Temporomandibular joint dysfunction/disorder. Get lower rates when you go to a dentist thats in your PPO network. In Pennsylvania, the waiting period is called an elimination period and most Basic services have one month waiting period. All services deemed "never effective" are excluded from coverage. No deductible, no claims forms and no yearly dollar limits. With our dental insurance plans for individuals, you can get services from either a participating or nonparticipating dentist. For additional language assistance: Choose from more than 120,000 dental providers nationwide, including providers who offer virtual visits through tele-dentistry. Aetna's conclusion that a particular service or supply is medically necessary does not constitute a representation or warranty that this service or supply is covered (i.e., will be paid for by Aetna). The term precertification here means the utilization review process to determine whether the requested service, procedure, prescription drug or medical device meets the company's clinical criteria for coverage. The AMA disclaims responsibility for any consequences or liability attributable or related to any use, nonuse or interpretation of information contained in Aetna Precertification Code Search Tool. Special perks and discounts, including exclusive offers from CVS Health, Search for providers in-network by using our. 2023 DentalPlans.com, Inc. All Rights Reserved. Premium deductions will start with the first full pay period Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. U.S. Government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer data bases and/or computer software and/or computer software documentation are subject to the limited rights restrictions of DFARS 252.227-7015(b)(2) (June 1995) and/or subject to the restrictions of DFARS 227.7202-1(a) (June 1995) and DFARS 227.7202-3(a) (June 1995), as applicable for U.S. Department of Defense procurements and the limited rights restrictions of FAR 52.227-14 (June 1987) and/or subject to the restricted rights provisions of FAR 52.227-14 (June 1987) and FAR 52.227-19 (June 1987), as applicable, and any applicable agency FAR Supplements, for non-Department of Defense Federal procurements. All Rights Reserved. Unlisted, unspecified and nonspecific codes should be avoided. Aetna MAplans offer three types of dental benefits:network,direct memberreimbursementallowanceand optional supplemental benefits. Find the right plans and programs for you. Click the Register button to get started. If you do not intend to leave our site, close this message. If you enroll in an Aetna Medicare Advantage plan that includes dental coverage, some of the services that may be covered include: Teeth cleaning, scaling and polishing Office visits for oral examinations Non-surgical extractions Fillings Minor denture adjustments X-rays Oral hygiene instruction Dietary advice and counseling Minor bite adjustments Understand the link between infections in the mouth, and their impact on other parts of the body. Each main plan type has more than one subtype. You may be balance billed by out-of-network dentists up to the dentists standard fee. Aetna Dental Direct | Secure Member Portal Login Secure Member Portal * required Username * Forgot Username? Aetna Inc. and itsaffiliated 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. Purchasing the Aetna dental discount cards is easy - online, by mail or by phone. Provider Directory Last Updated: April 22, 2023 Page Last Updated: January 27, 2023 This information is neither an offer of coverage nor medical advice. Aetna Inc. and its affiliated 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. your coverage will begin on January 1, 2022. Visit the secure website, available through www.aetna.com, for more information. Links to various non-Aetna sites are provided for your convenience only. Links to various non-Aetna sites are provided for your convenience only. Aetna dental insurance for seniors offers three different plans to choose from. For comprehensive services, such as fillings, extractions and crowns, the coverage varies according to plan, and you may have to pay a portion of the cost of services. For language services, please call the number on your member ID card and request an operator. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. There also may be age and frequency limits on some services. ***Certain brands impose a no-discount policy. Were bringing you to our trusted partner to help process your payments. U.S. Government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer data bases and/or computer software and/or computer software documentation are subject to the limited rights restrictions of DFARS 252.227-7015(b)(2) (June 1995) and/or subject to the restrictions of DFARS 227.7202-1(a) (June 1995) and DFARS 227.7202-3(a) (June 1995), as applicable for U.S. Department of Defense procurements and the limited rights restrictions of FAR 52.227-14 (June 1987) and/or subject to the restricted rights provisions of FAR 52.227-14 (June 1987) and FAR 52.227-19 (June 1987), as applicable, and any applicable agency FAR Supplements, for non-Department of Defense Federal procurements. your coverage will begin on January 1, 2022. This excerpt is provided for use in connection with the review of a claim for benefits and may not be reproduced or used for any other purpose. 