Generally, if you’re retired and have Medicare Parts A and/or B as your primary coverage, it’s not necessary to select an In-Network provider. However, you will not receive In-Network benefits for any services that Medicare does not cover when you choose an Out-of-Network provider.
Your Relationship with Your Provider is Important. We understand the importance of having confidence in your health care provider. You’ve built a trusting relationship and you want to keep it. Yet you can save by using an In-Network provider. That’s why we make it easy for providers to join our Network.
To find out if your provider already participates in our Network, search our electronic directory at:
- https://aetna.com/dsepublic/#/mhbp; or
- Call 1-800-410-7778 (TTY: 711)
If your provider is not in our Network, have your provider visit https://cldaz.aetna.com/pocui/ and select the appropriate channel to get started. The process has been enhanced to streamline the process and supplies a few recommended resources to ensure the smoothest transition once a provider is officially a participating in-network provider.