you suspect another member or a provider is committing fraud. Whenever Aetna transmits member-specific health or financial information via Internet e-mail, the e-mail includes a message indicating that the content has been secured via encryption. Collect the patient's member ID number, rather than a Social Security number. Mail claims to: Aetna ATTN: Claims PO Box 14079 Lexington, KY 40512-4079 OR Fax claims to: (859)455-8650; ATTN: Claims Use Payor ID: 57604-0128, NOT the regular Aetna Payor ID MedPremier Member/Provider Services: 866.337.8417 Claims Submission Pharmacy Claims Our apps dont respond to Do Not Track signals from browsers. What should the Provider do instead? Or you get a call from a collection agency. . Suite 100. Each encrypted e-mail from Aetna includes instructions on how to open the message and view the secure content. This business is in an industry that may require professional licensing, bonding or registration. Each main plan type has more than one subtype. By enrolling to receive Aetna text or email alerts, you agree to these terms and conditions, which become effective upon your enrollment. To add to your experience. BBB reports on known marketplace practices. You acknowledge that alerts will be sent to the mobile phone number or email address you provide to Aetna. At the top of your Chrome or Firefox window, near the web address, click the green lock. We are here to provide you with options that suite your needs, Blue Grass Insurance Agency, Inc. has been servicing the insurance needs of Kentucky and numerous other states throughout the United States since 1927. Learn about themember advisory committee or MAC. This Looking for more information? Aetna PO Box 14079 Lexington, KY 40512-4079 ; CO, CT, DC, DE, IA, IL, IN, . My tenure and experience has allowed me to not only understand the ins-and-outs of insurance, but also to service hundreds of familie, Shelter Insurance offers both personal and commercial insurance products. If your browser doesn't ask your location and your city still doesn't appear, try these steps: Please enter something you would like to search for. It writes policies in the commonwealth for safety. You have the right to ask us to communicate with you in a certain way or at a certain location. In foster care, adopted from foster care or formerly in foster care, Placed with fictive kin(person not related by blood but who has ameaningfuland positive relationship with a child), Dually committed to the Department for Community Based Services (DCBS) and the Department of Juvenile Justice (DJJ). The personal attention of this agency is amazing! For Aetna Signature Administrators Preferred Provider Organization (PPO) plans, Aetna Workers' Comp . Please begin by refreshing the page to see if your location populates the Near field. By phone Get the answers you need here If you have questions related to COVID-19, including those on our telemedicine policy, testing, coding for COVID-19 related visits, and additional resources Aetna is sharing to support you during this pandemic, please check our Provider COVID-19 FAQ website. One kind of plan is called "insured" because an insurance company pays for claims. To respond to you. For example, you may want to: Do you get your health insurance where you work? While the Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. YP, the YP logo and all other YP marks contained herein are trademarks of YP LLC and/or YP affiliated companies. You are now being directed to the CVS Health site. If you are on someone else's insurance and would like us to send your Explanation of Benefits statements and other claim information to an address that's different from the primary subscriber's, please call Member Services at the number on your ID card. We want you to know what personal information we may collect about you. Aetna Better Health of Kentucky Any in-person appearances will be held at a location which is reasonably convenient to both parties with due consideration of their ability to travel and other pertinent circumstances. Receiving calls and/or text messages from Aetna Better Health of Kentucky that are informational and relate to my health and benefits. These help you understand and have greater control over the ads you see based on your online behavior. The term precertification here means the utilization review process to determine whether the requested service, procedure, prescription drug or medical device meets the company's clinical criteria for coverage. The bills can be mailed to another address. Insurance Care: Health & Life Insurance, Long Term Care, Medicare Supplement, Disability Income. We are a Trusted Choic, Investors Heritage Life Insurance Company offers a range of life insurance products, including whole life, term life, single premium life, multipay life and annuities. Franklin, TN 37064. However, applicable state mandates will take precedence with respect to fully insured plans and self-funded non-ERISA (e.g., government, school boards, church) plans. 