This is called an extension of benefits provision. If you need a printed copy, you can request one. If you’re interested, please follow the instructions below based on your current Aetna participation status: For providers not currently credentialed with Aetna Standing orders for alternative formats If you wish to make a standing request to receive all materials in a language other than English or in an alternate format at no cost to you, call Aetna Better Health of Kansas Member Services at 1-855-221-5656 , (TTY: 711) , 24 hours a day, 7 days a week. If you are enrolled in a PPO Max plan, your out-of-network benefits will be based on the standard rates for network dentists in that geographic area. Of course you can use our directories to find doctors and hospitals that take your insurance. 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. Deductibles and annual maximums may apply. The dental discounts are available through participating healthcare providers only. On Saturday, May 30, 2020, all Aetna tools and functionality on NaviNet will be brought … You are now leaving the Aetna Dental Web site and linking to ClaimConnect*. In Texas by Aetna Dental Inc. and in Virginia, the DMO plan is known as the Dental Network Only plan (DNO). The information you will be accessing is provided by another organization or vendor. Note: After clicking the link to find doctors and other providers, you will be routed to Aetna’s general provider search tool. Texas Members: In Texas, the Preferred Provider Organization (PPO) plan is known as the Participating Dental Network (PDN). If you visit a network dentist, you generally pay less out of pocket. Network dentists have agreed to offer certain services at a negotiated rate. Search for a dentist by name, specialty, zip code or the number of miles you are willing to travel. Dentists who are not in our network may bill you their normal fee for procedures. Plan from an employer         Aetna Medicare plan, Individual dental plan           Aetna Medicaid plan. When you go to the dentist, tell the office staff that you have Aetna Dental and they will verify your coverage. Videos. To receive maximum benefits, members must choose a participating primary care dentist to coordinate their care with network providers. Some services have this type of restriction. Aetna Dental members do not need a member ID card to get dental care. After you meet your deductible, you will pay a coinsurance amount (a percentage of covered expenses) at the time of service. You are now being directed to the Give an Hour site, You are now being directed to the CVS Pharmacy site, You are now being directed to the CDC site, You are now being directed to the CVS Health site. Learn more about Aetna Dental. … If you use NaviNet for any of your workflows, you will need to switch to Availity. Aetna Dental Medicare Advantage members covered under a dental exclusive provider organization (EPO) or a preferred provider organization (PPO) plan are supported by the Aetna Dental PPO network. Log in to find a dentist who accepts your coverage. Due to the impact of the COVID-19 pandemic, many provider offices may need to adjust their office hours or redirect patients to others offices. Aetna Dental has over 50 years of experience offering dental benefits. This material is for information only. Aetna Inc. and its subsidiary 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. The amount of our "recognized charge" does not suggest your dentist’s fee is not reasonable and proper. Your plan provides benefits using amounts that we have set as the "recognized charge" for each service in your geographic area. But costs usually are lower if you choose a dentist who is part of the PPO or PDN. Please log in to your secure account to get what you need. Dental Clinical Policy Bulletins. This search will use the five-tier subtype. You can view and print your ID card from your member website. 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. When we set the "recognized charge" we may consider other factors, including the prevailing charge in other areas. Search our Spanish directories View our Chinese directories NEW YORK 市 - HMO. Register and log in today You can also view and share your digital ID card from the Aetna HealthSMapp. For language services, please call the number on your member ID card and request an operator. Links to various non-Aetna sites are provided for your convenience only. They also have dentists and dental specialists in Mexico if traveling abroad. Links to various non-Aetna sites are provided for your convenience only. Others have four tiers, three tiers or two tiers. Preferred Provider Organization (PPO) ** or Participating Dental Network (PDN) With these plans, you can visit any dentist you want. Federal Employees Health Benefits Plans - Aetna - Aetna Dental PPO Plan - Worldwide coverage and no deductible. Signing up is simple and free. Aetna dental® has over 339,000 dentists in their PPO network of providers, as well as many orthodontists and other dental specialists. Electronic … Medical Providers? Aetna Dental members do not need a member ID card to get dental care. 