To view the form just select Continue. You are now being directed to CVS Caremark site. For additional language assistance: Espaol | | Ting Vit | | Tagalog | P | | Kreyl | Franais | Polski | Portugus | Italiano | Deutsch | | | Other Languages. Dental information programs provide general dental information and are not a substitute for diagnosis or treatment by a dentist or other health care professional. Since there is no paperwork or reimbursement, you must pay for the service at the time its provided. Find your dentist now in Aetna's large nationwide network. Find the right plans and programs for you. Dental insurance plans contain exclusions and limitations. The information you will be accessing is provided by another organization or vendor. Actual costs and savings may vary by provider, service and geographic location. Aetna MAplans offer three types of dental benefits:network,direct memberreimbursementallowanceand optional supplemental benefits. Members and their providers will need to consult the member's benefit plan to determine if there are any exclusions or other benefit limitations applicable to this service or supply. 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 Yes, I'm a memberNo, I'm looking for a plan. Aetna has reached these conclusions based upon a review of currently available clinical information (including clinical outcome studies in the peer-reviewed published medical literature, regulatory status of the technology, evidence-based guidelines of public health and health research agencies, evidence-based guidelines and positions of leading national health professional organizations, views of physicians practicing in relevant clinical areas, and other relevant factors). **Through the ChooseHealthy program, which is provided by ChooseHealthy, Inc., a subsidiary of American Specialty Health Incorporated (ASH). You have the freedom to care for your smile your way with this PPO plan. Accessibility Services:If you are a person with a disability who needs assistance using our websites, our Customer Service Representatives can assist you. License to use CPT for any use not authorized herein must be obtained through the American Medical Association, CPT Intellectual Property Services, 515 N. State Street, Chicago, Illinois 60610. Do you cover Invisalign braces? Your out of pocket expenses will be higher if you do not see an in-network provider and, in some plans, benefits may not be available at all for out-of-network providers. Members and their providers will need to consult the member's benefit plan to determine if there are any exclusions or other benefit limitations applicable to this service or supply. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. - It is treatment for decay or traumatic injury and teeth cannot be restored with a filling material Program providers are solely responsible for the products and services they provide. You can choose from one of the more than 420,000 dentist locations in the Aetna Dental PPO network. Aetna Dental provides national network coverage for Prince George's County Government through two networks: You receive greater benefit coverage when you use a provider who participates in the Aetna Dental participating network. Check with your plan for more details. All care is the responsibility of the treating provider, in consultation with the participant. Altius Health Plans: HMO (PDF) - UT, ID (Southwest & Eastern), WY (Uinta County) HDHP (PDF) - UT, ID (Southwest & Eastern), WY (Uinta County) For information about our plans available through the Federal Employees Dental and Vision Insurance Program (FEDVIP), please visit our Dental PPO Plan site or our Aetna Vision Preferred plan site. The AMA disclaims responsibility for any consequences or liability attributable or related to any use, nonuse or interpretation of information contained in Aetna Clinical Policy Bulletins (CPBs). Insurer Name: Aetna Life Insurance Company Plan Name: Aetna Dental PPO Policy Type: PPO Insurer Phone #: 1-877-238-6200 Effective Date: 01/01/2022-12/31/2022 Insurer Website: www.aetna.com THIS MATRIX IS INTENDED TO BE USED TO HELP YOU COMPARE COVERAGE BENEFITS AND WHAT YOU WILL PAY FORCOVERED SERVICES. Texas Members: In Texas, the Preferred Provider Organization (PPO) plan is known as the Participating Dental Network (PDN). So, your share of the cost is usually lower. Remember Username Secure Login First time here? The three carriers providing service to the District's employees are CompBenefits/Humana (Basic and Enhanced PPO/Indemnity and DHMO Managed Care), Aetna (Basic and Enhanced PPO/Indemnity), and Aetna (Basic and Enhanced DHMO Managed Care). You get access to discounts off the regular charge on products and services offered by third-party vendors and providers. Since Clinical Policy Bulletins (CPBs) can be highly technical and are designed to be used by our professional staff in making clinical determinations in connection with coverage decisions, members should review these Bulletins with their providers so they may fully understand our policies. You may also be required to pay a portion of the costs. The maximum deductible for 2022 is $480, but this plan (Aetna Medicare Choice Plan (PPO)) has a $200. For work-related conditions. Members should discuss any matters related to their coverage or condition with their treating provider. Check your Evidence of Coverage (EOC) for more details. Preventive services such as cleanings, oral exams and X-rays are covered at 100 percent on most plans. Select a state below to update coverage details. Most plans also have a benefit maximum, a limit on the amount the plan will pay out to cover dental services. They are not benefits under your insurance plan. AetnaDentalOffers.com is brought to you by DentalPlans.com. Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider. are covered at 100% on most plans. Disclaimers. Some subtypes have five tiers of coverage. Premium deductions will start with the first full pay period Network dentists offer special rates for covered services. Members must make payments directly to the providers in the Aetna Vital Savings program. Aetna Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits and do not constitute dental advice. By submitting your information you are agreeing to receive communications from Aetna Dental Offers. The dental discounts are available through participating healthcare providers only. Alternate Treatment Rule 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 Medical necessity determinations in connection with coverage decisions are made on a case-by-case basis. Go to the American Medical Association Web site. Surgical removal of impacted wisdom teeth when only for orthodontic reasons 2022 A Nationwide Dental PPO Plan IMPORTANT Rates: Back Cover Changes for 2022: Page 4 . There are no claims or referrals to worry about, and no limits on how much you can save. Aetna makes no payment to the third parties you are responsible for the full cost. Save on gym memberships, health coaching, fitness gear, wearable fitness devices, group fitness on demand and more. Dental benefits and dental insurance plans contain exclusions and limitations. Sachi Fujimoriis a writer and editor based in Brooklyn who focuses on writing about science and health. It is not available in Montana, Vermont or Tennessee. your coverage will begin on January 1, 2022. While we encourage you to submit all claims electronically, if you need to submit a paper claim, Review our paper claim Tips. If your plan doesnt include dental coverage, or you want to increase your coverage, you may have the option to purchase dental benefits with an additional monthly premium (coverage varies by plan). This search will use the five-tier subtype. Weve broken down the differences between our DMO dental benefits and insurance plan and our PPO dental insurance plans to help you decide. California license number: OB84599. Aetna Dental has over 60 years of experience offering dental benefits. Any use of CPT outside of Aetna Precertification Code Search Tool should refer to the most Current Procedural Terminology which contains the complete and most current listing of CPT codes and descriptive terms. Coverage Period: 01/01/2022 - 12/31/2022 Coverage for: Self Only, Self Plus One or Self and Family | Plan Type: PPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Click the Register button to get started. There are other plans with a lower deductible or even a $0 deductible for all formulary drugs. Crown, inlays and onlays, and veneers unless for one of the following: If there is a discrepancy between this policy and a member's plan of benefits, the benefits plan will govern. Language services can be provided by calling the number on your member ID card. You may be balance billed by out-of-network dentists up to the dentists standard fee. The Clinical Policy Bulletins (CPBs) express Aetna's determination of whether certain services or supplies are medically necessary, experimental and investigational, or cosmetic. You are now being directed to CVS Caremark site. Claims must be submitted within 365 days of the date you received the service. If you need a PDF document in an accessible format, you can request it directly through"Contact Us" here or at the top of the page. Any use of CPT outside of Aetna Clinical Policy Bulletins (CPBs) should refer to the most current Current Procedural Terminology which contains the complete and most current listing of CPT codes and descriptive terms. Applicable FARS/DFARS apply. Si tu intencin no era salir del sitio web, cierra este mensaje. Aetna Medicare is a HMO, PPO plan with a Medicare contract. No claims or paperwork for in-network care. Routine dental care can help you have stronger teeth, healthier gums and a brighter smile. Disclaimer of Warranties and Liabilities. Pay your share of the cost. Rendered before the effective date or after the termination of coverage, unless coverage is continued under the Special coverage options after your plan coverage ends section of your policy. How is coverage handled overseas? If you have questions about your Medicare plan, start here. Aetna has reached these conclusions based upon a review of currently available clinical information (including clinical outcome studies in the peer-reviewed published medical literature, regulatory status of the technology, evidence-based guidelines of public health and health research agencies, evidence-based guidelines and positions of leading national health professional organizations, views of physicians practicing in relevant clinical areas, and other relevant factors). Aetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice.
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