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In Oregon :
When a referral is needed from your primary care provider
As an Aetna Open Choice plan member, you never need a referral (a written request for you to see another doctor) from your regular doctor to see a specialist. You also do not need to select a primary care provider (PCP), but we encourage you to do so to help you navigate the health care system. With Aetna Managed Choice plans, you may choose a doctor in our network with or without a PCP referral. You may also choose to visit an out-of-network doctor. We cover the cost of care based on your choices. With Aetna Elect Choice plans, you are required to get a referral from your PCP before you can see a specialist. A “referral” is a written request for you to see another doctor. Some doctors can send the referral right to your specialist for you. There’s no paper involved! Talk to your doctor to understand why you need to see a specialist. And remember to always get the referral before you receive the care.
Source of Directory Information
The information included in the on-line directory is accurate as of the date posted to the web. The information contained in this directory is provided to Aetna from the providers, or the providers’ representatives, for publication. DocFind is updated 6 days per week, excluding holidays, Sundays, or interruptions due to system maintenance, upgrades or unplanned outages.
Network Criteria
Aetna has established a standardized approach to the selection, credentialing and retention of participating practitioners and providers. Practitioner and provider selection is guided by Aetna’s participation criteria. The participation criteria include business criteria, and professional, competence and conduct criteria.
Telemedicine
Telemedicine is a method of delivering health care information and services that enable your doctor or other health professional to evaluate, diagnose and treat you remotely by using the latest telecommunications technology. Telemedicine offers numerous benefits as an alternative to traditional in-person medical care. Many specialists and hospitals in the United States use some form of telemedicine. Check with your doctor or medical facility to see if they offer telemedicine services and if they are appropriate for your health care needs.
Help for those who speak another language
If you need help in another language ask an English speaking family member or friend to contact your doctor or medical facility. Ask if multi-lingual employees are on staff. If not, you can also ask if they provide over-the-phone interpretation through a service like the AT&T Language Line. These types of services can provide interpretation for up to 170 languages. If this is a service offered by your doctor or medical facility, they’ll connect you to the number associated with their practice and ask for an interpreter that speaks your native language. A member of the practice will remain on the line to answer your questions through the interpreter. This directory is also available in other languages at no cost to you.
Handicapped accessibility
Health care providers participating in the Aetna network are required to have all areas physically accessible to all members, including but not limited to the office entrance, parking, and bathroom facilities.
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