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For Providers

Access to the tools you use most

Use the links below to access information for your Coventry Medicare patients

Prior Authorization & Exception Request Forms

All forms require the doctor's signature.

2017 forms

General Prior Authorization
Armodafinil
Androgel
Aranesp
Hepatitis C
Lidocaine Patch
Linezolid
Lyrica
Modafinil
Ondansetron
Procrit
Regranex
Sildenafil
Tracleer
Zolpidem IR
Tier Exception

Log in or Register for DirectProvider

Our secure website can help you manage your Coventry business. There, you can:

  • View patient eligibility and benefits
  • Check the status of claims
  • View the National Precertification List (NPL)
  • Access your remittance

Disclaimers

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.

See Evidence of Coverage for a complete description of plan benefits, exclusions, limitations and conditions of coverage. Plan features and availability may vary by service area.

Aetna Medicare’s pharmacy network offers limited access to pharmacies with preferred cost sharing in: Suburban NY; and Rural AR, NY, and UT. The lower costs advertised in our plan materials for these pharmacies may not be available at the pharmacy you use.


       Y0001_4006_10830 Approved 10/27/2017
       Page last updated: Tue Sep 05 12:35:14 EDT 2017

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  • - Send a secure message to Member Services
  • - Check your claims
  • - Get an ID card
  • - And more

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