When you come to this page, we are sure that you want to know information about Aetna Senior Products Provider Eligibility. If so, you should read this article. Here we are going to explain about Aetna Senior Products Provider Eligibility. Make sure you do not miss any information from this page.
Provider Eligibility Verification
By using Payer ID AESSI, you will be able to submit inquiries for eligibility, benefit, and also claim status.
Here is a process of eligibility verification:
- At the first step, you have to submit your last name.
- After that, you have to submit your date of birth.
- Then, you have to submit your policy number.
- The next step, you have to click the Apply button.
If you receive an invalid date of birth error message, then you will be able to use a different web browser such as Google Chrome or Microsoft Edge to access the site. We get information that some web functions are no longer supported by Microsoft’s Internet Explorer web browser. If you are using Google Chrome or Edge and still getting an error, we highly suggest you clear your browser’s cache.
Provider Payment Portal
Talking about Aetna Provider Eligibility, now we are also going to talk about Aetna Provider Payment Portal. Need to know that you have the ability to use their provider payment portal to access payments and request remittance advice for payments issued after July 23, 2021.
If you want to access provider payment portal, you are able to follow these steps below:
- At the first step, you are going to be asked to submit your username. So, just submit your username correctly.
- After that, you are going to be asked to submit your password. Make sure you submit your password correctly.
- Lastly, you have to click the login button.
In other cases, if you have not yet registered for the Provider Payments Portal, then you are able to register. To confirm your ACH Deposit, simply you are able to click this link here.
Remember that if you are not the owner or an employee of this Tax ID, then this provider payment portal is not intended for your use and your access can be terminated immediately without your consent. Fraudulent use of the website will lead to prosecution.
Aetna Provider Portal
Aetna’s provider portal will allow you to access critical information online wherever and whenever you need it. This provider portal tool is available for Aetna plans to directly connect with up-to-date information including:
- Eligibility verification
- Claims inquiries
- Prior Authorization information and requests
- Remittance Advices
This provider portal is designed and maintained to the highest standards, promising accurate information and faster access to the information you need. Also, you will be able to submit your primary electronic claims directly to Medicare. Usually, Medicare uses member eligibility files to verify secondary insurance carriers and routes the appropriate secondary claims to them to process and payment.
Simply, you are able to use ConnectCenter, their secure portal, to access eligibility and claim status inquiries. By the way, how to sign up for a secure portal? Do not worry, here we are going to share information to sign up for a secure portal.
Here are some steps to sign up for secure portal:
- At the first step, you have to submit your NPI.
- After that, you have to submit the provider’s last name.
- Then, you have to submit the provider’s first name.
- Next, you are able to submit the provider prefix.
- Now, you need to submit the provider suffix.
- Click at the next button. And ensure you follow all instructions.
Warning: NPI is required for providers that have an NPI. For those who do not have an NPI, then you have to submit your payer assigned Atypical Provider ID. If you bill for some providers, you have to submit additional provider information in Provider Management after your account is made. Keep in mind that you do not repeat the sign-up process for your additional users or providers.
What Aetna Senior Products Are Available?
Apparently, there are many products available for seniors offered by Aetna. With these products, you will have complete protection from whatever may come your way.
- Medicare Supplements
Medicare is a federally funded program which offers cost-effective healthcare. However, it does not cover everything. An Aetna senior supplemental product is able to fill in those gaps. With Aetna Medicare plans, you are able to get coverage for Plan F, Plan G, and Plan N.
Here you are able to review the rates and deductibles for an Aetna Medicare Advantage:
| Plans | Monthly Premiums | Deductible |
| PPO Medicare Advantage Plan | $0 – $214 | $0 – $1,800 |
| HMO Medicare Advantage Plan | $0 – $178 | $0 – $1,180 |
| HMO-POS Medicare Advantage Plan | $0 – $33 | $0 – $500 |
If you want a plan which can get you the most coverage, we highly suggest you choose Plan F. It is the most comprehensive plan available, and of course you will not have to worry about being left with any out-of-pocket expenses.
- Complementary Insurance Products
While it is very good to have health insurance, some plans give less coverage than others. You are able to rest easy knowing that you are going to get the care you need via the Protection Series if you suffer from a heart attack or a stroke. Also, you are able to obtain coverage for dental, vision, and hearing via the Aetna Protection Series, however that is not all that Aetna can do for you. The Protection Series is going to cover you if you need medical care in your home or schedule recovery care.
- Whole Life Insurance
Besides health insurance products, you are also able to buy Aetna life insurance. For your information, Aetna’s whole life insurance is better known as final expense insurance because it is designed to provide funds for a funeral or memorial. Final expense insurance is usually inexpensive as the coverage amounts available are not high. You are able to use the data to see how much an Aetna life insurance policy could cost you.
