Aetna Prior Authorization Form
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Quick guide on how to complete aetna prior authorization form
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People also ask
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How to appeal an Aetna Medicare denial?
You may also ask us for an appeal through our website at .aetnamedicare.com. Expedited appeal requests can be made by phone at 1-888-267-2637. Who may make a request: Your doctor may ask us for an appeal on your behalf.
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Who is responsible for getting pre-authorization at Aetna?
Your doctor can send us a request to get that approval. This is called prior authorization. It's also known as “preapproval” or “precertification.” The Aetna® clinical team will review your doctor's request. They make sure the treatment is based on the best available clinical research so it's right for you.
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What is the phone number for Aetna Medicare authorization?
For more help understanding what you need prior authorization for, call the Member Services number on your member ID card, 1-833-570-6670 (TTY: 711). We're available between 8 AM and 8 PM, 7 days a week.
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What is a prior authorization form?
Approval from a health plan that may be required before you get a service or fill a prescription in order for the service or prescription to be covered by your plan.
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How to get prior authorization for medication Aetna?
Your doctor can send us a request to get that approval. This is called prior authorization. It's also known as “preapproval” or “precertification.” The Aetna® clinical team will review your doctor's request. They make sure the treatment is based on the best available clinical research so it's right for you.
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Is Aetna Medicare the same as Aetna Medicare Advantage?
Part C plans, also known as Medicare Advantage plans, are run by private insurance companies, like Aetna® Medicare. Medicare Advantage plans are a lot like Original Medicare. But they can include valuable extra benefits that Original Medicare doesn't.
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Does Aetna require prior authorization for cataract surgery?
The prior-authorization requirement ended July 1, 2022, for all patients—except Medicare Advantage in Georgia and Florida—a year after the AOA and other groups decried Aetna's decision.
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How long does Aetna take to approve prior authorization?
We'll let you and your doctor know what we decide via letter. The review process can take up to two weeks.
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