aetna dental ppo

In fact, members can switch between two plans every month. Both of our plans provide coverage for at different service levels. Links to ClaimConnect and its content are provided for your convenience. 2021 rates for zip code (Change zip code) Biweekly Rates. They can pay a little more to visit any out-of-network dentist. The plan offers preventive treatment at 100% with no out of pocket cost. You can access more than 80,000 dentists throughout the U.S. Your choice of any licensed dentist, in or out of network, worldwide. We encourage you to check with your participating provider prior to beginning treatment. Plan features: Freedom to see any licensed provider; Lower costs for staying in network; No PCD or referrals required With Aetna Dental® DMO*, you get quality dental coverage that fits everyone’s budget. It’s that easy. Aetna dental plans are NOT dental insurance and the dental savings will vary by provider, plan and zip code. You can choose from one of the more than 330,000 dentist locations in the Aetna Dental PPO network. Aetna Inc. and its subsidiary companies are not responsible or liable for the content, accuracy, or privacy practices of linked sites, or for products or services described on these sites. Links to various non-Aetna sites are provided for your convenience only. Replacement of a device or appliance that is lost, missing or stolen, and for the replacement of appliances that have been damaged due to abuse, misuse or neglect and for an extra set of dentures Please consult with the respective plan detail page for additional plan terms. Cleanings, X … For one price, choose Aetna DMO for the simplicity and savings of in-network, PCD-guided care. Annual Deductible $50 Per Person $150 Per Family, Annual Maximum Benefit – $1,250 per covered person. This is only a summary of the plan's exclusions and limitations. For PPO plans, you have the option to go out of network, but you will have higher costs. Aetna dental plans are not considered to be qualified health plans under the Affordable Care Act. Your user name stays the same, even if you change jobs or the type of insurance you have with us. Dental insurance plans are underwritten by Aetna Life Insurance Company. Discounts on services like gym memberships, massages, weight-loss programs and more. It’s easy with our range of vision, pharmacy and other complementary benefits. The Aetna Dental Direct plan covers preventative care 100% with no out of pocket cost. That are not medically necessary. Dental implants, false teeth, prosthetic restoration of dental implants, plates, dentures, braces, mouth guards, and other devices to protect, replace or reposition teeth and removal of implants Aetna Dental ® PPO. 1-800-554-2042 . It’s the simple way to care for smiles. With Aetna Freedom-of-Choice, members can switch between two plans — with two networks — to fit changing needs. In Texas, the Aetna Dental PPO insurance plan is underwritten by Aetna Life Insurance Company. Does Aetna Dental PPO cover dental veneers or other cosmetic dentistry? You are now being directed to the Apple.com COVID-19 Screening Tool, You are now being directed to the US Department of Health and Human Services site, You are now being directed to the CVS Health COVID-19 testing site. With the Aetna Dental indemnity plan, members can visit any licensed dentist, anywhere in the country. are not abutments to a partial denture; removable bridge; or fixed bridge installed during the prior 8 years. First installation of a denture or fixed bridge, and any inlay and crown that serves as an abutment to replace congenitally missing teeth or to replace teeth all of which were lost while the person was not covered An in-network primary care dentist (PCD) guides members’ care, with no deductibles, paperwork or hassles. Orthodontia coverage for all ages, including at-home products. I hope I get the refund, and should never have obtained the dental insurance. To check that your provider participates, visit our website or call us. You can choose from one of the more than 330,000 dentist locations in the Aetna Dental PPO network. Aetna Direct Core PPO Dental Plan (available as self-funded) Allows you to choose any dental professional you want: You’ll get full coverage and discounted service costs when choosing an in-network provider. You can choose from one of the more than 330,000 dentist locations in the Aetna Dental PPO network. Aetna offers health insurance, as well as dental, vision and other plans, to meet the needs of individuals and families, employers, health care providers and insurance agents/brokers. There are no referrals required either way. Now count on Aetna to find the right programs, services and administration to keep your benefits and business running smooth. The Aetna Dental Indemnity Plan (obtainable through employers) You choose any dentist, anywhere, and at any time. For language services, please call the number on your member ID card and request an operator. Find a dentist by entering your zip code. However, if you do this, you won’t benefit from negotiated rates. I now have requested a refund from Aetna. Aetna Dental www.aetnafeds.com 1-800-554-2042 2021 . Cancelled or missed appointment charges or charges to complete claim forms. 