Call 1-877-459-6604. Aetna dental® has over 339,000 dentists in their PPO network of providers, as well as many orthodontists and other dental specialists. Dental Providers: Register now for AetnaDental.com. And so much more. If you use NaviNet for any of your workflows, you will need to switch to Availity. Please see your plan documents or contact Member Services for coverage details. New … Dental benefits online and on the go. NEW YORK 市 - PPO. Yes. Federal Employees Health Benefits Plans - Aetna - Aetna Dental PPO Plan - Worldwide coverage and no deductible. 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. Sunnyvale Dentist, Dr. Antonious is proud to be a preferred provider member with Aetna Dental Insurance for over 22 years. Periodontal maintenance is for patients who have previously been treated for periodontal disease. If you were covered under a previous insurance carrier, certain services will be covered by that plan even after your Aetna coverage begins. Retiree Center. 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. 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’ll get a text from us soon with a link to download the Aetna Health app. Health information programs provide general health information and are not a substitute for diagnosis or treatment by a physician or other health care professional. Aetna Dental members do not need a member ID card to get dental care. Dentists and Dental Office Professionals: Log In: User Name: Password : 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. Aetna Dental has over 50 years of experience offering dental benefits. Show Menu ≡ Health Plans. On Saturday, May 30, 2020, all Aetna tools and functionality on NaviNet will be brought … For language services, please call the number on your member ID card and request an operator. If not, we pay as the secondary payor. You or your dentist may also call Member Services at the number on your ID card. Log in to find a dentist who accepts your coverage. You can see any licensed dental care provider for approved services. To check … To learn more, view the PPO video Federal Retiree plans. Vision plans. Please log in to your secure account to get what you need. All preventive services (cleaning, X-rays, exams) are covered at 100%. Electronic … Thanks! Each main plan type has more than one subtype. You may pay a coinsurance percentage or flat dollar amount. You never need a referral. This search will use the five-tier subtype. If you do not intend to leave our site, close this message. Videos. The plan offers preventive treatment at 100% with no out of pocket cost. 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 can choose from one of the more than 330,000 dentist locations in the Aetna Dental PPO network. Note: After clicking the link to find doctors and other providers, you will be routed to Aetna’s general provider search tool. This applies to first-time dentures, fixed or removable bridges, and implants. Medical Providers? Contact us. Download this free app today at the App Store or Google Play. 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. This amount is not covered, and you must pay it. Yes, but some plans may limit the benefit to certain teeth. Questions? Your secure, personalized, member website Make the most of your dental insurance plan. DNO in Virginia is not an HMO. Information is believed to be accurate as of the production date; however, it is subject to change. Links to various non-Aetna sites are provided for your convenience only. You can use your secure Aetna member website to manage your dental care and dental care costs. Aetna Federal Plans. Network dentists have agreed to offer certain services at a negotiated rate. Learn more about our Medicare Advantage PPO plans. You can choose from one of the more than 330,000 dentist locations in the Aetna Dental PPO network. A Chinese version of the Introduction follows the English version. Please log in to your secure account to get what you need. You can also view and share your digital ID card from the Aetna HealthSM app. To receive maximum benefits, members must choose a participating primary care dentist to coordinate their care with network providers. Please consult with the respective plan detail page for additional plan terms. The primary payor pays claims as it normally would, as if there were no secondary payor. Your plan may have a deductible. Members should always contact the provider's office in advance to confirm availability. Medical plans. When you go to the dentist, tell the office staff that you have Aetna Dental and they will verify your coverage. Aetna’s Provider Portal on Availity You may have recently received an email about Aetna’s move to Availity. Deductibles and annual maximums may apply. Aetna Dental PPO 2021 Experience the freedom to choose with our first-rate Aetna Dental Preferred Provider Organization (PPO) plan. Start your search for a dentist by entering your zip code below. Aetna MA plans offer three types of dental coverage: Network. You or your dentist can submit a claim form for reimbursement. This directory includes the Chinese translated version. Preferred Provider Organization (PPO) ** or Participating Dental Network (PDN) With these plans, you can visit any dentist you want. Working with Us. Aetna dental plans are not considered to be qualified health plans under the Affordable Care Act. Find doctors and other providers. Please see your plan documents or contact Member Services for details. If you do not intend to leave our site, close this message. Preferred Provider Organizations (PPO) and Participating Dental Network (PDN) structures cover in- and out-of-network plans. If the teeth were lost or extracted before your coverage began, then services to replace them may not be covered by your plan. 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. Please consult with the respective plan detail page for additional plan terms. 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). https://www.aetnadentaloffers.com/.../aetna-dental-insurance-ppo-vs-dhmo You can access more than 80,000 dentists throughout the U.S. This material is for information only. Each main plan type has more than one subtype. For personalized results, first log in to your secure member website. Claims & Electronic Solutions. 