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 Top 3 reasons to choose Aetna Dental CPT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to the implied warranties of merchantability and fitness for a particular purpose. The EOC is the legal contract between you and the Medicare plan. The five character codes included in the Aetna Clinical Policy Bulletins (CPBs) are obtained from Current Procedural Terminology (CPT), copyright 2015 by the American Medical Association (AMA). Most plans also have a benefit maximum, a limit on the amount the plan will pay out to cover dental services. Massachusetts license number: 10041444. And one of the main perks of joiningaMedicare Advantage (MA)planis that many plans offer dental coverage to helpyoukeep upwithyour oral health. Switch by the 15th day of the current month. The term precertification here means the utilization review process to determine whether the requested service, procedure, prescription drug or medical device meets the company's clinical criteria for coverage. License to sue 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. Treating providers are solely responsible for medical advice and treatment of members. CPT is a registered trademark of the American Medical Association. Aetna Student HealthSM is the brand name for products and services provided by Aetna Life Insurance Company, Aetna Health and Life Insurance Company and their affiliated companies. **Through the ChooseHealthy program, which is provided by ChooseHealthy, Inc., a subsidiary of American Specialty Health Incorporated (ASH). 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. If you do not intend to leave the Medicare site, close this message. These typically include some level of dental coverage, including twice-yearly oral health exams, teeth. You get a broad choice of dentists and dental providers, wellness discounts and offers that stretch your health care dollar, digital tools to easily manage your care, and more. Aetna defines a service as "never effective" when it is not recognized according to professional standards of safety and effectiveness in the United States for diagnosis, care or treatment. The program does not make any payments to providers. You are now being directed to the CVS Health site. 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. For more info about your no-cost OneTouch BGM for Aetna Medicare plan members, you can visit us online or call 1-877-764-5390 ${tty} without a prescription. They are not benefits under your insurance plan. For prescribed drugs, pre-treatments or analgesia. ", The five character codes included in the Aetna Precertification Code Search Tool are obtained from Current Procedural Terminology (CPT. This is the total amount per person your plan will pay toward the in-network cost of dental care each year. It will show you whether a drug is covered or not covered, but the tier information may not be the same as it is for your specific plan. Your dental plan may have yearly and lifetime limits on coverage. The responsibility for the content of this product is with Aetna, Inc. and no endorsement by the AMA is intended or implied. You are now being directed to the CVS Health site. 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. Applicable FARS/DFARS apply. Si tu intencin no era salir del sitio web, cierra este mensaje. With adirect member reimbursementallowance, youre givena set amount of money to spend each year on dental care.. Brushing, flossing and getting regular dental checkups help to keep your mouth healthy. Since Dental Clinical Policy Bulletins (DCPBs) 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. It may be different from your Aetna secure member site log in. Some preferred provider organization (PPO) and health maintenance organization point-of-service (HMO-POS) plans, however, do allow you to see any licensed dental provider, but you may save money by seeing a provider in our network. Plan 41 Effective Date: 01-01-2022 Hampshire, Middlesex, Norfolk, Plymouth, Suffolk and Worcester. Replacement of teeth beyond the normal complement of 32 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. ZIP CODE View 2023 plans Learn about these benefits Dental, eyewear and hearing coverage is available. And you don't have to have Aetna medical or other coverage with us to purchase. Texas Members: In Texas, the Preferred Provider Organization (PPO) plan is known as the Participating Dental Network (PDN). ** Out-of-network benefits are paid based on recognized charge levels, as determined by Aetna and specified in your plan documents. Yes, I'm a memberNo, I'm looking for a plan. *** Terms and conditions: Bit.ly/2nlJFYG. They also have Direct Preventive, which only covers the costs of preventive dental care. By submitting your information you are agreeing to receive communications from Aetna Dental Offers. Digital tools to easily manage your care and access your ID card whenever needed. The member's benefit plan determines coverage. Accessibility Services:If you are a person with a disability who needs assistance using our websites, our Customer Service Representatives can assist you.
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