2019 Provider & Pharmacy Directory 2019 醫療保健提供者及藥房名錄

2019 Provider & Pharmacy Directory 2019 醫療保健提供者及藥房名錄 Aetna Medicare Aetna Medicare Elite Plan (PPO) SM Aetna Medicare Premier Plan (PPO) STATEN ISLAND NEW YORK This directory is current as of 05/15/2019. 本名錄資訊截止至 05/15/2019。 Other pharmacies, physicians, providers are available in our network. 您還可以使用我們的合作網路中的其他藥房、醫生以及醫療保健提供者。 www.aetnamedicare.com NR_1080_12808_C_FINAL_189 07/2018 72.01.669_CH-I For more recent information or other questions, 如需了解更多最新資訊或還有其他問題，請 please visit www.aetnamedicare.com or 造訪 www.aetnamedicare.com 或致電 contact us at 1-800-282-5366 (TTY:711), 8 a.m. 1-800-282-5366 (TTY: 711) 與我們聯 to 8 p.m., all time zones, 7 days a week. 絡，電話服務時間為每周 7 天，上午 8 時至晚間 8 時（所有時區）。 For more information on the network pharmacies in your area, please visit 如需了解您所在地區的合作網路藥房的更多 www.aetnamedicare.com/findpharmacy or 資訊，請造訪 www.aetnamedicare.com/ contact us at 1-800-282-5366 (TTY: 711), 24 hours a day, 7 days a week. findpharmacy 或致電 1-800-282-5366 (TTY: 711) 與我們聯絡，電話服務時間為每天 24 小時，每週 7 天。 Table of Contents Aetna Medicare plan information ...........................................................................................................3 Section 1 – Introduction ..................................................................................................................4 What is the service area for the Aetna Medicare plan? ............................................................6 How do you find Aetna Medicare plan providers in your area? ................................................ 6 Section 2 – List of network providers ......................................................................................... 8 Primary care providers (PCP) ..................................................................................................... 10 Obstetricians and gynecologists / women's health specialists .............................................. 25 Specialists .......................................................................................................................................31 Eye care providers ......................................................................................................................... 93 Dental providers ........................................................................................................................... 97 Behavioral health providers .....................................................................................................107 Behavioral health hospitals and facilities ...............................................................................115 Other participating providers (laboratories & facilities) ....................................................... 116 Skilled nursing facilities (SNFs) ................................................................................................ 119 Hospitals ..................................................................................................................................... 120 Index of providers ....................................................................................................................... 121 Pharmacies ............................................................................................................................................................................................... 137 Disclaimers ................................................................................................................................. 145 目錄 Aetna Medicare 計劃資訊 .........................................................3 第 1 部分：簡介 ..................................................... 4 Aetna Medicare 計劃的服務區域包含哪些地方? ................................ 6 如何找到您所在地區的 Aetna Medicare 計劃醫療保健提供者? ....................6 第 2 部分：合作網路提供者名單 ........................................8 初級保健提供者 (PCP) ..................................................... 10 婦產科醫生 / 女性健康專家 ................................................ 25 專科醫生 ..................................................................31 眼科護理提供者 ............................................................93 牙科服務提供者 ............................................................97 行為健康提供者 ...........................................................107 行為健康醫院及機構 .......................................................115 其他參與計劃的提供者（化驗室及機構） ..................................... 116 專業護理機構 (SNF) ...................................................... 119 醫院 .....................................................................120 提供者索引 ...............................................................121 藥房 .....................................................................137 免責聲明 .................................................................145 Provider & Pharmacy Directory / 醫療保健提供者及藥房名錄 Aetna Medicare Elite Plan (PPO) Aetna Medicare PremierSM Plan (PPO) This directory is current as of 05/15/2019. 