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. Or write to: HIPAA Member Rights Team Encrypted e-mail is similar to a sealed letter -- the content cannot be viewed until the envelope is opened - except, in this case, the envelope has a lock on it to which only the recipient has a key. Aetna Inc. P.O. Be sure to call the phone number on your plan ID card to let Aetna know that you are moving. In the event a recipient receives an error message while in the process of trying to open an Aetna-generated encrypted e-mail, the error message provides guidance for troubleshooting the problem. I put, What type of attorney do I speak with to find information on a life, Do Not Sell or Share My Personal Information. AetSSIPHS@aetna.com Mailing Address for RENEWAL PREMIUMS ONLY Policyholder Services Hours: M-F 7:00 AM-4:30 PM CST (agents) M-F 7:00 AM-8: . If you are covered through an employer plan which is self funded, ask your employer for a copy of your Notice. Thieves often steal Social Security numbers when they hack websites and computers. Aetna U.S. Health Care Claims has 161 locations, listed below. No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM. Current members of Aetna Medicare plans may have several options for contacting Aetna Medicare customer service representatives. Constant support and awesome customer service from Debra and her staff! Aetna Better Health of Kentucky is not responsible or liable for this specific content. Identity thieves can run up medical costs in your name. If your plan ID card is lost, stolen or damaged, you may log into your Aetna account and view and print a new card. 17 steps for securing health information (PDF). You also can use the "Profile" link to opt in or out of receiving emails from us, or to add or change a phone number. Links to various non-Aetna sites are provided for your convenience only. *This company may be headquartered in or have additional locations in another country. Such alerts may include personal information about your health based on the type of information you choose to receive via electronic communication, and whoever has access to the mobile phone or carrier account or email address will also be able to see this information. All rights reserved. I dropped insurance one a car and got insurance on a newer car. Learn how to get started with your new plan by registering for your member portal. The Aetna text alert programs are offered on an as is basis and: (1) may not be available in all areas at all times; and (2) may not continue to work in the event of product, software, coverage or other service changes made by your wireless carrier. If so, where you go for privacy information depends on the kind of plan you joined. Links to various non-Aetna sites are provided for your convenience only. They have been wonderful to deal with. Dont give out your insurance ID, Social Security or drivers license numbers on the phone or by mail to just anyone. Dun & Bradstreet, Inc. 2023. EXCEPT FOR DISPUTES THAT QUALIFY FOR SMALL CLAIMS COURT, ALL DISPUTES ARISING OUT OF OR RELATED TO THIS AGREEMENT OR ANY ASPECT OF THE RELATIONSHIP BETWEEN YOU, ON THE ONE HAND, AND AETNA OR ITS SUPPLIERS OR VENDORS, ON THE OTHER HAND, WHETHER BASED IN CONTRACT, TORT, STATUTE, FRAUD, MISREPRESENTATION, OR ANY OTHER LEGAL THEORY, WILL BE RESOLVED THROUGH FINAL AND BINDING ARBITRATION BEFORE A NEUTRAL ARBITRATOR INSTEAD OF IN A COURT BY A JUDGE OR JURY AND YOU AGREE THAT AETNA AND YOU ARE EACH WAIVING THE RIGHT TO TRIAL BY A JURY. EligibleSKY membersalsohave access to: Connections for Life (ages13to17):Freesmartphone and wireless plan (foreligible members who arentin a stable placement), Connections for Life (ages18to26):Free laptop for eligible members, SKYDuffelBag Program:Duffelbagfilled with personal hygiene items, supplies and a blanketforSKY memberswhoare going from one home to another, Birthday in a Box:Eligible members get a birthday in a box,whichincludes party supplies and a gift, FamilyConnect:An app that makes key info available to members and their caregivers, likeappointments,careplans,claims,IDcardsand messaging, SKY frequently asked questions and answers, Supporting Kentucky Youth English (PDF)| Espaol (PDF), SKY Companion Guide English (PDF)| Espaol (PDF), Extra Benefits for Aetna Better Health of Kentucky Members (PDF), Beneficios adicionales para los miembros de Aetna Better Health of Kentucky (PDF). Please select the region that you would like to explore today. If there is a discrepancy between this policy and a member's plan of benefits, the benefits plan will govern. Since Clinical Policy Bulletins (CPBs) can be highly technical and are designed to be used by our professional staff in making clinical determinations in connection with coverage decisions, members should review these Bulletins with their providers so they may fully understand our policies. This may place you at greater risk: Your doctor needs to know as much as possible about your health to give you the best possible care. Make sure you click Allow or Grant Permission if your browser asks for your location. All complaints are handled by the BBB where the company is Headquartered or a central customer complaint processing location. When