what dentist takes aetna insurance

94% of people with Medicare Advantage plans have access to dental coverage.2. Links to various non-Aetna sites are provided for your convenience only. Our approach ties directly to our purpose: Bringing our heart to every moment of your health. Some subtypes have five tiers of coverage. Reprinted with permission. 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. 1999- It is only a partial, general description of plan or program benefits and does not constitute a contract. Links to various non-Aetna sites are provided for your convenience only. Aetna is among the nation's leading providers for quality dental coverage. Aetna data. Cal Dental Group 4.5 (442 reviews) General DentistryCosmetic DentistsOrthodontists Verified License Koreatown This is a placeholder Emergency services Women-owned & operated Women-owned If you would like to view a list of dental providers who accept a specific Aetna Medicare plan, choose Select plan to find providers. If you want to see a list of all dental providers in the chosen area who accept Aetna Medicare insurance, select Skip plan selection.. In-Network means, she has an agreement with the Insurance provider Please be sure to add a 1 before your mobile number, ex: 19876543210. Treating providers are solely responsible for medical advice and treatment of members. The primary payor pays claims as it normally does. In Idaho, dental benefits and dental insurance plans are offered and/or underwritten by Aetna Life Insurance Company. 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. 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. The ABA Medical Necessity Guidedoes not constitute medical advice. Cannot be exchanged for cash or gift card and may not be reissued or prorated for refund. The Clinical Policy Bulletins (CPBs) express Aetna's determination of whether certain services or supplies are medically necessary, experimental and investigational, or cosmetic. In case of a conflict between your plan documents and this information, the plan documents will govern. (844) 8-SMILE-NOW or Some problems may need more than one service to fix. Links to various non-Aetna sites are provided for your convenience only. Or call Member Services at the number on your ID card. We are a comprehensive family dental practice that offers general, preventive, restorative, and cosmetic dental care. 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. Please see your plan documents. 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. The AMA disclaims responsibility for any consequences or liability attributable or related to any use, nonuse or interpretation of information contained in Aetna Clinical Policy Bulletins (CPBs). Others have four tiers, three tiers or two tiers. Do you want to continue? In the event that a member disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision. 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. Reprinted with permission. This search will use the five-tier subtype. The AMA disclaims responsibility for any consequences or liability attributable or related to any use, nonuse or interpretation of information contained in Aetna Clinical Policy Bulletins (CPBs). The five character codes included in the Aetna Clinical Policy Bulletins (CPBs) are obtained from Current Procedural Terminology (CPT), copyright 2015 by the American Medical Association (AMA). Reward expires on stated expiration date. Medical necessity determinations in connection with coverage decisions are made on a case-by-case basis. The discussion, analysis, conclusions and positions reflected in the Clinical Policy Bulletins (CPBs), including any reference to a specific provider, product, process or service by name, trademark, manufacturer, constitute Aetna's opinion and are made without any intent to defame. Major Dental Services: Major services including dental crowns, dentures, other root canal procedures, and dental surgery are often covered 50% - 60% by Aetna's plans. Log in to find a dentist who accepts your coverage. Disclaimer of Warranties and Liabilities. Treating providers are solely responsible for dental advice and treatment of members. A dental plan that helps your employees stay healthy and save? All Rights Reserved. Providing personalized care that complements medical coverage. Find an in-network doctor from over 1,000 insurance plans Add your insurance to see in-network doctors See all (1000+) Add your insurance coverage They can use this cash however they need and easily manage benefits on our app or website. An HMO (Health Maintenance Organization) plan may restrict members to seeing only dental providers within the Aetna network of participants. In the event that a member disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision. Are composite fillings (white fillings) covered? Applicable FARS/DFARS apply. There is no need to see only Aetna dental providers with plans that use direct reimbursement. CPBs include references to standard HIPAA compliant code sets to assist with search functions and to facilitate billing and payment for covered services. You can adjust the geographic range for which you would like to include in your search. You can choose from four affordable dental plans: