Have a question about Banner|Aetna’s Individual and Family Plans available on the Affordable Care Act (ACA) Marketplace? Find answers about plan benefits, getting reimbursed and more to make your job easier.
Get up to speed with our plans and find details about where and when coverage is available.
Find out if you’re participating in our individual & family plans for 2023.
Call your provider support team
First, check out our FAQs. Still need help? Our dedicated representatives are here to answer all your questions.
1-888-632-3862 (TTY: 711)
Call us Monday — Friday, 8 AM to 5 PM, local time.
General questions
General questions
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What is a qualified health plan (QHP)?How can I identify an exchange member?When do Banner|Aetna individual and family insurance plans first become effective?When does Open Enrollment for 2023 plans start and end?Are the payer ID and claim address the same for exchange plans?How can I check my product participation status?Will Banner|Aetna’s online eligibility and benefits verification system indicate if a patient is on a state exchange plan?Do I have to refer patients to other providers within an exchange?
Plan benefits
Plan benefits
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Are claims filing timelines different for the Banner|Aetna individual and family insurance plans?What ID should I use to verify member benefits or submit an inquiry or claim?How do individual and family insurance plans work with Coordination of Benefits (COB)?If a member has not selected or been assigned a PCP, how long does it take for a PCP selection to take effect?What are the members out of network benefits?Where can I find the formulary information for Banner|Aetna individual and family insurance plans?
Payment and billing
Payment and billing
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I understand that some exchange members qualify for a grace period if they don’t pay their premiums. What does that mean?How will Banner|Aetna reimburse out of network claims?How will I be reimbursed as a participating provider of the Banner|Aetna individual and family insurance plans?
Transforming health care, together
Banner|Aetna aims to offer access to more efficient and effective member care at a more affordable cost. We join the right medical professionals with the right technology, so members benefit from quality, personalized health care designed to help them reach their health ambitions.