California license number: OB84599. By clicking on I Accept, I acknowledge and accept that: The Applied Behavior Analysis (ABA) Medical Necessity Guidehelps determine appropriate (medically necessary) levels and types of care for patients in need of evaluation and treatment for behavioral health conditions. Acupuncture, acupressure and acupuncture therapy Annual Deductible $50 Per Person $150 Per Family, per calendar year, Annual Maximum Benefit $1,250 per covered person. PDF Dental Benefits Summary - Aetna The information you will be accessing is provided by another organization or vendor. Get a discount on blood pressure montiors, pedometers, activity trackers, pain relief devices and other Omron products. In addition, coverage may be mandated by applicable legal requirements of a State or the Federal government. To view the form just select Continue. your primary care dentist will refer you to one in our network. 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. It may be different from your Aetna secure member site log in. For work-related conditions. 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. And you dont have to have Aetna medical or other coverage with us to purchase. 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. 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. Weve broken down the differences between our DMO dental benefits and insurance plan and our PPO dental insurance plans to help you decide. This information is neither an offer of coverage nor medical advice. Provided for your personal comfort or convenience, or the convenience of any other person, including a dental provider. Aetna dental insurance for seniors offers three different plans to choose from. 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. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Aetna may receive a percentage of the fee you pay to the discount vendor. Yes, I'm a memberNo, I'm looking for a plan. They also have Direct Preventive, which only covers the costs of preventive dental care. Special promotions including, but not limited to, additional months free are not available to California residents or on Fully Insured Plans. With Aetna Vital Savings, you can choose from more than 250,0001 available dental practices across the country. A primary care dentist (PCD) helps guide your care with this DMO* 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). ${tty} to chat about any Medicare questions you have. View your plan - Verizon - Aetna Medicare Advantage 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 Welcome Federal Employees | 2022 Plan Brochures - Aetna Feds Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this product. Please be sure to add a 1 before your mobile number, ex: 19876543210, Use our provider search tool to search, in the network, by name, specialty or procedure, See your benefits summary and get information about what's covered, Pull up your ID card whenever you need it. CPT is developed by the AMA as a listing of descriptive terms and five character identifying codes and modifiers for reporting medical services and procedures performed by physicians. Top 3 reasons to choose Aetna Dental Pros. 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. 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. Under certain plans, if more than one service can be used to treat a covered person's dental condition, Aetna may decide to authorize coverage only for a less costly covered service provided that certain terms are met. Click the Register button to get started. Are there any waiting periods? For language services, please call the number on your member ID card and request an operator. Pricing starts at $20 in most regions, and also includes: No waiting periods Inclusive plans. Visit the secure website, available through www.aetna.com, for more information. Crown, inlays and onlays, and veneers unless for one of the following: Studies show that a healthy mouth helps you avoid health problems in the body, too. Treating providers are solely responsible for dental advice and treatment of members. Caring for your teeth should never feel out of reach with Aetna Dental Direct. Each main plan type has more than one subtype. If you do not intend to leave the Medicare site, close this message. Best Dental Insurance in 2023 Compare Plans & Pricing Be sure to make copies of all of your paperwork. You may also be required to pay a portion of the costs. Surgical removal of impacted wisdom teeth when only for orthodontic reasons The member's benefit plan determines coverage. 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. Important Disclaimers for Medicare Members For questions on your dental benefits, call us 1-866-409-0937 (TTY: 711). Applicable FARS/DFARS apply. - The tooth is an abutment to a covered partial denture or fixed bridge. Claim FAQ. When you have an Aetna Dental plan, you know youre taking the right steps toward being healthy. Understand the link between infections in the mouth, and their impact on other parts of the body. 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. Remember Username Secure Login First time here? 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). Visit any licensed dentist outside the network. No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM. And you don't have to have Aetna medical or other coverage with us to purchase. Do you cover adult orthodontia? Aetna 2023 Medicare plans put money back in members' pockets Links to various non-Aetna sites are provided for your convenience only. A Nationwide Dental PPO Plan Who may enroll in this plan: All Federal employees, annuitants, and . Aetna does not provide dental, medical, vision or other health care/treatment. Others have four tiers, three tiers or two tiers. This benefit maximum can range from about $150 to $6,000. Aetna Dental PPO Plan More reasons to smile Worldwide dental coverage and plans with no deductible New Hires have 60 days to choose benefits. Your InstaMed log in may be different from your Caremark.com secure member site log in. See your Evidence of Coverage for details. 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. Section 5 Dental Services and Supplies Class A Basic 16 . are covered at 100% on most plans. The Clinical Policy Bulletins (CPBs) express Aetna's determination of whether certain services or supplies are medically necessary, experimental and investigational, or cosmetic. The responsibility for the content of Aetna Clinical Policy Bulletins (CPBs) is with Aetna and no endorsement by the AMA is intended or should be implied. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Deductible and annual maximum amounts cross-apply between in network and out of network. Information is believed to be accurate as of the production date; however, it is subject to change. Reprinted with permission. The maximum deductible for 2022 is $480, but this plan (Aetna Medicare Choice Plan (PPO)) has a $200. Aetna Medicare Advantage HMO-POS plans. Language services can be provided by calling the number on your member ID card. To learn more about using your Aetna MA dental benefits, read our guide below. Do you want to continue? Consent is not required to download the app. Aetna Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits and do not constitute dental advice. 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. Treating providers are solely responsible for medical advice and treatment of members. Aetna Inc. and itsitsaffiliated 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. 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. Rates start at $7.99 a month. Aetna Dental Insurance Plans for Seniors in 2023 - The Senior List You also have the flexibility to visit a licensed dentist who does not participate in our network. Welcome Federal Employees | AetnaFeds.com - FedVIP FAQs Aetna Dental Direct PPO Plans are Subject to the Following Rules: Replacement Rule ZIP CODE View 2023 plans Learn about these benefits Dental, eyewear and hearing coverage is available. Use order code 123AET200. While we encourage you to submit all claims electronically, if you need to submit a paper claim, Review our paper claim Tips. 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. In addition, a member may have an opportunity for an independent external review of coverage denials based on medical necessity or regarding the experimental and investigational status when the service or supply in question for which the member is financially responsible is $500 or greater. The responsibility for the content of this product is with Aetna, Inc. and no endorsement by the AMA is intended or implied. Aetna handles premium payments throughInstaMed, a trusted payment service. Medicare Advantage PPO Plans | Aetna Medicare Services and supplies provided where there is no evidence of pathology, dysfunction or disease, other than covered preventive services If you have more questions, just call us at 1-866-241-0356 (TTY: 711), Monday through Friday, 8 AM to 9 PM ET. Aetna Dental Coverage | New York State Nurses Association Home Aetna Dental Coverage For more information on NYSNA dental benefits, offered through Aetna, please refer to the following documents ( .pdf; Adobe Acrobat Reader required): Aetna Navigator Website Introduction Aetna PPO Overview Dental Benefits Summary (NYSNA Full-time RNs) Sign up at BeneFeds.com or call 1-877-888-3337. Massachusetts license number: 10041444. Want to learn more about your dental coverage? 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. You, your employees and agents are authorized to use CPT only as contained in Aetna Clinical Policy Bulletins (CPBs) solely for your own personal use in directly participating in healthcare programs administered by Aetna, Inc. You acknowledge that AMA holds all copyright, trademark and other rights in CPT.
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