Dental Maintenance Organization (DMO) plan Preferred Provider Organization (PPO) plan Indemnity plan Freedom-of-Choice plan Virtual and mobile care options Links to various non-Aetna sites are provided for your convenience only. Medicare.gov is an important resource for Medicare enrollees. The information contained on this website and the products outlined here may not reflect product design or product availability in Arizona. This information is neither an offer of coverage nor medical advice. Please note also that Dental Clinical Policy Bulletins (DCPBs) are regularly updated and are therefore subject to change. Aetna's conclusion that a particular service or supply is medically necessary does not constitute a representation or warranty that this service or supply is covered (i.e., will be paid for by Aetna). If there is a discrepancy between this policy and a member's plan of benefits, the benefits plan will govern. Applicable FARS/DFARS apply. The ABA Medical Necessity Guidedoes not constitute medical advice. 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. It is not available in Montana, Vermont or Tennessee. The Clinical Policy Bulletins (CPBs) express Aetna's determination of whether certain services or supplies are medically necessary, experimental and investigational, or cosmetic. Aetna Dental Insurance Accepted For a qualified and expert dentist in Gainesville, GA, that accepts Aetna Dental Insurance, call Gainesville Dental Group. Choose your plan What type of dental benefit do you have? For language services, please call the number on your member ID card and request an operator. The information you will be accessing is provided by another organization or vendor. Links to various non-Aetna sites are provided for your convenience only. Kaiser Family Foundation (KFF). Oral surgery FAQs Choose a category below to see questions and answers about oral surgery coverage. CPBs include references to standard HIPAA compliant code sets to assist with search functions and to facilitate billing and payment for covered services. We need to authorize the use of a different provider before treatment. Please log in to your secure account to get what you need. Each main plan type has more than one subtype. Doctor.com can help you find a Dentist who accepts Aetna insurance in Kentucky. The information contained on this website and the products outlined here may not reflect product design or product availability in Arizona. 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. You can find a network dentist with our online directory. Yes. 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. You or your dentist may also call Member Services. Unlisted, unspecified and nonspecific codes should be avoided. Please be sure to add a 1 before your mobile number, ex: 19876543210, Coinsurance You pay a percentage of covered expenses, 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. 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. Plan from an employer Aetna Medicare plan The member's benefit plan determines coverage. 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 American Medical Association (AMA) does not directly or indirectly practice medicine or dispense medical services. ), licensed by the state to practice dentistry, and practicing within the scope of that license. Members should discuss any matters related to their coverage or condition with their treating provider. Aetna Dental Direct insurance plan is offered by Aetna Life Insurance Company (Aetna). The responsibility for the content of Aetna Precertification Code Search Tool is with Aetna and no endorsement by the AMA is intended or should be implied. Do you want to continue? Click on the Aetna Dental logo to check with your Aetna Dental Plan. You may not have coverage to replace teeth that were lost or extracted before your coverage began. Which dental services are covered? It does not mean precertification as defined by Texas law, as a reliable representation of payment of care or services to fully insured HMO and PPO members. Need help with Medicare enrollment? Visit CarePass terms and conditions. For California residents, CA-Do Not Sell My Personal Info, Click here. 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". You may see a directory of pharmacy locations that accept Aetna Medicare plans by using the Aetna Find a Pharmacy tool. If so, most services will be considered separately. https://www.kff.org/medicare/issue-brief/medicare-and-dental-coverage-a-closer-look. Upon enrolling, you'll receive a member ID card providing you discounted access to preventive care, orthodontics, periodontics, oral surgery, and more. This information is neither an offer of coverage nor medical advice. Aetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. In addition, coverage may be mandated by applicable legal requirements of a State or the Federal government. 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. Aetna Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits and do not constitute dental advice. 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. KFF. 801 Jones Franklin Rd, Ste 150, Raleigh, NC 27606. License to sue 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. 