Actual costs and savings vary by provider, service and geographical area. Aetna is a wellknown health insurance provider who also sells individual dental insurance plans. Specific products may not be available on both a selffunded and insured basis. Dental plans for individuals aetna individual advantage sm. 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 agentsbrokers. Depending on your income level you may be eligible for full 75%, 50%, 25% premium assistance. Welcome federal employees aetna dental ppo plan for. Aetna ppo dental plan summary of benefits intuit benefits. Aetna dental preferred provider organization ppo coverage. Our dental preferred provider organization dppo plans offer affordable dental plan options to people of all ages, nationwide. The booklet describes your rights and obligations, what the aetna dental benefits plan covers, and how benefits are paid for that coverage. Were committed to listening to you and making it easy to work with us.
Under the dental preferred provider organization ppo plan, you may choose at the time of service either a ppo participating dentist or any nonparticipating dentist. Aetna does have a dental network with over 300,000 dental locations. You dont need a referral from a primary care physician for specialist or hospital visits. This is the 22nd story in the decoding dental benefits series. Search for a dentist by name, specialty, zip code or the number of miles you are willing to travel. You will have a choice of two dental plans, both provided by aetna. Fill out this form if you were billed directly by a provider and would like to request reimbursement for medical care includes dental, vision, hearing and vaccines. Dental access plan savings aetna dental access 99 dollars. Aetnas dmo networks are available to employees nationwide. You can enroll in an aetna dental plan even if you dont have dental insurance through your employer. A dmo is a closed panel of physicians and hospitals that have negotiated a preset schedule of reimbursements with aetna. And you dont need to have aetna medical or other coverage. Your dmo benefits and insurance plan begins with your primary care dentist pcd. Take two easy steps to start your dental care step 1.
Call aetna dental and ask for your member id number. Youll benefit from convenient tools, discounts, continuing education and other valuable resources. Aetna dental covers over 14 million members, and the company also provides medicare supplement. For traditional ppo plans, call the ca department of insurance hotline at 18009274357. To some dentists, it seems as if reimbursement levels from insurance. The aetna dental access network includes more than 226,000 dental locations nationwide. Learn more about aetnas dental insurance plans and coverage, including ppo, dmo. This plan also contains a reduced fee service component. With this preferred provider organization ppo plan, the focus is on maintenance, so you benefit from being someone who already takes care of your dental health. This option provides coverage through participating personal and specialty dentists with no deductible and lower outofpocket expenses for most services. If you are an enrollee with aetna dental coverage, you dont need an id card. 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.
It also has one of the largest dental networks in the u. Want to access your dental benefits information on the go. Learn more about aetnas dental insurance plans and coverage, including ppo, dmo, indemnity and hybrid plans. Dental benefits are offered, underwritten andor administered by aetna life insurance company aetna. If youre enrolled in a standard aetna medicare plan hmo if you get coverage from an out. Learn more about the affordable dental insurance plans and benefits aetna offers employees just like you through your employer.
As an aetna dentist, youll be part of a strong national network with access to millions of members. If you choose to go to a dentist who is not in the network, you pay more for services. Search for a dentist by name, specialty, zip code or the number of miles you are willing to. This directory provides a list of over 210,000 aetna medicare ppoepo dental network provider locations nationwide. Does aetna dental ppo cover dental veneers or other cosmetic dentistry. Aetna dental federal plans po box 550 blue bell, pa 194220550. Generally, you must get your health care coverage from your primary care physician pcp. What if you need a filling or a major service like a crown. It has proved to be perfect for our needs, as a ppo it practically.
We are a comprehensive dental practice where your oral health and comfort are our first priority. Referrals required for specialty care except orthodontia. However, when you use innetwork dentists and specialists, it means they have agreed to provide dental care for a discounted fee and the plan will pay a higher level of coverage. Preferred provider organization ppo plans let you choose any provider who accepts medicare. National commission on recognition of dental specialties and certifying boards.
This plan is not a qualified health plan under the. The carrier provides you with easy to understand affordable hmo, ppo, and pos benefit options. Aetna is wellknown for providing medical, dental, prescription and disability insurance, among other financial products. With aetna dental plans, you get more than ancillary products, you get a. If your hospital is reimbursed through medicare groupers, visit the medicare website for your fee schedule information. Aetna advantage plans for individuals, families and the selfemployed are underwritten by aetna life insurance company aetna through a blanket trust in delaware. Learn more about aetna medicare plans that may be available in your area. Contact a licensed insurance agency such as ehealth, which runs medicare. Aetna ppo dental insurance 404 8427200 pure dental health accepts aetna ppo dental insurance while delivering high quality dental care, including cosmetic dentistry, restorative dentistry and sedation dentistry. This means that the plan benefits are based on delaware requirements, and benefits and rates are filed with the delaware insurance department. But costs usually are lower if you choose a dentist who is part of the ppo or pdn. Aetna dental direct can help alleviate some of the financial issues associated with larger dental procedures. For the dental preferred provider organization ppo and participating dental network.
