Aetna Dental Plans

Maintaining dental health is important, and Aetna offers a variety of affordable options to make it easier. Their plans start at $22 per month, and their annual maximums are low. They also offer discounts on prescription drugs and eye exams.

Aetna offers dental insurance plans for individuals and families. Its affordable plans cover preventive visits and offer a low deductible. Aetna Medicare Advantage plans also include coverage for dental care. Aetna’s online tool can help a person find dentists who accept their Advantage plan.

If your Medicare Advantage plan does not include dental benefits, you can add it for an additional monthly premium. Aetna’s Preferred Provider Organization plan covers preventive services at 100% and major services at 50% after the deductible is met.

If your Medicare Advantage plan does not include dental coverage, you can purchase a dental discount card from Aetna. The Vital Savings by Aetna card provides discounts on dental care, eye exams, and weight-loss programs. You can sign up for this card online or by mail. You will receive your card and membership information in three to five business days. If you have any questions, Aetna’s customer service team is available to help.

Aetna Dental Direct Preferred plan
Aetna Dental Plans 1

Aetna Dental Direct Preferred Plan

The Aetna Dental Direct Preferred plan offers an estimated 100% coverage for preventive services, like dental exams, cleanings, and x-rays, at more than 420,000 participating dentist locations nationwide. The Aetna Dental Direct Core plan offers 50% coverage for basic oral care, such as resin fillings and tooth extractions, with a 6-month waiting period and 40% coverage for major procedures, such as root canals and crowns, with a 12-month waiting period.

Dental benefits are included in most of Aetna’s Medicare Advantage plans. For those with Medicare Advantage plans that do not include dental coverage, Aetna offers an optional supplemental benefit called Aetna Dental Access. With this plan, members pay up front for their routine dental care and then submit receipts to Aetna for reimbursement.

Does Aetna Have a Missing Tooth Clause?

Dental insurance has lots of jargon and fine print that can be confusing. One important part of the fine print is called the missing tooth clause. This clause states that the insurance company will not pay for a restoration that replaces a tooth that was extracted or lost before the insurance policy went into effect.

Understanding the missing tooth clause is key in helping your patients understand their coverage. If they are unaware of this limitation, they may be shocked at how much their out-of-pocket will be for the needed treatment.

Aetna indemnity and PPO medical plans cover the replacement of a missing tooth through a fixed partial denture, removable partial denture, or implant. The plan also covers orthognathic surgery if it is deemed necessary to correct the functional impairment that results from the deformity. However, gum grafts may be excluded in this situation unless the patient had this procedure done before their dental coverage started.

Aetna Discount Plans
Aetna Dental Plans 2

Aetna Discount Plans

Individuals who don’t want or need an insurance plan can still save money on dental care through Aetna Vital Savings. This discount card can be purchased online or by mail. The card is available to individuals or families and offers average discounts of 15-50% on procedures at more than 161,000** dental practice locations nationwide.

People who have Medicare may choose an Aetna Medicare Advantage plan that provides medical, prescription drug, and dental coverage. These plans typically have an annual deductible and a maximum benefit limit. They can also include additional benefits like vision and hearing services.

Aetna’s dental plans are easy to understand and offer competitive pricing. They have transparent price levels, simple plan options, and digital tools to help members find a dentist and calculate their out-of-pocket costs. These features make Aetna dental plans a good choice for seniors who are considering changing their current insurance policy.

How to Apply?

Aetna dental plans are available for individuals and families. They can be purchased online or by mail. The application process is quick and simple, with minimal personal information required. To begin, select a plan and click “Go.” Next, you will be asked to provide payment and other relevant information.

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