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#Aetna senior supplemental timely filing limit full
#Aetna senior supplemental timely filing limit code

All necessary supporting documents, including itemized bills, original receipts, certificates and X-rays.

Complete details such as the date and description of service and the reason for your visit.

Your member ID number and contact information to put on forms and supporting documents.

Make sure you know and have on hand the following:

Physiotherapy (additional referral by a specialist required after 10 sessions).

You'll need to request a referral letter from your medical practitioner or specialist if you plan on submitting a claim for any of the following services: Let our friendly illustrated character ‘Scoop’ show you how easy it is to make a claim in this quick start video guide. The process actually starts BEFORE you complete a claim form, so here's what you can do to make it go smoothly. That's where medical claims submission comes into play. But we recognize it's also important that you get reimbursed for money you've spent on health care services in a timely, efficient fashion. Please contact your plan administrator for costs and complete details.Accessing health care when you need it is your priority ― and we're always here to help you with that. Like most insurance policies, insurance policies offered by MetLife and its affiliates contain certain exclusions, exceptions, reductions, limitations, waiting periods and terms for keeping them in force. In certain states, availability of the individual dental product is subject to regulatory approval. Careington is not affiliated with MetLife or its affiliates. Certain administrative services are provided by Careington Benefit Solutions, Frisco, TX (Careington). “DHMO” is used to refer to product designs that may differ by state of residence of the enrollee, including but not limited to: “Specialized Health Care Service Plans” in California “Prepaid Limited Health Service Organizations” as described in Chapter 636 of the Florida statutes in Florida “Single Service Health Maintenance Organizations” in Texas and “Dental Plan Organizations” as described in the Dental Plan Organization Act in New Jersey.ĭental benefits are provided by Metropolitan Life Insurance Company (MetLife) or an affiliate of MetLife. The Dental HMO/Managed Care companies are part of the MetLife family of companies.

a Florida corporation, in FL SafeGuard Health Plans, Inc., a Texas corporation, in TX and MetLife Health Plans, Inc., a Delaware corporation, and Metropolitan Life Insurance Company, a New York corporation, in NJ. a California corporation, in CA SafeGuard Health Plans, Inc. Dental HMO plan benefits are provided by: SafeGuard Health Plans, Inc. Group dental insurance policies featuring the Preferred Dentist Program are underwritten by Metropolitan Life Insurance Company, New York, NY 10166.ĭental Managed Care plan benefits are provided by Metropolitan Life Insurance Company, a New York corporation, in NY. This example is used for informational purposes only.

#Aetna senior supplemental timely filing limit code

Negotiated fees are subject to change.Ħ Based on MetLife data for a crown (D2740) in ZIP code 06340.

#Aetna senior supplemental timely filing limit full

Negotiated fees refers to the fees that in-network dentists have agreed to accept as payment in full for covered services, subject to any copayments, deductibles, cost sharing and benefit maximums. Please refer to your schedule of benefits.ĥ Based on internal analysis by MetLife. Accessed February 1, 2021.ģ Your out-of-pocket costs may be greater when you visit a dentist who does not participate in the MetLife network.Ĥ Savings from enrolling in a dental benefits plan will depend on various factors, including the cost of the plan, how often members visit the dentist and the cost of services rendered. 1 Savings from enrolling in a dental benefits plan will depend on various factors, including the cost of the plan, how often participants visit the dentist and the cost of services rendered.Ģ American Dental Association Dentists: Doctors of Oral Health, American Dental Association, Chicago, IL.