AETNA MEDICARE Provider Directory Aetna Medicaresm Plan (HMO) (PPO)
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Quality health plans & benefits Healthier living Financial well-being Intelligent solutions AETNA MEDICARE Provider Directory Aetna MedicareSM Plan (HMO) (PPO) http://www.aetnamedicare.com NORTH GEORGIA MOUNTAINS This directory was updated on 09/04/2015. For more recent information or other questions, please contact us at 1-800-282-5366 or for TTY users, 711, 8 a.m. to 8 p.m., seven days a week, or visit http://www.aetnamedicare.com. Este directorio fue actualizado el 09/04/2015. Para obtener información más reciente u otras preguntas, comuníquese con nosotros al 1-800-282-5366 o para usuarios de TTY al 711, de 8 a.m. a 8 p.m., los siete días de la semana, o visite el sitio de Internet http://www.aetnamedicare.com. 18.01.161-A (9/15) NORTH GEORGIA Y0001_1080_5298_FINAL_33a Approved 7/2015 MOUNTAINS medcover.north.GA.indd 1 9/30/2015 4:10:41 PM medcover.north.GA.indd 2 9/30/2015 4:10:41 PM medFM1.HMOPPO.qxp 9/30/2015 4:11 PM Page I Table of Contents Aetna Medicare plan information..................................................................................................................................................II Understanding service area maps and plan type.....................................................................................................................III Map(s) of service areas.....................................................................................................................................................................IV Section 1 - Introduction..................................................................................................................................................................VI Spanish version...................................................................................................................................................................................IX Hospitals and skilled nursing facilities (SNF) ..............................................................................................................................5 Hospital affiliation key.......................................................................................................................................................................3 Primary care physicians..................................................................................................................................................................24 Obstetricians and gynecologists / women's health specialists..........................................................................................46 Specialists ...........................................................................................................................................................................................54 Behavioral health providers........................................................................................................................................................140 Eye care providers .........................................................................................................................................................................144 Other participating providers ....................................................................................................................................................150 Institutes of Excellence™ transplant facilities.......................................................................................................................165 Nationally contracted walk-in clinics......................................................................................................................................173 Index of providers speaking additional languages..............................................................................................................178 Index of providers..........................................................................................................................................................................182 Disclaimers.............................................................................................................................................................Inside back cover I medFM1.HMOPPO.qxp 9/30/2015 4:11 PM Page II Aetna MedicareSM Plan (HMO) (PPO) Provider Directory Individual plan names: Aetna Medicare Connect Plus (PPO) Aetna Medicare Essential Plan (PPO) Employer Group plan names: Aetna MedicareSM Plan (HMO) Aetna MedicareSM Plan (PPO) This directory provides a list of Aetna Medicare Plan (HMO) (PPO) network providers. This directory is for North Georgia Mountains. The service area map(s) on the next page(s) show the service area counties included in this directory. You can find a complete directory of the entire plan provider network at http://www.aetnamedicaredocfind.com. If you don’t have Internet access, we’ll give you a hard copy at your request. Just call Member Services at the number below. This directory includes the Spanish translated version. A Spanish version of the Introduction follows the English version. Spanish translation can also be found throughout the directory and on the tabs of each section. You can find a list of pharmacies that offer Part B and Part D drugs in your Pharmacy Directory. Check with your pharmacy to see if they offer the services you need to fill a prescription. This directory is current as of 09/04/2015. Some network providers may have been added or removed from our network after this directory was printed. We do not guarantee that each provider is still accepting new members. To get the most up-to-date information about Aetna Medicare Plan (HMO) (PPO) network providers in your area, you can call our Member Services department at 1-800-282-5366 (TTY: 711), 8 a.m. to 8 p.m., seven days a week. Or visit http://www.aetnamedicare.com. Aetna Medicare is a PDP, HMO, PPO plan with a Medicare contract. Our SNPs also have contracts with State Medicaid programs. Enrollment in our plans depends on contract renewal. This information is available for free in other languages. Please call our Member Services number at 1-800-282-5366 (TTY: 711). Hours of operation: 8 a.m. to 8 p.m., seven days a week. Esta información está disponible en otros idiomas de manera gratuita. Por favor llame nuestro número de Servicios al Miembro al 1-800-282-5366 (TTY: 711). Horario de atención: de 8 a.m. a 8 p.m., los siete días de la semana. II medFM1.HMOPPO.qxp 9/30/2015 4:11 PM Page III Understanding service area maps and plan type The service area maps in this directory show the counties where Aetna Medicare plans are offered. If coverage for an Aetna Medicare plan is offered in only part of a county, then a list of covered zip codes is provided. Please take the time to become familiar with the service area map specific to you and your plan. The two service area maps on the following pages are for Aetna Medicare Individual plans and Aetna Medicare Employer Group plans. Q: How do I know if I am an Individual plan member and which map should I use? A: You can check your member ID card. Look for a 4-digit number on the front of your card that has a letter before it. For example: H3623. You will see a 3-digit number after that number. For example: 001. If that 3-digit number starts with any number besides an 8, then you are an Individual plan member. If you are still unsure if you are an Aetna Medicare Individual plan member you may contact us to find out. Call our Member Services department at 1-800-282-5366 (TTY: 711), 8 a.m. to 8 p.m., seven days a week. As an Individual plan member, you should use the Aetna Medicare plan Individual service area map to understand where your plan is available. Q: How do I know if I am an Employer Group plan member and which map should I use? A: You can check your member ID card. Look for a 4-digit number on the front of your card that has a letter before it. For example: H3623. You will see a 3-digit number after that number. For example: 804. If that 3-digit number starts with an 8, then you are an Employer Group plan member. If you are still unsure if you are an Aetna Medicare Employer Group plan member then call the number on the back of your ID card to find out. As an Employer Group plan member, you should use the Aetna Medicare plan Employer Group service area map to understand where your plan is available. III medFM1.HMOPPO.qxp 9/30/2015 4:11 PM Page IV Aetna MedicareSM Plan (PPO) Individual Service Area Map This map represents the counties in which Aetna Medicare Individual Plans (PPO) are offered. Hall Elbert Barrow Aetna Medicare Individual Plan (PPO) Questions? Existing Members: New Member Inquiries: TTY: Call toll-free 1-800-282-5366 1-855-338-7027 711 (Hearing-impaired only) CMB-3000IV medFM1.HMOPPO.qxp 9/30/2015 4:11 PM Page V Aetna MedicareSM Plan (HMO) (PPO) Employer Group Service Area Map This map represents the counties in which Aetna Medicare Employer Group Plans (HMO) (PPO) are offered. Towns Fannin Rabun Murray Union Gilmer White Lumpkin Stephens Habersham Pickens Dawson Franklin Hall Banks Hart Madison Elbert Barrow Aetna Medicare Employer Group Plan (HMO) (PPO) Aetna Medicare Employer Group Plan (PPO) Questions? Existing Members: New Member Inquiries: TTY: Call toll-free Call the number 1-800-307-4830 711 on your ID card (Hearing-impaired only) CMB-3001V medFM1.HMOPPO.qxp 9/30/2015 4:11 PM Page VI Section 1 – Introduction network provider, it is important to confirm they This directory provides a list of Aetna MedicareSM will accept your PPO plan and are eligible to