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. Please consult with the respective plan detail page for additional plan terms. For HMO plans, you must see a dental care provider within the network of approved providers. Skip to main content. This applies to first-time dentures, fixed or removable bridges, and implants. The plan offers preventive treatment at 100% with no out of pocket cost. You can see any licensed dental care provider for approved services. You also can look for more than 25 other types of health care providers, including pharmacies, marriage counselors, urgent care centers, acupuncturists, drug and alcohol counselors, hospice care providers, dialysis centers, vision care providers, flu shot providers and physical therapists. If you are enrolled in two dental plans, and each plan covers two cleanings per year, you are not entitled to four cleanings per year. Have your dentist send a request for a pretreatment estimate (predetermination) to us. If we have primary responsibility, we pay as the primary payor. Articles. If your Aetna Medicare plan offers dental benefits through a network of providers, you’re required to see an approved in-network provider for covered services. To get detailed information about your health care coverage, … Contact Member Services if you have questions. With Aetna Dental Direct, you’ll get the coverage you need to keep your teeth healthy. If you need more information, please contact Member Services using the number on your ID card. Each main plan type has more than one subtype. Aetna is the brand name used for products and services provided by one or more of the Aetna group of subsidiary companies, including Aetna Life Insurance Company and its affiliates (Aetna). 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. If you are looking for an In-Network dentist that accept Aetna dental plans then we can help. A licensed insurance agent can help you compare Aetna Medicare Advantage plans available … For personalized results, first log in to your secure member website. Members should always contact the provider's office in advance to confirm availability. Nippon Life Insurance Company of America® - marketing name Nippon Life Benefits®, NAIC number 81264, licensed & authorized in all states plus DC, except not ME, NH or WY, domiciled in Iowa, with a principal place of business at 655 Third Avenue, 16th floor, NY, NY 10017-9113, member company of Nippon Life Insurance Company of Japan (“Nissay”). Please see your plan documents or contact Member Services for details. You can get a Summary of Benefits from the employer that is providing your insurance. Call 1-877-459-6604. You’ll get a text from us soon with a link to download the Aetna Health app. Please consult with the respective plan detail page for additional plan terms. You’re invited to join the networks for the Aetna DMO® (Dental Maintenance Organization)* and/or PPO (Preferred Provider Organization)** plans. Visit Dental Provider Search to view your dental providers. The information you will be accessing is provided by another organization or vendor. You can find a network dentist using our online directory. If not, we pay as the secondary payor. Aetna dental plans are not considered to be qualified health plans under the Affordable Care Act. See details about your plan, get an ID card and review your claims. 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. Federal Retiree plans. Some subtypes have five tiers of coverage. This directory provides a list of Aetna Medicare dental network provider locations nationwide. Your Aetna Summary of Benefits describes the services that are covered under your plan. Questions? Please note that there are several types of coordination of benefits provisions. You can choose from one of the more than 330,000 dentist locations in the Aetna Dental PPO network. 100% Aetna PPO dental providers here to help Albuquerque residents. How will my dentist know I have coverage through Aetna Dental? For language services, please call the number on your member ID card and request an operator. You also can look for more than 25 other types of health care providers, including pharmacies, marriage counselors, urgent care centers, acupuncturists, drug and alcohol counselors, hospice care providers, dialysis centers, vision care providers, flu shot providers and physical therapists. Compare costs for dental care providers. The dental discounts are available through participating healthcare providers only. https://www.aetnadentaloffers.com/.../aetna-dental-insurance-ppo-vs-dhmo Health benefits and health insurance plans contain exclusions and limitations. Claims & Electronic Solutions. Do you want to continue? For PPO plans, you have the option to go out of network, but you will have higher costs. You are now being directed to the Give an Hour site, You are now being directed to the CVS Pharmacy site, You are now being directed to the CDC site, You are now being directed to the CVS Health site. Please consult with the respective plan detail page for additional plan terms. The deductible is the dollar amount you must pay before your plan covers your eligible dental expenses. 