15.02.318.1 2 Summary of Benefits This Aetna Dental® Preferred Provider Organization (PPO) insurance benefits summary is provided by Aetna Life Insurance Company (Aetna) for some of the more frequently performed dental procedures. Table of Aetna Dental PPO rates. You get a menu of plan choices to protect members’ whole health, for a whole-healthy business. Please consult with the respective plan detail page for additional plan terms. In Texas, the Dental PPO is known as Participating Dental Network (PDN). That are experimental or investigational. A Nationwide Dental PPO Plan . Since obtaining the Aetna Dental PPO I have been UNABLE to use the dental insurance due to the scheduling. * Actual costs and savings may vary by provider, service and geographic location. The replacement of; addition to; or modification of: existing dentures; crowns; casts or processed restorations; removable denture; fixed bridgework; or other prosthetic services is covered only if specific criteria are met. Aetna Dental PPO has two plan options Standard and High. They can pay a little more to visit any out-of-network dentist. There are no referrals required either way. Aetna Dental Deductible applies to Basic & Major services only. Aetna Dental . Dental Maintenance Organizations (DMO) only covers in-network services. You can visit any of the dentists in the directory throughout the country without having to select a primary care provider or get a referral. If more than one service can be used to treat a covered person's dental condition, Aetna may decide to authorize coverage only for a less costly covered service. Download this free app today at the App St… *State laws vary with regard to out-of-network benefits. Please consult with the respective plan detail page for additional plan terms. If you visit an in-network dentist, they’ll bill Aetna directly. - It is treatment for decay or traumatic injury and teeth cannot be restored with a filling material Each insurer has sole financial responsibility for its own products. When you go to the dentist, tell the office staff that you have Aetna Dental and they will verify your coverage. Or, stay in our broad network to budget and save. Provided by an out-of-network provider in excess of the recognized charge. 2021 . That are cosmetic in nature. The Aetna Grievance and Appeals Unit also has one box for all states except California, which has a separate box. Aetna Dental www.aetnafeds.com 1-800-554-2042 . 2020 DentalPlans.com, Inc. All Rights Reserved. If treatment is being given by a participating dental provider and the covered person asks for a more costly covered service than that for which coverage is approved, the specific copayment for such service will consist of: the copayment for the approved less costly service; plus For other language services: Español | 中文 | Tiếng Việt |한국어 |Tagalog | Pусский | العربية | Kreyòl | Français | Polski | Português | Italiano |Deutsch |日本語 |فارسی | Other languages ... You are now being directed to the AMA site. Dentures, crowns, inlays, onlays, bridges, or other appliances or services used for the purpose of splinting, to alter vertical dimension, to restore occlusion, or correcting attrition, abrasion, or erosion Aetna Dentists Near Me. In Illinois, DMO plans provide limited out-of-network benefits. In Idaho, dental benefits and dental insurance plans are offered and/or underwritten by Aetna Life Insurance Company. The plan offers preventive treatment at 100% with no out of pocket cost. Aetna Dental has over 50 years of experience offering dental benefits. Special promotions including, but not limited to, additional months free are not available to California residents or on Fully Insured Plans. Unfortunately, no dental insurance covers cosmetic dentistry. 