本名錄資訊截止至 05/15/2019。 This directory provides a list of your plan’s 本名錄列示了您的計劃的合作網路醫療保健 current network providers. 提供者。 This directory is for STATEN ISLAND NEW YORK. 本名錄適用於 STATEN ISLAND NEW YORK。 For a more complete listing of providers you 如需了解更完整的醫療保健提供者名單， may go online to www.aetnamedicare.com/ 可上網瀏覽 www.aetnamedicare.com/ findprovider or call the Member Services findprovider，或致電您的會員卡上的客戶服 number on your ID card. 務電話。 To access Aetna Medicare's online provider directory, you can visit 如需查看Aetna Medicare的線上醫療保健提供 www.aetnamedicare.com/findprovider. For 者名錄，可造訪 www.aetnamedicare.com/ any questions about the information contained findprovider。如有與本名錄包涵內容相關的 in this directory, please call our Member Services 問題，請撥打您的會員卡上的會員服務部電話或 department at the number on your member ID 1-800-282-5366 (TTY: 711)，電話服務時 card or 1-800-282-5366 (TTY: 711), 8 a.m. to 8 間為每周 7 天，上午 8 時至晚間 8 時（所 p.m., all time zones, 7 days a week. 有時區）。 Aetna Medicare is a PDP, HMO, PPO plan with Aetna Medicare 是簽署了 Medicare 合約的 a Medicare contract. Enrollment in our plans PDP、HMO、PPO 計劃。我們的計劃能否接收會員 depends on contract renewal. 取決於合約是否獲得續約。 3 Section 1 – Introduction 第 1 部分：簡介 This directory provides a list of your plan's 本名錄列示了您的計劃的合作網路醫療保健提 network providers. To get detailed information 供者。欲獲取關於您健康護理承保範圍的詳細資 about your health care coverage, please see your 訊，請參閱您的「承保範圍說明書」（Evidence Evidence of Coverage (EOC). of Coverage, EOC）。 SM If you are enrolled in an Aetna Medicare 如果您加入 Aetna MedicareSM Plan (PPO) ， Plan (PPO), you have the flexibility to choose 則可以自行靈活選擇使用合作網路內提供者抑 either network providers to receive covered 或合作網路以外的提供者來為您提供承保的服 services or out-of-network providers. Although 務。雖然您並不是必須要選擇初級保健提供者 you are not required to select a Primary Care (PCP)，但是我們仍然建議您選擇一位 PCP。本 rovider (PCP), you are encouraged to do so. P 計劃承保的服務對於專科醫生護理不需要轉介。 Covered plan services do not require referrals 除非在急救情況下，合作網路以外的提供者/非 for specialist care. Out-of-network providers are 簽約提供者並無為 Aetna MedicareSM 計劃會員提 under no obligation to treat Aetna MedicareSM 供治療服務的義務。除非是屬於急救情況或需要 Plan members, except in emergencies. With 進行區域外腎透析的情況，接受由合作網路外提 the exception of emergencies or out-of-area renal dialysis, it may cost more to get care from 供者提供的護理可能會產生更高的費用。如需了 out-of-network providers. For a decision about 解我們是否會決定對合作網路外服務予以承保， whether we will cover an out-of-network service, 建議您或您的醫療保健提供者在進行此項服務之 we encourage you or your provider to ask us for 前，向我們尋求服務前組織認定。請撥打您的 a pre-service organization determination before 會員卡上的會員服務部電話或 1-800-282-5366 you receive the service. Please call our Member (TTY: 711)，電話服務時間為每周 7 天，上 Services department at the number on your 午 8 時至晚間 8 時（所有時區）。您亦可 member ID card or 1-800-282-5366 (TTY: 711), 以參閱您的「承保範圍說明書」(Evidence of 8 a.m. to 8 p.m., all time zones, 7 days a week . Coverage, EOC) 了解更多資訊，包括適用於合 You may also refer to your Evidence of Coverage 作網路外服務的分攤費用。 (EOC) for more information, including the cost sharing that applies to out-of-network services. 本名錄中所列示的合作網路內提供者已同意為您提供健康護理、視力、聽力及牙科服務。您可 The network providers listed in this directory 以隨意使用本名錄中列示的合作網路提供者。 have agreed to provide you with your health care, vision, hearing and dental services. You 如果合作網路之外的提供者直接向您遞交費用帳 may go to any of our network providers listed in 單，您不應支付帳單費用。將帳單遞交給 Aetna this directory. Medicare 進行處理及確定您的費用分擔金額（如有）。我們的索償/帳單地址列於您的會員 In cases where out-of-network providers submit 卡背面。 a bill directly to you, you should not pay the bill. Submit it to Aetna Medicare for processing and 住院或門診手術等一些合作網路健康護理服務需 determination of your cost-sharing amount, if 要從 Aetna Medicare 獲得預先授權。這意味著 any. Our claims/billing address is on the back of 該服務必須首先獲得 Aetna Medicare 批准，方 your ID card. 可納入本計劃的承保範圍。如需取得您的醫療保健承保範圍的詳細資料，請查閱您的「承保範圍 Certain network health care services, such as 說明書」（Evidence of Coverage, EOC）。如 hospitalization or outpatient surgery, require 4 prior authorization from Aetna Medicare. 果您所要求的服務需要取得合作網路內醫療保健 This means the service must be approved by 提供者的預先授權，則該提供者須在施行治療前 Aetna Medicare before it will be covered under 取得 Aetna Medicare 的預先授權。如果您的計 the plan. To get detailed information about 劃包含合作網路以外的福利，且您決定接受合作 your health care coverage, please see your 網路之外的醫療保健提供者提供的本計劃承保服 Evidence of Coverage (EOC). When you need 務，那麼我們建議您要求合作網路外的這位提供 services that require prior authorization from 者聯絡 Aetna Medicare 以取得這些服務的預先 a network provider, the provider is responsible 授權。 for obtaining prior authorization from Aetna Medicare before treatment. If your plan includes 急救護理 an out-of-network benefit and you decide to 若您需要急救護理，我們可在世界任何地方每 receive covered services from an out-of-network 周 7 天、每天24 小時承保相關護理。不論您處 provider, we recommend you ask your out-of- network provider to contact

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