Find important contact information here.
Provider Frequently Asked Questions (FAQ's)
The Provider FAQ (PDF) is intended to be used for quick reference and may not contain all of the necessary information.
For detailed information, refer to the Aetna Assure Premier Plus (HMO D-SNP) Provider Manual (PDF).
Additional Provider Information
Here are some helpful links for providers who are new to our network:
We’re Aetna Assure Premier Plus (HMO D-SNP). We bring our national experience to you locally, ensuring you have the resources and tools you need to stay well. We see you as our ally in providing high-quality health care services to our members in the Aetna Assure Premier Plus (HMO D-SNP) plan. We provide our members with access to important health care services and programs. We designed this to be convenient for our members and providers.
Members must live in Bergen, Camden, Essex, Hudson, Mercer, Middlesex, Monmouth, Ocean, Passaic and Union
Effective 1/1/2022, our service area will expand to provide coverage statewide:
Atlantic, Bergen, Burlington, Camden, Cape May, Cumberland, Essex, Gloucester, Hudson, Hunterdon, Mercer, Middlesex, Monmouth, Morris, Ocean, Passaic, Salem, Somerset, Sussex, Union and Warren Counties
Good communication among our providers and our plan administrators is key to the delivery of quality health care services to our members. Please don’t hesitate to contact us at any time with any questions you have. We look forward to a successful partnership that will benefit our most vulnerable members.
Here are more helpful links for providers:
Learn more about filing a grievance, dispute or an appeal.
Learn how to submit and check the status of claims.
Learn how to request prior authorization.
Learn more about our quality management program and billing guide.
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