This guide explains how to work with us. It has policies, procedures and contact information.
Office Manual for Health Care Professionals (applies to all regions)
Northeast Office Manual Supplement (CT, DE, MA, ME, NH, NJ, NY, PA, RI, VT, WV) (PDF)
Southeast Office Manual Supplement (AR, AL, DC, FL, GA, LA, MD, MS, NC, SC, TN, VA) (PDF)
West Office Manual Supplement (AK, AZ, CA, CO, HI, ID, NM, NV, OR, TX, UT, WA) (PDF)
This overview has information about APCN and APCN Plus Networks.
Aetna Premier Care Network/Aetna Premier Care Network Plus Provider Guide (PDF)
This manual has information about our specialty programs and clinical practice guidelines, along with information on credentialing.
This manual details our referral process, quality standards, credentialing and reimbursement process.
This manual is a reference tool to help contracting delegates and their staff understand how to perform delegated functions to Aetna standards.
Use our secure provider website to access electronic transactions and valuable resources to support your organization.
Use your search tool to see if precertification is required.
View medical, dental or pharmacy clinical policy bulletins.
Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates (Aetna).
Health benefits and health insurance plans contain exclusions and limitations.
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.
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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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.
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.
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?
