Go to the American Medical Association Web site. In the event that a member disagrees with a coverage determination, member may be eligible for the right to an internal appeal and/or an independent external appeal in accordance with applicable federal or state law. Aetna makes no representations and accepts no liability with respect to the content of any external information cited or relied upon in the Clinical Policy Bulletins (CPBs). Annual Deductible $50 Per Person $150 Per Family, per calendar year, Annual Maximum Benefit $1,250 per covered person. Apple and the Apple logo are trademarks of Apple Inc., registered in the U.S. and other countries. Youcansee anylicenseddental provider in the U.S. You can use the allowance toward almost all dental services except for teeth whitening and a few administrative costs (e.g., missed appointments). Understanding Medicare Advantage Dental Benefits | Aetna Dental insurance plans are underwritten by Aetna Life Insurance Company. Unlisted, unspecified and nonspecific codes should be avoided. 1999- 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. Do you cover adult orthodontia? That are experimental or investigational. Network dentists offer special rates for covered services. A primary care dentist (PCD) helps guide your care with this DMO* plan. Aetna MAplans offer three types of dental benefits:network,direct memberreimbursementallowanceand optional supplemental benefits. Aetna handles premium payments through Payer Express, a trusted payment service. The material is for information only. Due to therelatively high out-of-pocket costs for these procedures, some older adultsend up forgoing necessary dental care. 2022 Aetna Dental 2 Enroll at www.BENEFEDS.com . By submitting your information you are agreeing to receive communications from Aetna Dental Offers. Caremark.com is the secure website where Aetna Medicare SilverScript members can manage prescriptions, sign up for mail delivery, view order status, find drug pricing, and identify savings options. As you age, maintaining your oral health is an important part of your whole-body wellness. Choose from leading manufacturers and get free follow-up service for one year. The plan offers preventive treatment at 100% with no out of pocket cost. See your PCD for regular exams and to get referrals if you need specialty care. Very low rates. The Aetna Dental Direct plan covers preventative care 100% with no out of pocket cost. Spirit Dental & Vision is a nationwide carrier that offers a range of PPO dental insurance plan. Premium deductions will start with the first full pay period ChooseHealthy is a federally registered trademark of ASH and used with permission herein. 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. Were bringing you to our trusted partner to help process your payments. CPT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to the implied warranties of merchantability and fitness for a particular purpose.
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