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