billing, you must use the most appropriate code as of the effective date of the submission. Through the SKY program,wellprovideextrabenefits (PDF). If you choose to do business with this business, please let the business know that you contacted BBB for a BBB Business Profile. Hours: M-F 7:00 AM-5:00 PM CT Phone: (866) 272-6630 option 5, 2, 1Fax: (855) 482-7876 Email**: AetSSICOMP-Claims@aetna.com (insert name of underwriting company) P.O. Looking for more information? Dawn Stice has been my agent for years. If you did not intend to leave our site, click or tap the "x" in the upper right-hand corner. BBB Business Profiles may not be reproduced for sales or promotional purposes. You can alsofind out if you qualify for programs like Medicaid or the Kentucky Childrens Health Insurance Program (KCHIP). Its primary lines of business ar, You work hard for the things you have. It writes policies in the commonwealth for safety and security of policyholders throughout, Lincoln Heritage Funeral Advantage We are the leading final expense program, operating in 49 states, and specialize in helping people cover their funeral costs and other final expenses. In addition, we arent responsible for the information, collection, use, disclosure or security policies and practices of other organizations. Privacy Policy and That's all you need. We arent responsible for the privacy practices, content or accuracy of the Third-Party Services. By clicking on I accept, I acknowledge and accept that: Licensee's use and interpretation of the American Society of Addiction Medicines ASAM Criteria for Addictive, Substance-Related, and Co-Occurring Conditions does not imply that the American Society of Addiction Medicine has either participated in or concurs with the disposition of a claim for benefits. Our process for dental provider disputes and appeals We have a formal process that allows participating and non-participating dentists to file an appeal when they: Do not agree with a payment decision Do not agree with a clinical decision; or Do not agree with the Usual and Customary Reimbursement (UCR) allowance 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. grouphelpsus find ways to better serve Kentuckys youth. The other kind of plan is called "self-insured" because your employer actually pays for claims and hires another company only to run the systems that support the plan. Box 14088 Lexington, KY 40512. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept". IN BUSINESS. Aetna Inc. and itsitsaffiliated companies are not responsible or liable for the content, accuracy or privacy practices of linked sites, or for products or services described on these sites. Current Aetna Medicare Advantage plan members: Call Aetna customer services at 1-800-282-5366 (TTY: 711) 7 days a week, 8 AM to 8 PM. For example, if you: Take time to read mailed Explanation of Benefits (EOB) statements or online claims. This requires responding to a text alert sent to your mobile phone confirming your enrollment in this Service. License to use CPT for any use not authorized herein must be obtained through the American Medical Association, CPT Intellectual Property Services, 515 N. State Street, Chicago, Illinois 60610. Medical, Dental, Pharmacy, Managed Behavioral Health and Vision plans Notice of Privacy Practices, Aetna Senior Supplemental Health Notice of Privacy Practices, Aetna Student Health Notice of Privacy Practices, Employee Assistance Plan Notice of Privacy Practices, Long-Term Care Notice of Privacy Practices, Aetna Voluntary Notice of Privacy Practices, Aetna International U.S. Based Plans Notice of Privacy Practices, Large Case Pension Notice of Information Practices, Life and Disability Notice of Information Practices, Life Privacy Notice for American / Continental Notice of Information Practice. Allina Health l Aetna is an affiliate of Aetna Life Insurance Company . BBB Serving Northeast and Central Louisiana and the Ark-La-Tex. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. See reviews, photos, directions, phone numbers and more for Aetna Insurance Co locations in Lexington, KY. What are you looking for? All other marks contained herein are the property of their respective owners. In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members. Aetna Inc. and itsaffiliated companies are not responsible or liable for the content, accuracy or privacy practices of linked sites, or for products or services described on these sites. This may include your devices physical location, internet protocol (IP) address, battery information, app activity, data usage, and malware information. We may also use or share your information to enforce our terms and conditions, to protect our operations or those of any of our affiliates, or to protect our rights, privacy, safety or property and/or that of our affiliates, you or others. We detect that you are visiting from Serbia. Any changes become effective when we post the revised Privacy Statement. Or call the number in the app youre using. CPBs include references to standard HIPAA compliant code sets to assist with search functions and to facilitate