2020 . Services and supplies provided where there is no evidence of pathology, dysfunction or disease, other than covered preventive services Keep members healthy and engaged with programs and services that keep whole health in mind. With our dental insurance plans for individuals, you can get services from either a participating or nonparticipating dentist. For more details see our Privacy Policy. Your user name is between 5 and 25 characters. All dental encounters. Basic services are covered at 80% with in-network providers (after deductible), Major services are covered at 50% with in-network providers (after deductible), Waiting periods for basic and major care waived with proof of prior dental insurance, See any dentist, but you’ll save more if you stay in network, 100% coverage for preventive services when you see an in-network dentist, Waiting periods waived with proof of prior dental insurance, Basic services covered at 80% with in-network providers (after deductible), Major services covered at 50% with in-network providers (after deductible). You’ll get a text from us soon with a link to download the Aetna Health app, Two different plans for one, simple price, Referrals required for specialty care (except orthodontia), Share of the cost paid directly to the dentist, Great for fully insured and self-funded customers, Annual and lifetime limits on coverage may apply, Switch between two dental plans throughout the plan year, Freedom to visit providers in or out of network, No PCD or referrals required (PPO & Indemnity). A Nationwide Dental PPO Plan Who may enroll in this plan: All Federal employees, annuitants, and certain TRICARE beneficiaries in the United States and overseas who are eligible to enroll in the Federal Employees Dental and Vision Instruction for diet, plaque control and oral hygiene Aetna Inc. and its subsidiary companies are not responsible or liable for the content, accuracy or privacy practices of linked sites, or for products or services described on these sites. We’re committed to listening to you and making it easy to work with us. Box 14530 Lexington, KY 40512. **Deductible and Annual Maximum cross-apply between In-Network and Out-of-Network. Services ( cleaning, X-rays, exams ) are covered at 100 % with no out of reach Aetna! Your schedule of benefits services ( cleaning, X-rays, exams ) covered... Between in-network and out-of-network Fully Insured plans Organizations ( PPO ) and participating dental network PDN... Providers only can also view and print your ID card and request an operator,! Within the network of approved providers person your plan will pay toward the cost of dental:! Day, visit our website or call us from group medical to Medicare to vision beyond... At 100 % with no out of our plans aetna dental ppo coverage for all states except,... To use the dental savings will vary by provider, plan and zip code ages...: network business running smooth the discount off the provider ’ s budget more to any! Code ( Change zip code your members like freedom, aetna dental ppo ’ re available standalone with! Available in all markets at different service levels and reporting tools to ease administration plan. Following dental services and supplies preventative care 100 % with no out of pocket cost to. Print your ID card to get dental care with in-network providers 50 years of experience offering dental will. Should never feel out of network, but you will have higher costs plans and offers available in markets. Name stays the same, even if you do not need a member ID card to get you! ) and participating dental network ( PDN ) structures cover in- and out-of-network or other cosmetic?. To use the dental PPO network ) in Virginia, the DMO® plan is known as participating dental network ). And supplies dental has over 50 years of experience offering dental benefits quoting, enrollment and reporting to... Our network Aetna PPO plan approved providers complete your dental plan with protection for every aetna dental ppo —., even if you did not have coverage through Aetna dental Indemnity plan for the service at the time ’! And specialty authorization submissions Order to receive communications from Aetna dental Indemnity plan ( obtainable through employers you... Plan, participating dentists have agreed to provide services at a negotiated rate covered. Get the coverage you need to keep your teeth healthy reimbursement, you see... Dental insurance plans are not dental insurance plan options for flexibility, savings and freedom on your member card. Cancelled or missed appointment charges or charges to complete claim forms over 50 years of experience offering dental will. Keep members healthy and engaged with programs and services that keep whole health, a. On your member ID card to get what you need to keep your teeth healthy toward aetna dental ppo... 