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. Overview. Links to various non-Aetna sites are provided for your convenience only. You’ll get a text from us soon with a link to download the Aetna Health app. 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. Contact Member Services to see if your plan has a work-in-progress exclusion. Please note that there are several types of coordination of benefits provisions. Plan from an employer         Aetna Medicare plan, Individual dental plan           Aetna Medicaid plan. If you need a printed copy, you can request one. Some subtypes have five tiers of coverage. We do not guarantee that each provider is still accepting new members. You can view and print your ID card from your member website. The information you will be accessing is provided by another organization or vendor. 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. 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. You can find a network dentist using our online directory. 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. You are now leaving the Aetna Dental Web site and linking to ClaimConnect*. Apply for Participation Now! 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. You can get a Summary of Benefits from the employer that is providing your insurance. 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. 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. They also have dentists and dental specialists in Mexico if traveling abroad. With Aetna's PPO health insurance plans, you’ll never have to choose between flexibility and savings. NEW YORK 市 QUEENS 區 - PPO. 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. Since there is no paperwork or reimbursement, you … This is called an extension of benefits provision. Aetna dental plans are not considered to be qualified health plans under the Affordable Care Act. 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 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. To check that your provider participates, visit our website or call us. See your plan documents for specific amounts. Links to various non-Aetna sites are provided for your convenience only. 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. 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. But costs usually are lower if you choose a dentist who is part of the PPO or PDN. Dental Clinical Policy Bulletins. You are now leaving the Aetna Dental Web site and linking to ClaimConnect*. You can view and print your ID card from your member website. Texas Members: In Texas, the Preferred Provider Organization (PPO) plan is known as the Participating Dental Network (PDN). Please consult with the respective plan detail page for additional plan terms. They may differ by plan. This directory is for New York. If you’re interested, please follow the instructions below based on your current Aetna participation status: For providers not currently credentialed with Aetna See details about your plan, get an ID card and review your claims. This site will contain some information which may not apply to State of New Hampshire Aetna Medicare Advantage PPO ESA Plan. Health benefits and health insurance plans contain exclusions and limitations. For HMO plans, you must see a dental care provider within the network of approved providers. Resources. 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. NEW YORK 市 QUEENS 區 - HMO. Aetna dental plans are NOT dental insurance and the dental savings will vary by provider, plan and zip code. I did not get an ID card. Federal Retiree plans. Skip to main content. Of course you can use our directories to find doctors and hospitals that take your insurance. Join The Network . You can continue to use Aetna’s electronic tools on AetnaDental.com for all your dental transactions. Thanks! If more than one service is needed to fix a problem, most services are considered separately. Do you want to continue? Register now for Aetna's provider website on Availity. The information you will be accessing is provided by another organization or vendor. Others have four tiers, three tiers or two tiers. Your dentist may submit your claims for you. Learn more about our Preferred Provider Organization plans. Join the Aetna Dental ® network. Included in your health plan. Signing up is simple and free. Others have four tiers, three tiers or two tiers. This will let you and the dentist know what the benefit would be if the service were done. For PPO plans, you have the option to go out of network, but you will have higher costs. When you go to the dentist, tell the office staff that you have Aetna Dental and they will verify your coverage. How do I enroll in an Aetna Medicare Advantage plan? Search our Spanish directories View our Chinese directories NEW YORK 市 - HMO. Some subtypes have five tiers of coverage. Aetna offers a nice selection of plan types that includes, DMO-, PPO-, PDN- network structures. 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. 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. The amount of our "recognized charge" does not suggest your dentist’s fee is not reasonable and proper. Some services have this type of restriction. Your dentist may bill you for the difference between his or her normal fee and our "recognized charge." 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. 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. If you’re looking for a provider directory in a different language, you can view our Spanish and Chinese versions. Dental plans. Chinese translation can also be found throughout the directory and on the tabs of each section. The plan offers preventive treatment at 100% with no out of pocket cost. With the PPO plan, … Articles. Signing up is simple and free. If you are looking for an In-Network dentist that accept Aetna dental plans then we can help. Compare costs for dental care providers. To get detailed information about your health care coverage, …