billing and payment for covered services. This link will take you to the Aetna Better Healthof Kentucky provider website. SKY members receive their coverage and extra benefits through Aetna Better Health of Kentucky. Appeal. Slade & Collins can handle all of you, John G. King Insurance is an independent insurance agency that specializes in tailoring policies that provide excellent coverage for you. They may use it to send you marketing and other communications. Our response will depend on the nature of your request. Discover coverage that takes a total approach to health. If you're a health care professional working with us: Protecting the privacy and security of sensitive information is one of our highest priorities. Aetna Inc. and its affiliated companies are not responsible or liable for the content, accuracy or privacy practices of linked sites, or for products or services described on these sites. Dates for services on which you did not receive care, Anything your doctors, nurses, and others put in your medical record, Conversations your doctor has about your care or treatment with nurses and others, Information about you in an insurer's computer system, Billing information about you at a doctor's office, clinic or hospital, Know who has your personal health information, Request limits on who can see this information, Be provided with privacy notices that explain our use and disclosure of your information, Decide if you want to give your permission before your information can be used or shared for certain purposes, such as for marketing, Get a report on when and why your information was shared for certain purposes, File a complaint if you feel your right to privacy has been violated, Put safeguards in place to protect your information, Limit the use and disclosure of your information to the minimum needed to accomplish our goals, Enter into agreements with our contractors and others to make sure they use and disclose your information properly and safeguard it appropriately, Have procedures in place to limit who can see your information, Hold training programs for employees to learn how to protect your information, Request information on how we may use or share your health information, See what health information we have about you, Authorize someone else to see your private health information. Third party messages that are sent to Aetna via the "Contact Us" feature on Aetna.com are also encrypted. Reload the page and repeat your search. B Wise Insurance. Lexington, KY 40509. Important addresses All dental encounters Aetna Dental Encounters P.O. See all legal notices In addition, Shelter offers several term, whole life, and universal life insurance products that provide affordable protection, As an Allstate Agent in Lexington, I know many local families. On average, patients who use Zocdoc can search for a Primary Care Doctor in Lexington who takes Aetna insurance, book an appointment, and see the Primary Care Doctor within 24 hours. The following carriers are supported: AT&T, Verizon Wireless, Sprint, T-Mobile, U.S. Cellular, Boost Mobile, MetroPCS, Virgin Mobile, Alaska Communications Systems (ACS), Appalachian Wireless (EKN), Bluegrass Cellular, Cellular One of East Central, IL (ECIT), Cellular One of Northeast Pennsylvania, Cricket, Coral Wireless (Mobi PCS), COX, Cross, Element Mobile (Flat Wireless), Epic Touch (Elkhart Telephone), GCI, Golden State, Hawkeye (Chat Mobility), Hawkeye (NW Missouri), Illinois Valley Cellular, Inland Cellular, iWireless (Iowa Wireless), Keystone Wireless (Immix Wireless/PC Man), Mosaic (Consolidated or CTC Telecom), Nex-Tech Wireless, NTelos, Panhandle Communications, Pioneer, Plateau (Texas RSA 3 Ltd), Revol, RINA, Simmetry (TMP Corporation), Thumb Cellular, Union Wireless, United Wireless, Viaero Wireless, and West Central (WCC or 5 Star Wireless). Al-Harith Shalash, DMD is a Dentist in Lexington, KY. . Who are the stakeholders in an insurance company, How do I find the phone number for my house insurance agent. You depend on us to manage your insurance so you can live. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. These people go out of their way to help you - no matter what your insurance needs may be, Phone number has changed to 859-253-8799, address is now 2400 Harrodsburg Road. . 1-800-638-8432 (TTY: 711) Rural Carrier Benefit Plan. Work with your Aetna Contact or Account Rep to reduce the transmission of SSNs. This statement describes how Aetna (Aetna, we or us) may collect information about you through your interactions with us on our website and mobile applications (apps) that contain a link to this statement (collectively, the Services). Child and Family Advisory Partnership (CFAP): youth and family plus community presenters (PDF), HEERO (Helping Each Other/Everyone Reach out) Workshops: youth and supportive family members(PDF), Family Finding Boot Camps: care managers meet with child protection professionals and network of adult relatives and supportive community members (PDF), Training Collaborative bimonthly trainings with stakeholders(PDF).

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