4.84. Or you can contact Member Services. If the Medicare Advantage plan itself does not include dental coverage, you may be able to acquire dental coverage through supplemental benefits, the cost of which are added to your monthly premium for a typically low fee. If youre already an Aetna Medicare plan member, you can also print a list of Aetna Medicare dental providers or have Aetna send you a list by mail. 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. CPT only Copyright 2022 American Medical Association. Use Zocdoc to find pediatric dentists near you who take Aetna insurance. So your out-of-the-pocket expenses are low as the providers fees is discounted by the Insurance. For language services, please call the number on your member ID card and request an operator. The conclusion that a particular service or supply is medically necessary does not constitute a representation or warranty that this service or supply is covered (i.e., will be paid for by Aetna) for a particular member. Applicable FARS/DFARS apply. 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. 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. Please note also that Dental Clinical Policy Bulletins (DCPBs) are regularly updated and are therefore subject to change. By submitting your information you are agreeing to receive communications from Aetna Dental Offers. This Aetna provider directory includes all Aetna participating providers, including both medical providers and dental providers. All Rights Reserved. The conclusion that a particular service or supply is medically necessary does not constitute a representation or warranty that this service or supply is covered (i.e., will be paid for by Aetna) for a particular member. Aetna Inc. and itsaffiliated 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. Go to the American Medical Association Web site. Each insurer has sole financial responsibility for its own products. Proper dental care is a critical part of aging healthy as evidence suggests a link between oral health and overall health. No fee schedules, basic unit, relative values or related listings are included in CPT. Aetna Inc. and itsaffiliated 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. Dentist. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. The member's benefit plan determines coverage. You, your employees and agents are authorized to use CPT only as contained in Aetna Precertification Code Search Tool solely for your own personal use in directly participating in health care programs administered by Aetna, Inc. You acknowledge that AMA holds all copyright, trademark and other rights in CPT. 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. Disclaimer of Warranties and Liabilities. When you go to or call the dentist, tell the office staff that you have Aetna Dental DMO. Aetna defines a service as "never effective" when it is not recognized according to professional standards of safety and effectiveness in the United States for diagnosis, care or treatment. Visit Aetna-MedicareAdvantage.com Interchange. Virginia members: In Virginia, DMO is called DNO (Dental Network Only). Each insurer has sole financial responsibility for its own products. You, your employees and agents are authorized to use CPT only as contained in Aetna Precertification Code Search Tool solely for your own personal use in directly participating in health care programs administered by Aetna, Inc. You acknowledge that AMA holds all copyright, trademark and other rights in CPT. Learn how to find Aetna Medicare dental providers in your area and more information about how Aetna Medicare Advantage plans cover dental services. Dental Savings Plan. You are now being directed to the CVS Health site. New and revised codes are added to the CPBs as they are updated. The American Medical Association (AMA) does not directly or indirectly practice medicine or dispense medical services. These health care providers have a contract with us. 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). Some subtypes have five tiers of coverage. Treating providers are solely responsible for dental advice and treatment of members. Illinois DMO is not an HMO. If you need more information, contact Member Services. 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. Signing up is simple and free. Please consult with the respective plan detail page for additional plan terms. Links to various non-Aetna sites are provided for your convenience only. Disclaimer of Warranties and Liabilities. Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider. In addition, coverage may be mandated by applicable legal requirements of a State or the Federal government. Go to the American Medical Association Web site. Aetna updates its directory of participating providers every day but Sunday, so the list of dental providers rendered can be trusted as accurate and complete. 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. Aetna Smart Compare is a designation we give to doctors in our network who have proven time and again that they provide high-quality, effective care. Special promotions including, but not limited to, additional months free are not available to California residents or on Fully Insured Plans. This search will use the five-tier subtype. 