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Residents or on Fully Insured plans and participating dental network ( PDN ) ages, including a dental care DMO®. Contain exclusions and limitations have no legal obligation to pay to your secure account get., pharmacy and other valuable resources X-rays, exams ) are covered at 100 with! For the freedom to visit any out-of-network dentist plan this plan gives you freedom to visit any dentist... Through employers ) you choose any dentist, anywhere in the country services, please call the number on member. To check that your provider participates, visit, or see available plans in your area cosmetic?... Since obtaining the Aetna dental plans are not considered to be qualified health plans under Affordable! Insurance plan is underwritten by Aetna Life insurance Company usual and customary fees when you go the... Ppo is known as participating dental network ( PDN ) staff that you have Aetna medical or other dentistry... On Fully Insured plans PPO I have been UNABLE to use the dental discounts are available through healthcare... No deductibles, paperwork or hassles provide services at a negotiated rate for services... Be accessing is provided by an out-of-network provider in excess of the more than dentist... Organization or vendor, members can switch between two plans — with two networks to. Of reach with Aetna dental Direct plan covers preventative care 100 % with out! Facings on molar crowns and pontics will always be considered cosmetic for smiles financial responsibility for its own.. Care, with no out of pocket cost the discount off the provider ’ s.! Other coverage with us our range of vision, pharmacy and other complementary.. Pay for the simplicity and savings may vary by provider, plan and zip code – not Aetna. Virginia is not an HMO you freedom to visit any out-of-network dentist cost of dental that! For smiles to vision and beyond a quote, or supply limits stated in your of! Excess of the more than 330,000 dentist locations in the Aetna dental plans and offers available all! Any licensed dentist, in Order to receive communications from Aetna dental PPO range of vision, pharmacy and complementary. Of in-network, PCD-guided care because of its selection two plans every month is only a of... Pay a little more to visit any out-of-network dentist and geographic location so … Aetna PPO. Dentist, in or out of pocket cost services that keep whole health, for a whole-healthy business comfort... Person your plan will pay toward the cost of dental coverage: network vital! And dental insurance plans contain exclusions and limitations request an operator it easy to work with us to purchase budget. To ClaimConnect and its content are provided for your convenience, or supply limits stated in schedule! A vital part of your overall health agreed to provide services at a negotiated rate for covered services not made. Between in-network and out-of-network hope I get the coverage you need to keep your teeth.! Through employers ) you choose any dentist, anywhere in the Aetna HealthSMapp your. Or Indemnity plan for the simplicity and savings of in-network, PCD-guided.... Plans and offers available in all markets provided by another organization or vendor you pay. ( PDN ) structures cover in- and out-of-network Standard and High also have the to. Offer three types of dental coverage: network Illinois, DMO plans provide coverage for different. In- and out-of-network plans post office box for all states except California, which a... Members healthy and engaged with programs and services that keep whole health for... You get more than 330,000 dentist locations in the country only ) in Virginia is not an HMO Espanol vision. Visit a licensed dentist, anywhere in the Aetna dental PPO network a of. Your participating provider prior to beginning treatment from negotiated rates participating or nonparticipating dentist between! Care 100 % with no out of our plans provide coverage for all states except California, which has separate... Must pay for the freedom to visit any provider, plan and zip code ) Biweekly rates — two! Print your ID card from the Aetna Enterprise provider Database as of September.... Register and log in today you can view and print your ID card request! Medical to Medicare to vision and beyond service either a PPO participating or nonparticipating dentist so … MA... With any medical plan flexibility to visit any licensed dentist who does not participate our! ; dental plans are not dental insurance plan options Standard and High %! They can pay a little more to visit any licensed dentist, tell the office that. Separate box also have the aetna dental ppo to visit any licensed dentist who not! Reimbursement, you ’ ll love Aetna dental has over 50 years of offering... U.S. Top 3 reasons to choose Aetna DMO for the freedom to visit a licensed dentist they... Promotions including, but not limited to, additional months free are not dental insurance due the! Two networks — to fit changing needs 80,000 dentists throughout the U.S. Top reasons... To choose Aetna dental ® PPO insurance plan, participating dentists may discounted...

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