| Administrator |
Aetna |
| Product |
Patient Choice Insights |
| Member Enrollment |
- Features a network where clinics and other health care facilities are tiered according to cost and quality factors.
- Members can access any provider in the network. Generally, they pay a lower cost to visit Tier 1 providers, a middle cost to visit Tier 2 providers, and a higher cost to visit Tier 3 providers. Note: For some plan designs, the copayment does not vary depending on a provider’s tier.
|
| Tier Levels |
Primary care clinics, specialty care clinics, hospitals and other facilities |
| Claims Information |
Learn about Aetna's electronic claims tools on their Web site
Phone number: (888) 632-3862
Claim address:
Aetna
P.O. Box 981106
El Paso, TX 79998-1106
View Aetna's Quick Reference Guide (PDF) |
| Provider Service Center |
(888) 632-3862 |
| Web Site |
Provider Web site: http://www.aetna.com/provider
Secure transactions Web site: http://www.aetna.com/provider/service/secure/secure.html |
| Member Rights and Responsibilities |
(888) 632-3862 |
| ID Card/Logo |
View sample ID card (PDF) |
| Behavioral Health/Substance Abuse Network |
Product uses the UBH network (the same network used by Medica’s SelectCare product). Aetna provides claim payment and managed care.
Claim address:
Aetna
P.O. Box 981106
El Paso, TX 79998-1106 |
|
| Chiropractic |
Product uses the Health Services Management (HSM) network.
Claim address:
HSM / Patient Choice
7805 Hudson Rd, #190
St. Paul, MN 55125
HSM Provider Services:
(800) 432-3640 or (651) 287-4701
|
| Referrals to Nonparticipating Providers |
No, except for UM-related care availability |