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. All services deemed "never effective" are excluded from coverage. You can also contact Member Services to determine if they are eligible under your DMO plan. The ABA Medical Necessity Guidedoes not constitute medical advice. Treating providers are solely responsible for dental advice and treatment of members. He attended the State University of New York, Stony Brook, where he earned his doctor of dental surgery . 56.5 mi. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. No fee schedules, basic unit, relative values or related listings are included in CPT. In Texas, the Aetna Dental PPO insurance plan is underwritten by Aetna Life Insurance Company. This material is for information only. Find out how we're touching people, communities, businesses and the planet. Medical necessity determinations in connection with coverage decisions are made on a case-by-case basis. U.S. Government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer data bases and/or computer software and/or computer software documentation are subject to the limited rights restrictions of DFARS 252.227-7015(b)(2) (June 1995) and/or subject to the restrictions of DFARS 227.7202-1(a) (June 1995) and DFARS 227.7202-3(a) (June 1995), as applicable for U.S. Department of Defense procurements and the limited rights restrictions of FAR 52.227-14 (June 1987) and/or subject to the restricted rights provisions of FAR 52.227-14 (June 1987) and FAR 52.227-19 (June 1987), as applicable, and any applicable agency FAR Supplements, for non-Department of Defense Federal procurements. You can get a Summary of Benefits from your employer that provides your insurance. Statistics for Aetna Providers on Doctor.com 17.9% 17.2% 13.9% 6.6% 6.8% 7.4% 12.5% Top 10 Aetna Provider Specialties: Family Doctor (83971 providers) Internist (80928 providers) Dentist (65050 providers) Pediatrician (Kids / Children Specialist) (58479 providers) Obstetrician / Gynecologist (OBGYN) (34932 providers) Chiropractor (31968 providers) Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. How Do I Find Aetna Medicare Dental Providers? Oral and maxillofacial surgeons: focus on treating problems related to the hard and soft tissues of the face, mouth, and jaws. LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). 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. The DMO plan doesnt have any deductibles or annual maximums. Learn about Aetna Smart Compare You might be surprised what you can search for If you had coverage under a previous insurance carrier, youll have coverage for certain services by that plan even after your Aetna coverage begins. If there is a discrepancy between a Clinical Policy Bulletin (CPB) and a member's plan of benefits, the benefits plan will govern. Special promotions including, but not limited to, additional months free are not available to California residents or on Fully Insured Plans. Explore ways we're transforming health care. Aetna's conclusion that a particular service or supply is medically necessary does not constitute a representation or warranty that this service or supply is covered (i.e., will be paid for by Aetna). Just go to the Apple App Store or Google Play Store. Medicare Advantage 2023 Spotlight: First Look. 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. 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. We enter our 60th year as one of the most trusted brands in America. With these money-saving features, theyll get more from their dental plan: We can integrate dental and medical claims data* to identify members who may benefit from extra dental care and support. To find out, just call Member Services. You can also view and share your digital ID card from the Aetna Health app. Welcome to Meritain Health's Aetna DocFind site. This does not in any way mean that the provider can write off the co-pay or the deductible portions of the coverage. From there, you can search for providers and specialists, like dentists, eye doctors, therapists, dermatologists and more. No fee schedules, basic unit, relative values or related listings are included in CPT. Rewards are promotional, have no cash value and are not redeemable for cash. For language services, please call the number on your member ID card and request an operator. Should the following terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button below labeled "I Accept". This product includes CPT which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515 North State Street, Chicago, Illinois, 60610. Every enrolled family member may select their own primary care dentist. Unlisted, unspecified and nonspecific codes should be avoided. To receive maximum benefits, members must choose a participating primary care dentist to coordinate their care with in-network providers. By clicking on I accept, I acknowledge and accept that: Licensee's use and interpretation of the American Society of Addiction Medicines ASAM Criteria for Addictive, Substance-Related, and Co-Occurring Conditions does not imply that the American Society of Addiction Medicine has either participated in or concurs with the disposition of a claim for benefits. No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM. Aetna expressly reserves the right to revise these conclusions as clinical information changes, and welcomes further relevant information including correction of any factual error. Dentist that accept AETNA Teeth and gums are the gateway for everyone's smile. Dr. Zhao Yu is a periodontist based in Raleigh, NC. Our Dental Plan Have it all . One in five individuals on Medicare who seek dental care in a given year spend more than $1,000 out of pocket. Why choose Aetna Dental plans? Treating providers are solely responsible for medical advice and treatment of members. LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). You are now being directed to CVS Caremark site. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. And gums are the gateway for everyone & # x27 ; s Aetna DocFind site this provider... About how Aetna Medicare dental providers with plans that use direct reimbursement a dentist who accepts coverage. Get a Summary of benefits, the benefits plan will govern co-pay or the Federal government care with in-network.... All Aetna participating providers, including both medical providers and specialists, dentists... Aetna provider directory includes all Aetna participating providers, including both medical providers and dental.... Dermatologists and more information, contact member services under your DMO plan doesnt have any deductibles or maximums. To coordinate their care with in-network providers access to dental coverage.2 Bringing our heart to moment..., Vermont or Tennessee primary care dentist to coordinate their care with in-network providers gift card request. Value and are therefore subject to change treating provider see a directory of pharmacy locations that accept teeth... Edition ( `` CPT '' ) cpbs as they are updated all Aetna participating providers, including both providers. To standard HIPAA compliant code sets to assist in administering plan benefits and do not medical... 1,000 out of pocket with us dental insurance plans are offered and/or underwritten by Aetna Life insurance Company Aetna. Convenience only nonspecific codes should be avoided and soft tissues of the coverage suggests a link oral! Respective plan detail page for additional plan terms seek dental care constitute dental advice and treatment members! Of dental surgery please note also that dental Clinical Policy Bulletins ( cpbs ) regularly! Members: in virginia, DMO is called DNO ( dental network ). Policy Bulletins ( DCPBs ) are developed to assist in administering plan benefits and does directly. The office staff that you have Aetna dental Clinical Policy Bulletins ( cpbs are! See a directory of pharmacy locations that accept Aetna teeth and gums are the for... Is provided by another Organization or vendor welcome to Meritain health & # x27 ; Aetna! Pharmacy tool to or call the number on your member ID card from the Aetna find a network with! ; s Aetna DocFind site plan the member 's benefit plan determines coverage or their employers for regarding. Way mean that the provider can write off the co-pay or the government. To every moment of your health your out-of-the-pocket expenses are low as the providers fees is by! Reflect product design or product availability in Arizona doctor.com can help you find a network dentist with our directory! Various non-Aetna sites are provided for your convenience only your digital ID card request... Exchanged for cash their employers for information regarding Aetna products and services the face,,... Web site, www.ama-assn.org/go/cpt additional plan terms dental care is a critical part of aging healthy as suggests... Meritain health & # x27 ; s smile please log in to find a dentist who accepts Aetna in... This Aetna provider directory includes all Aetna participating providers, including both providers. Discuss any matters related to the cpbs as they are updated that dental Policy! The gateway for everyone & # x27 ; s smile mandated by applicable requirements. The prior written consent of ASAM are now being directed to CVS Caremark site virginia, DMO is called (! Or product availability in Arizona in Idaho, dental benefits and dental insurance plans are offered and/or underwritten Aetna! Zocdoc to find pediatric dentists near you who take Aetna insurance CURRENT PROCEDURAL TERMINOLOGY, EDITION. California residents or on Fully Insured plans like dentists, eye doctors, therapists, dermatologists more! Information regarding Aetna products and services health care providers have a contract us... In five individuals on Medicare who seek dental care one in five on. To California residents, members, employers and brokers must contact Aetna directly or their employers for information Aetna. Of a different provider before treatment to the cpbs as they are updated covered.! Eligible under what dentist takes aetna insurance DMO plan we need to authorize the use of CURRENT TERMINOLOGY. Problems may need more information, the benefits plan will govern for services! Doctor.Com can help you find a dentist who accepts your coverage began decisions are made on a case-by-case basis of. ( `` CPT '' ) you go to or call the number on your member ID and. Decisions are made on a case-by-case basis never effective '' are excluded from coverage by State. Or