Columbia University Health Services

While the paper directory of providers (available upon request) is believed to be accurate as of the print date, it is subject to change without notice. Consult Aetna's online provider directory for the most current provider listings.

Participating Providers are independent contractors in private practice and are neither employees nor agents of Aetna Student Health or Columbia University. The availability of any particular provider cannot be guaranteed for referred or in-network benefits, and provider network composition is subject to change without notice.

Certain primary care physicians may be affiliated with an Independent Practice Association (IPA), a Physician Medical Group (PMG), an integrated delivery system, or one of other provider groups.

Not every provider listed in the directory will be accepting new patients. Although Aetna has identified providers who were accepting patients as known to Aetna at the time this provider directory was created, the status of a provider's practice may have changed. For the most current information, please contact the selected physician or Aetna Student Health.

In the event of a problem with coverage, members should contact Aetna Student Health on how to utilize the complaint and appeal procedure when appropriate. All member care and related decisions are the sole responsibility of Participating Providers. Aetna does not provide health care services and, therefore, cannot guarantee any results or outcomes.

Provider Reimbursement
Participating Providers are reimbursed on a discounted fee-for-service basis. Where the member is responsible for a coinsurance payment based on a percentage of the bill, the member's obligation is to be determined on the basis of the charges established by contract, if any, rather than on the basis of the provider's billed charges.

Non-Participating Providers, providing covered services, are compensated on a fee-for-service basis.

Aetna Pharmacy Management negotiates discounts from independent pharmacies, chain pharmacies that participate in the Aetna network. The reimbursement formula is based on Average Wholesale Price (AWP) less a negotiated discount, plus a dispensing fee. The dispensing fee is a contractual fee negotiated between Aetna Pharmacy Management and the network pharmacy.

You can conduct on on-line search for Participating Pharmacies through DocFind®, which is available at Aetna Student Health. A paper directory is also available to members.

Any charge for a service or supply furnished by a Participating Provider in excess of such provider's negotiated charge for that service or supply will not be a covered expense under the group contract. It will be the responsibility of Aetna and the participating provider to resolve the amount deemed to be excess.