How to Obtain Prior Authorization
As an Aetna Better Health provider, you will need to prescribe a medically necessary
therapy or medication for a member. Some of these services require prior authorization.
A current list of the services that require authorization is available via the secure web portal.
If you have questions about what is covered, consult your provider handbook or call
1-866-212-2851. If covered services and those requiring prior authorization
change, you will receive at least 60 days’ advance notice via provider newsletter,
e-mail, updates to the Aetna Better Health website, letter (U.S. mail), telephone
call or office visit.
Aetna Better Health works with certain subcontractors to coordinate services that
are provided by entities other than Aetna Better Health, such as transportation,
vision or dental services. If you have an Aetna Better Health member that needs
one or more of these services, please contact Member Services at 1-866-212-2851.
Remember, prior authorization is not a guarantee of payment. Unauthorized services
will not be reimbursed.
To submit a prior authorization request, you may do so via our secure web portal, fax the form to 855-320-8445,
or call 1-866-212-2851.