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. The secondary plan acts like a supplement to the primary plan. Aetna Inc. and its subsidiary 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 dentist may bill you for the difference between his or her normal fee and our "recognized charge." Overview. You can continue to use Aetna’s electronic tools on AetnaDental.com for all your dental transactions. Signing up is simple and free. Dental Providers: Register now for AetnaDental.com. You are now being directed to the Apple.com COVID-19 Screening Tool, You are now being directed to the US Department of Health and Human Services site, You are now being directed to the CVS Health COVID-19 testing site. Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates (Aetna). You or your dentist may also call Member Services at the number on your ID card. You can also view and share your digital ID card from the Aetna HealthSM app. If you were covered under a previous insurance carrier, certain services will be covered by that plan even after your Aetna coverage begins. Submit Search. DNO in Virginia is not an HMO. To learn more, view the PPO video Chinese translation can also be found throughout the directory and on the tabs of each section. Please log in to your secure account to get what you need. Join the Aetna Dental ® network. When you go to the dentist, tell the office staff that you have Aetna Dental and they will verify your coverage. Aetna Federal Plans. Dental PPO insurance plans are underwritten and/or administered by Aetna Life Insurance Company. NEW YORK 市 - PPO. I did not get an ID card. Just enter your mobile number and we’ll text you a link to download the Aetna Health app from the App Store or on Google Play. You can use your secure Aetna member website to manage your dental care and dental care costs. New … Download t… Of course you can use our directories to find doctors and hospitals that take your insurance. All preventive services (cleaning, X-rays, exams) are covered at 100%. Learn more about our Medicare Advantage PPO plans. This amount is not covered, and you must pay it. Preferred Provider Organizations (PPO) and Participating Dental Network (PDN) structures cover in- and out-of-network plans. Included in your health plan. Please see your plan document or contact Member Services for details. If your plan has a deductible (a dollar amount you must pay for covered expenses in a plan year), you must meet the deductible before your plan covers your eligible dental expenses. Periodontal maintenance is for patients who have previously been treated for periodontal disease. Learn more about our Preferred Provider Organization plans. Start your search for a dentist by entering your zip code below. How do I enroll in an Aetna Medicare Advantage plan? Information is believed to be accurate as of the production date; however, it is subject to change. With Aetna's PPO health insurance plans, you’ll never have to choose between flexibility and savings. Please see your plan documents or contact Member Services for coverage details. Aetna dental plans are not considered to be qualified health plans under the Affordable Care Act. You may pay a coinsurance percentage or flat dollar amount. Aetna dental plans are not considered to be qualified health plans under the Affordable Care Act. Working with Us. Choose the type of plan you're interested in to search for health care providers that accept it. The plan offers preventive treatment at 100% with no out of pocket cost. Yes, but some plans may limit the benefit to certain teeth. Some subtypes have five tiers of coverage. Others have four tiers, three tiers or two tiers. Crowns and fixed bridgework, when the teeth were prepared before your Aetna coverage began, Appliances (such as dentures), when the impression was taken before your Aetna coverage began, Root canal therapy, when the tooth's pulp chamber was opened before your Aetna coverage began. Links to various non-Aetna sites are provided for your convenience only. Sunnyvale Dentist, Dr. Antonious is proud to be a preferred provider member with Aetna Dental Insurance for over 22 years. Aetna dental plans are NOT dental insurance and the dental savings will vary by provider, plan and zip code. If the teeth were lost or extracted before your coverage began, then services to replace them may not be covered by your plan. You’ll get a text from us soon with a link to download the Aetna Health app. Aetna’s In-Network dental professionals include: Adult and primary dentists Aetna’s Provider Portal on Availity You may have recently received an email about Aetna’s move to Availity. There are hundreds of dental insurance companies in the market; Aetna PPO is one of the most significant sources that provide best dental coverage options to dental patients. If you’re looking for a provider directory in a different language, you can view our Spanish and Chinese versions. Caring for your teeth should never feel out of reach with Aetna Dental Direct. Your plan may have a deductible. Links