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. The. Subject to state requirements. Out-of-area emergency dental care may be reviewed by our dental consultants to verify appropriateness of treatment. This benefits summary of the Aetna Dental DMO® Dental Maintenance Organization provides information on benefits provided when services are rendered by a participating dentist.
Dental Benefits Summary California Option 5A Ortho Active PPO FOC Active PPO This benefits summary of the Aetna Dental DMO® Dental Maintenance Organization provides information on benefits provided when services are rendered by a participating dentist. In order for a covered person to be eligible for benefits. Basic Dental included or you may select our Dental PPO network option at no extra charge Out-of-area dependent coverage – visit network providers in any Aetna HMO service area nationwide; Vision benefits including an eyewear reimbursement every 24 months. AETNA DENTAL DMO & PPO COMPARISON PLAN FEATURE DMO BENEFIT PPO / IN NETWORK PPO / OUT OF NETWORK Plan Type Fixed Copay Plan N/A N/A OfficeVisit Copay $5 N/A N/A Coinsurance – Preventative Set Reduced Fee 80% 80% Coinsurance – Basic Set Reduced Fee 60% 60% Coinsurance – Major Set Reduced Fee 40% 40% Deductible N/A $50 $50.
Providers are independent contractors and are not agents of Aetna. Provider participation may change without notice. Aetna does not provide care or guarantee access to dental services. Information is believed to be accurate as of the production date; however, it is subject to change. For more information about Aetna plans, refer to. A DMO is a lower-cost dental benefits and insurance plan. You choose a primary care dentist. If you need to see a specialist, your primary care dentist gives you a referral. You get peace of mind with no deductibles or annual maximums. To learn more, view the DMO video. Find a primary care dentist in an Aetna DMO plan. Dental plans usually group the procedures they cover into three categories: a Preventive, b Basic and c Major dental services. The category to which a procedure has been assigned typically indicates the amount of coverage level of benefits that the policy provides for that service. 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. Links to ClaimConnect and its content are provided for your convenience.
we believe you’ll find the office guide helpful in your day-to-day work. It contains meaningful information that makes it easier for you to work with us more effectively and efficiently. The guide includes information on all of our managed dental plans and programs: • Aetna Advantage™ Dental • Aetna Advantage™ Student Dental • Basic. Aetna Dental Plans have no waiting periods. Discounts are available about 72 hours after you become a member. You can use the discounts as often as you like, with no annual limits or limits on treatments. Learn more about Aetna Dental Insurance waiting periods. Find an Aetna Dentist in Your Area. Aetna Dentists Near Me. Aetna has one of the nation’s largest dental networks, with more than 200,000 participating dental practices, making it easy to find a great dentist or specialist near you. Find a dentist by entering your zip code. Basic procedures, such as fillings, can have a six-month waiting period. Aetna dental insurance doesn’t necessarily impose a six-month waiting period on fillings. Aetna dental plans are not considered to be qualified health plans under the Affordable Care Act.
Aetna Dental® PPO — Summary of Benefits This Aetna Dental® Preferred Provider Organization PPO benefits summary is provided by Aetna Life Insurance Company for some of the more frequently performed dental procedures. Under this plan, you may choose at the time of service either a PPO participating or nonparticipating dentist. Aetna.
Learn about your health plan or find coverage for you and your family. NYP DENTAL PLANS. PLAN PROVISION AETNA DMO COLUMBIA DENTAL Underwritten by Dentcare Delivery Systems, Inc. Aetna PPO In-Network Services In-Network Services In-Network Services Out-of-Network Services Deductible. Not Applicable Individual $50 Family $150 Individual $50 Family $150 Preventive Services. An Aetna nurse case manager may call if you have been recently hospitalized or are dealing with a serious health issue. They are here to support you, and all calls are private and confidential. How it works MTA New York City Transit is proud to announce the partnership with WW ―. Federal employees and annuitants in the United States and overseas are eligible to enroll in our Aetna Dental PPO under FEDVIP. If you receive covered dental services while overseas, you will need to submit your claims to Aetna. Upon receipt of the claim, Aetna will translate the claim, if.
Plans at a glance. All Aetna plan options and key differences are shown below. It’s easy to find out which plans are available in your area, just enter your ZIP code below. Dental Primary: $50 per person deductible. 50% for basic care after deductible. Annual maximum is $1,000 per person. Dental Primary Preferred: $50 per person deductible for basic and major services when using an in-network provider. The plan pays 35% for basic services after deductible and 15% for major services after deductible.
Aetna Dental Review Aetna is a well-known health insurance provider who also sells individual dental insurance plans. This company is popular for its well-designed mobile apps, which provide easy access to resources, account information and local in-network dentists. Federal Employees Health Benefits Plans - Aetna - Medical Plans.
Member login. Log in to view and manage claims, find a hospital or health care facility, learn about health terms, and much more. Dental benefits are offered, underwritten and/or administered by Aetna Life Insurance Company Aetna. This material is for information purposes only. Not all dental services are covered. See FEDVIP brochure PDF for a complete description of benefits, exclusions, limitations and conditions of coverage. Aetna dental plans are not considered to be qualified health plans under the Affordable Care Act. Please consult with the respective plan detail page for additional plan terms. The dental discounts are available through participating healthcare providers only. To check. DOMINION NATIONAL IS A LEADING INSURER AND ADMINISTRATOR OF DENTAL AND VISION BENEFITS. We seek a better way to serve you, so you can. Aetna Dental does not provide health care services and, therefore, cannot guarantee any results or outcomes. Dental plans are provided or administered by Aetna Life Insurance Company, Aetna Dental Inc., Aetna Dental of California Inc. and/or Aetna Health Inc. Specific products may not be available on both a self-funded and insured basis.
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