We’ve expanded our 2019 Dual Eligible Special Needs Medicare Advantage HMO Plans. These plans are available to individuals who are dual eligible for Medicare and Medicaid coverage and live within a DSNP county.
Since the DSNP network is available in a limited number of counties, check your participation status using the provider search tool on either the Aetna or Coventry website.
DSNP members should show the following cards to your office staff:
Prior authorizations
Participating providers can submit preauthorization requests through our provider portal, by fax or by calling the Provider Service Center.
Other important information
View our DSNP information by checking our provider manual on aetna.com.
Questions and/or to verify eligibility
To verify member and provider eligibility, view claims submission information and access our websites, view our 2019 Dual Eligible Special Needs Medicare Advantage HMO Plans. You can also use the phone number listed there to speak to a representative.
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You are now being directed to the CVS Health COVID-19 testing site
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The Fight Is In Us site
Links to various non-Aetna sites are provided for your convenience only. Aetna Inc. and its subsidiary 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.
Links to various non-Aetna sites are provided for your convenience only. Aetna Inc. and its subsidiary 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.
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Each main plan type has more than one subtype. Some subtypes have five tiers of coverage. Others have four tiers, three tiers or two tiers. This search will use the five-tier subtype. It will show you whether a drug is covered or not covered, but the tier information may not be the same as it is for your specific plan. Do you want to continue?