to various non-Aetna sites are provided for your convenience only. NEW YORK 市 QUEENS 區 - PPO. And so much more. You can view and print your ID card from your member website. If you do not intend to leave our site, close this message. NEW YORK 市 QUEENS 區 - HMO. Download this free app today at the App Store or Google Play. For other language services: Español | 中文 | Tiếng Việt |한국어 |Tagalog | Pусский | العربية | Kreyòl | Français | Polski | Português | Italiano |Deutsch |日本語 |فارسی | Other languages ... You are now being directed to the AMA site. Yes. You or your dentist can submit a claim form for reimbursement. If you do not intend to leave our site, close this message. For more details, contact Member Services or review your plan documents. Dentists and Dental Office Professionals: Log In: User Name: Password : Aetna Dental PPO 2021 Experience the freedom to choose with our first-rate Aetna Dental Preferred Provider Organization (PPO) plan. To check that your provider participates, visit our website or call us. Aetna MA plans offer three types of dental coverage: Network. This search will use the five-tier subtype. Each main plan type has more than one subtype. Health information programs provide general health information and are not a substitute for diagnosis or treatment by a physician or other health care professional. Apply for Participation Now! That means you’ll pay a portion of covered expenses at the time of service. Do you want to continue? With Aetna Medicare Advantage PPO plans, you can visit any doctor in or out of our provider network who accepts Medicare and our plan terms. Find doctors and other providers. Vision plans. This directory is for New York. 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. To check … A Chinese version of the Introduction follows the English version. Aetna Inc. and its subsidiary 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. See your plan documents to learn this amount. Thanks! With the PPO plan, … You are now leaving the Aetna Dental Web site and linking to ClaimConnect*. Join The Network . With Aetna Dental Direct, you’ll get the coverage you need to keep your teeth healthy. Register now for Aetna's provider website on Availity. For other language services: Español | 中文 | Tiếng Việt |한국어 |Tagalog | Pусский | العربية | Kreyòl | Français | Polski | Português | Italiano |Deutsch |日本語 |فارسی | Other languages ... You are now being directed to the AMA site. You get it all, from no referrals to broad networks to competitive discounts and more. See your plan documents for specific amounts. Log in to find doctors, dentists, hospitals and other providers that accept your plan. If more than one service is needed to fix a problem, most services are considered separately. Dental plans. If your plan has a coordination of benefits provision, we confirm which plan has primary responsibility for claim payment. You are now being directed to the Apple.com COVID-19 Screening Tool, You are now being directed to the US Department of Health and Human Services site, You are now being directed to the CVS Health COVID-19 testing site. Medical plans. Aetna offers a nice selection of plan types that includes, DMO-, PPO-, PDN- network structures. To check that your provider participates, visit our website or call us. You can choose from one of the more than 330,000 dentist locations in the Aetna Dental PPO network. Since there is no paperwork or reimbursement, you … Aetna Inc. and its subsidiary 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 dentist may submit your claims for you. These services include: If you had no coverage when you started treatment for a service, that service may not be covered under your Aetna plan. Contact us. National Provider Identifier (NPI) Dispute & Appeal Process. This directory includes the Chinese translated version. Retiree Center. Thanks! This will let you and the dentist know what the benefit would be if the service were done. They may differ by plan. The dental discounts are available through participating healthcare providers only. This site will contain some information which may not apply to State of New Hampshire Aetna Medicare Advantage PPO ESA Plan. Dental Maintenance Organizations (DMO) only covers in-network services. Your secure, personalized, member website Make the most of your dental insurance plan. Federal Retiree plans. We do not guarantee that each provider is still accepting new members. Show Menu ≡ Health Plans. The primary payor pays claims as it normally would, as if there were no secondary payor. 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. Since there is no paperwork or reimbursement, you … Aetna Medicare EPO/PPO Dental Provider Directory This directory provides a list of Aetna Medicare network dental providers. Just enter your mobile number and we’ll text you a link to download the Aetna Health app from the App Store or on Google Play. Contact Member Services to see if your plan has a work-in-progress exclusion. Resources. Dental benefits online and on the go. You can access more than 80,000 dentists throughout the U.S. You never need a referral.