Dental expense plan depppo active employees n e s w njd p b e x p l o r e y o u r b e n e f. Please consult with the respective plan detail page for additional plan terms. Other waiting periods waived with proof of prior dental insurance. Print and complete this form for medical, dental, vision, hearing, or vaccine reimbursement. If your outofnetwork provider charges more than the recognized charge, you. Ppo dental insurance, understand ppo dental plans humana. If you have aetna ppo dental insurance, you have access to the best dental care in georgia. Dental benefits and dental insurance plans are underwritten by aetna dental inc. However, using providers in your plans network may cost less. Aetna ppo dental insurance atlanta dentist that accepts. Best aetna dentists book online today last updated may 2020.
Dentists who are not in our network may bill you their normal fee for procedures. Key words and phrases that appear in the text are defined in the. Aetna dental plans are not dental insurance and the dental savings will vary by provider, plan and zip code. Learn more about the affordable dental insurance plans and benefits aetna. Complete ppo dental insurance plans no waiting period. I purchased the dental insurance as a retired military member since now the federal government allows military retirees to obtain dental insurance through them. Dental plans are provided or administered by aetna life insurance company, aetna dental inc. With aetna dental plans, you get more than ancillary products, you get a menu of plan choices to protect members whole health, for a wholehealthy business.
What you pay will be based on either a percentage of those charges. How will my dentist know i have coverage through aetna dental. And a full comprehensive dental exam, complete set of xrays, and fluoride treatment has no out of pocket cost to you. This is not insurance the aetna dental access plan allows you to save money and receive savings on dental care through a wide provider network. Those for any of the following services does not apply to the dmo plan in tx. A dmo is a direct maintenence organization and is similar to an hmo, or health maintenance organization. Theres a way to negotiate for potentially higher reimbursement rates. This option covers 100 percent of certain basic and specialty services and 50 percent to 75 percent of. With the ppo plan, savings are possible because the participating dentists have agreed to provide care for covered services at negotiated rates. I recently enrolled in aetna coventry freedom plus plan as my wife had previously done so. You are now leaving the aetna dental web site and linking to claimconnect. Find the right dental insurance plans and programs. This plan is not insurance and is not intended to replace health insurance.
What will my aetna plan cover if a service started before my effective date, but finishes after my aetna coverage began. Statespecific information throughout this booklet does not. Learn more about aetna s dental insurance plans and coverage, including ppo, dmo, indemnity and hybrid plans. The dental insurance plan is available only to registered ua students. Speak with a licensed insurance agent 18778901409 tty 711, 247. Do aetna medicare advantage plans cover dental services. Employees may enroll in a dental plan through fcps without enrolling in a medical plan through fcps. Aetna ppo dental plan the aetna ppo dental plan gives you the freedom to choose any dentist. The dental benefits plan described in this booklet is a benefit plan of the employer. If you were covered under a previous insurance carrier, certain services will be covered by that plan even after your aetna coverage begins. Dental office guide for primary care dentists aetna.
See fedvip brochure pdf for a complete description of benefits, exclusions, limitations and conditions of coverage. Instead, you can choose any dentist in or out of network, though your costs will be higher with outofnetwork dentists. This company is popular for its welldesigned mobile apps, which provide easy access to resources, account information and local innetwork dentists. In texas, the dental preferred provider organization ppo is known as the participating. Aetna dental benefits plans cover a variety of dental. But if we are replacing old, unsightly fillings and crowns, the replacement is frequently covered, even if done for mostly cosmetic reasons. Unfortunately, no dental insurance covers cosmetic dentistry.
This plan does not meet the minimum creditable coverage requirements under m. Call 1800medicare 18006334227, tty users 18774862048. The aetna dpo is affordable with a lower monthly premium compared to the dental expense plan. Dental office guide for primary care dentists aetna dental. With aetna dental direct, youll get the coverage you need to keep your teeth healthy. When you choose aetna as your individual or family health insurance provider, you gain access to more than 721,000 health care services providers, including nearly 431,000 primary care and specialist physicians and 4,323 hospitals. Certain aetna medicare advantage plans may offer coverage for dental care like cleanings and fillings.
Aetna ppo dental insurance accepted is accepted at johns. Dental preferred provider organization ppo faqs aetna. Learn more to learn about medicare plans you may be eligible for, you can contact the medicare plan directly. If you need to see a specialist, your primary care dentist gives you a referral. Aetna dental plans are not considered to be qualified health plans under the affordable care act.
Aetna dental dental office guide preferred dental organization participating dental network affordable health choices exclusive provider plan vital savings by aetna aetna dental access aetna dental administrators 2 dental office guide 2012 ppo pdn plan features plan members do not all have the same coverage. Affordable dental insurance plans for individuals cigna. Medicare and aetna medicare wont be responsible either. Aetna dental does not provide health care services and, therefore, cannot guarantee any results or outcomes. We do not guarantee that each provider is still accepting new members. This book provides important information about the ppo dental plan the plan that is part of the dod naf health benefits program hbp. Dental maintenance organization dmo faqs for individuals and families. You can take advantage of cigna dental coverage with or without a cigna medical plan. Aetna dental works with claimconnect tm offered by edi health group ehg to provide easy access to check patient eligibility, file a claim, check claim status, view patient rosters and electronic remittance advice.
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