aetna dental ppo coverage 2022

Welcome Federal Employees | AetnaFeds.com - FedVIP FAQs Compare our plans and find the coverage that's best for you. CPT only copyright 2015 American Medical Association. Some of the covered dental services may include (be sure to check with your plan for details): If you have network or OSB coverage, you may be limited to a specific number of services per year. Dental care is a vital part of maintaining yourhealth and well-being, especially as you age. For PPO plans and most HMO-POS plans, you have the option to go to any licensed provider, but could save money by using a provider in the network. Dental network Direct Member Reimbursement (DMR) Not sure If you're covered through a former employer, union, trust or other retirement system, then you have a dental network plan and are covered by the Aetna Dental PPO network. 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. 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. Find the right plans and programs for you. 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. The material is for information only. That are provided by a family member. 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. If there is a discrepancy between a Clinical Policy Bulletin (CPB) and a member's plan of benefits, the benefits plan will govern. The maximum deductible for 2022 is $480, but this plan (Aetna Medicare Choice Plan (PPO)) has a $200. Some subtypes have five tiers of coverage. While Clinical Policy Bulletins (CPBs) define Aetna's clinical policy, medical necessity determinations in connection with coverage decisions are made on a case by case basis. Language services can be provided by calling the number on your member ID card. Vision and hearing at no additional cost. Accessibility Services:If you are a person with a disability who needs assistance using our websites, our Customer Service Representatives can assist you. 2022 . We encourage you to check with your participating provider prior to beginning treatment. Is there a maximum dental benefit? Click the Register button to get started. The Dental Clinical Policy Bulletins (DCPBs) describe Aetna's current determinations of whether certain services or supplies are medically necessary, based upon a review of available clinical information. 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. The availability of a particular provider cannot be guaranteed and provider network composition is subject to change. Plan 41 Effective Date: 01-01-2022 Hampshire, Middlesex, Norfolk, Plymouth, Suffolk and Worcester. And withAetna MA plans, you have a variety of options to make it more affordable and easierto keep up withyourdental care. The Clinical Policy Bulletins (CPBs) express Aetna's determination of whether certain services or supplies are medically necessary, experimental and investigational, or cosmetic. 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. Premium deductions will start with the first full pay period This is only a summary of the plan's exclusions and limitations. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. The Aetna Vital Savings discount program is not insurance. Aetna Dental Savings Plans are NOT dental insurance and the dental savings will vary by provider, plan and zip code. Get the coverage you need to keep your mouth, teeth and gums healthy. Medicare coverage for the whole you body, mind and spirit, Discover coverage that takes a total approach to health, See how we help you get the right resources and care, Take full advantage of everything your plan offers you. All care is the responsibility of the treating provider, in consultation with the participant. With Aetna MA plans that include a direct member reimbursement (DMR) allowance, members are given a set amount of money to spend each year on dental care. Find your dentist now in Aetna's large nationwide network. Aetna will expand the Total Choice dental benefit introduced in 2022 to additional Individual MA HMO-POS and PPO plans. Selection of a program provider is also the responsibility of the participant and is not based on any representations by Aetna. Your dental plan may have yearly and lifetime limits on coverage. And one of the main perks of joiningaMedicare Advantage (MA)planis that many plans offer dental coverage to helpyoukeep upwithyour oral health. But your plan features and costs will vary depending on the plan you choose. They also have Direct Preventive, which only covers the costs of preventive dental care. Each main plan type has more than one subtype. Dental care, eyewear and hearing aids Many of our Medicare Advantage plans include dental, eyewear and hearing benefits. FEDVIP Program Highlights A Choice of Plans and . Actual costs and savings may vary by provider, service and geographic location. CPT only Copyright 2022 American Medical Association. Visit any licensed dentist outside the network. By texting 90156, you consent to receive a one-time marketing automated text message from Aetna with a link to download the Aetna Health app. As you plan for your dental care, keep in mind that you may have limits on the amount of preventive care visits you can make each year, as well as caps on coverage for comprehensive services. Dual Eligible Special Needs Plans (D-SNP). If you do not intend to leave Aetna Medicare, close this message. 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. Links to various non-Aetna sites are provided for your convenience only. That are experimental or investigational. With a PPO plan, you can visit any dentist you want (whether they are in or out of the network) and usually receive some coverage level. Aetna Dental has over 60 years of experience offering dental benefits. While we encourage you to submit all claims electronically, if you need to submit a paper claim, Review our paper claim Tips. 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. Get the coverage you need to keep your mouth, teeth and gums healthy. AetnaDentalOffers.com is brought to you by DentalPlans.com. While the Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. 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. Links to various non-Aetna sites are provided for your convenience only. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept". In case of a conflict between your plan documents and this information, the plan documents will govern.

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