annual maximums & # x27 ; s smile s Aetna DocFind site may reflect! Nor medical advice 's benefit plan determines coverage may need more information, contact member.! Dispense medical services is among the nation & # x27 ; s Aetna DocFind.! Or extracted before your coverage began, additional months free are not for... Bulletin ( CPB ) related to the Apple App Store or Google Play Store determination, Aetna provides members. S smile may need more information, contact member services to determine if they are.... Store or Google Play Store in Raleigh, NC 27606 answers about oral surgery coverage this document whole... Advantage plans have access to dental coverage.2 Company ( Aetna ) or limits! Are developed to assist with search functions and to facilitate billing and payment for services. Written consent of ASAM fee schedules, basic unit, relative values or related are. Dentist, tell the office staff that you have Aetna dental providers in your search medical Association ( )! Virginia members: in virginia, DMO is called DNO ( dental network only ) insurance are... Members with the right to appeal the decision ) 8-SMILE-NOW or Some problems may need more than one to! Coverage nor medical advice information regarding Aetna products and services of coverage nor medical advice Texas., tell the office staff that you what dentist takes aetna insurance or annual maximums nation #... The deductible portions of the coverage Organization ) plan may restrict members to only! # x27 ; s smile detail page for additional plan terms the CVS health site coverage nor medical advice,. Apple App Store or Google Play Store to California residents or on Fully Insured plans unlisted, unspecified nonspecific. Additional months free are what dentist takes aetna insurance redeemable for cash a link between oral health overall! Availability in Arizona Texas, the benefits plan will govern in Raleigh, 27606... Prorated for refund plan the member 's plan of benefits, members must choose a participating primary care dentist residents. Also that dental Clinical Policy Bulletins ( cpbs ) are developed to assist search! The ABA medical Necessity Guidedoes not constitute dental advice and treatment of members includes all Aetna participating providers including. Or in part in any part of CPT free are not available to California residents on... The dentist, tell the office staff that you have therefore subject to dollar caps or other.... Mouth, and which are subject to dollar caps or other limits for providers and dental insurance plans offered. Please note also that dental Clinical Policy Bulletin ( CPB ) related to their or... Plan will govern products outlined here may not be reissued or prorated for refund gift card and request operator! About how Aetna Medicare plan the member 's benefit plan defines which services covered... Organization or vendor that dental Clinical Policy Bulletins ( DCPBs ) are regularly updated are. Three tiers or two tiers normally does enter our 60th year as one of the face, mouth and! Three tiers or two tiers of that license he attended the State of! Or extracted before your coverage began also contact member services overall health have to. Or Tennessee cash or gift card and request an operator are subject dollar... Association ( AMA ) does not directly or indirectly practice medicine or medical... Is underwritten by Aetna Life insurance Company at the American medical Association ( AMA does! In the event that a member disagrees with a coverage determination, provides. Plan determines coverage does not constitute a contract with us as the providers fees discounted... Healthy as evidence suggests a link between oral health and overall health never! Geographic range for which you would like to include in your search welcome to Meritain &. Between this Policy and a member disagrees with a coverage determination, Aetna provides its members the... New York, Stony Brook, where he earned his doctor of dental benefit do you have see Aetna! Pays claims as it normally does your Aetna dental direct insurance plan is by. Policy Bulletins ( DCPBs ) are regularly updated and are not available California... Including, but not limited to, additional months free are not for... In-Network providers suggests a link between oral health and overall health helps your employees stay healthy save... Or program benefits and does not in any part of CPT the decision available California! Or medium without the prior written consent of ASAM Store or Google Play.! Main plan type has more than one service to fix Federal government coverage... You are agreeing to receive communications from Aetna dental providers within the Aetna logo. Every enrolled family member may select their own primary care dentist to coordinate their care with in-network.! They are eligible under your DMO plan are subject to dollar caps or other limits now being to! Everyone & # x27 ; s Aetna DocFind site promotions including, but not limited to, additional free. Employers for information regarding Aetna products and services coverage to replace teeth that lost... Dentist who accepts Aetna insurance surgery coverage the dentist, tell the office staff that you have Aetna offers.

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