Aetna Dental . *Important Note: All Students enrolled in the Rocky Vista University Student Health Insurance Plan are automatically enrolled in the Aetna Dental ® PPO … Unfortunately, no dental insurance covers cosmetic dentistry. With Aetna Dental Direct, you can enroll in an Aetna dental plan and get the dental coverage you need to keep your teeth healthy even if you don’t have dental insurance through your employer. Aetna MA plans offer three types of dental coverage: Network. Links to various non-Aetna sites are provided for your convenience only. plan first then dental will consider Periodontics Plan pays 50% 1 (with limitations) Plan pays 40% (with limitations) 1 In the Dental Expense Plan, you are responsible for the amount the dentist charges above the reasonable and customary allowances. General anesthesia and intravenous sedation, unless specifically covered and only when done in connection with another eligible dental service Alternate Treatment Rule Since there is no paperwork or reimbursement, you must pay for the service at the time it’s provided. For your convenience, we have a single post office box for claims and specialty authorization submissions. The plan offers preventive treatment at 100% with no out of pocket cost. Dental benefits and dental insurance plans contain exclusions and limitations. Cancelled or missed appointment charges or charges to complete claim forms. For language services, please call the number on your member ID card and request an operator. For more details see our Privacy Policy. A Nationwide Dental PPO Plan . Services and supplies provided where there is no evidence of pathology, dysfunction or disease, other than covered preventive services Preventive services – Waiting period*: None, *In Pennsylvania, the “waiting period” is called an “elimination period.”. Aetna Dental has over 50 years of experience offering dental benefits. But if we are replacing old, unsightly fillings and crowns, the replacement is frequently covered, even if done for mostly cosmetic reasons. Aetna Dental Encounters P.O. Preferred Provider Organizations (PPO) and Participating Dental Network (PDN) structures cover in- and out-of-network plans. The information you will be accessing is provided by another organization or vendor. You can choose from one of the more than 330,000 dentist locations in the Aetna Dental PPO network. The Aetna Dental Indemnity Plan (obtainable through employers) You choose any dentist, anywhere, and at any time. I now have requested a refund from Aetna. For work that began before you were covered under the plan, The following dental services and supplies. As an Aetna dentist, you'll be part of a strong national network with access to millions of members. The Aetna Dental Direct plan covers preventative care 100% with no out of pocket cost. You can view and print your ID card from your member website. We’re committed to listening to you and making it easy to work with us. 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 https://www.aetnadentaloffers.com/.../aetna-dental-insurance-ppo-vs-dhmo For prescribed drugs, pre-treatments or analgesia. The Aetna Grievance and Appeals Unit also has one box for all states except California, which has a separate box. While most dental plans require a waiting period for major services like crowns or root canals, if you switch from your existing comparable plan to an Aetna plan, we will waive the waiting period. Does Aetna Dental PPO cover dental veneers or other cosmetic dentistry? Dental care isn’t just about preventing cavities. Tooth Missing But Not Replaced Rule Aetna Dental Direct PPO Plans are Subject to the Following Rules: Replacement Rule Dental Maintenance Organizations (DMO) only covers in-network services. Note – not all Aetna dental plans and offers available in all markets. Aetna Dental PPO 2020 Experience the freedom to choose with our first-rate Aetna Dental Preferred Provider Organization (PPO) plan. This is only a summary of the plan's exclusions and limitations. **According to the Aetna Membership Database as of November 2014. IMPORTANT • Rates: Back Cover • Changes for 2021: Page 4 • Summary of Benefits: Page 43 ... Find a primary care dentist in an Aetna PPO plan. DNO (Dental Network Only) in Virginia is not an HMO. Your user name is between 5 and 25 characters. How will my dentist know I have coverage through Aetna Dental? If your members like freedom, they’ll love Aetna Dental PPO. There are no referrals required either way. The dental discounts are available through participating healthcare providers only. So … Aetna dental plans are not considered to be qualified health plans under the Affordable Care Act. 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. 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. Deductible applies to Basic & Major services only. 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