FEDVIP Program Highlights A Choice of Plans and . Voluntary Dental and Vision Plans | Columbia Health The information you will be accessing is provided by another organization or vendor. You are now being directed to the CVS Health site. Provided by an out-of-network provider in excess of the recognized charge. You can choose from one of the more than 420,000* dental providers nationwide. Members must make payments directly to the providers in the Aetna Vital Savings program. offering the same type of coverage; i.e., you (or covered family members) cannot be covered by two FEDVIP dental plans or two FEDVIP vision plans. The member's benefit plan determines coverage. Check your benefits summary, so youll know what to pay. The AMA disclaims responsibility for any consequences or liability attributable or related to any use, nonuse or interpretation of information contained in Aetna Precertification Code Search Tool. Aetna Dental PPO plan for Federal employees - Aetna Feds Visit your PCD: If you see someone other than your selected PCD, you could end up paying more. Or it may be coinsurance, which is a percentage of the dentists charge. 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. Si tu intencin no era salir del sitio web, cierra este mensaje. The replacement of; addition to; or modification of: existing dentures; crowns; casts or processed restorations; removable denture; fixed bridgework; or other prosthetic services is covered only if specific criteria are met. See your PCD for regular exams and to get referrals if you need specialty care. Be sure to make copies of all of your paperwork. 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. When billing, you must use the most appropriate code as of the effective date of the submission. When billing, you must use the most appropriate code as of the effective date of the submission. This search will use the five-tier subtype. Does your dental plan have a missing tooth clause? Go to the American Medical Association Web site. Find your dentist now in Aetna's large nationwide network. No fee schedules, basic unit, relative values or related listings are included in CPT. Coverage Period: 01/01/2022 - 12/31/2022 Coverage for: Self Only, Self Plus One or Self and Family | Plan Type: PPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Routine dental care can help you have stronger teeth, healthier gums and a brighter smile. Dental Insurance Plans for Individuals & Families | Aetna 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 Medicare Advantage HMO-POS plans. Select a state below to update coverage details. Understand the link between infections in the mouth, and their impact on other parts of the body. The member's benefit plan determines coverage. A Nationwide Dental PPO Plan Who may enroll in this plan: All Federal employees, annuitants, and . This Agreement will terminate upon notice if you violate its terms. 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. Others have four tiers, three tiers or two tiers. You will receive the discount off the providers usual and customary fees when you pay. Please note also that the ABA Medical Necessity Guidemay be updated and are, therefore, subject to change. Network dentists offer special rates for covered services. Get the coverage you need to keep your mouth, teeth and gums healthy. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept". Aetna handles premium payments throughInstaMed, a trusted payment service. Your out of pocket expenses will be higher if you do not see an in-network provider and, in some plans, benefits may not be available at all for out-of-network providers. Password * Forgot Password? In the event that a member disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision. 2022 Aetna Dental 2 Enroll at www.BENEFEDS.com . 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. No claims or paperwork for in-network care. Links to various non-Aetna sites are provided for your convenience only. 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. 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. See your Evidence of Coverage for details. What does the Aetna Dental PPO Plan cover? 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. Reprinted with permission. Deductible and annual maximum amounts cross-apply between in network and out of network. There also may be age and frequency limits on some services. This is the total amount per person your plan will pay toward the in-network cost of dental care each year. Member Services: 1-877-238-6200 The dental discounts are available through participating healthcare providers only. Members must enroll in this option when they enroll in their plan, or within 30 days of their plans start date. So, you wont see cost information here. Links to various non-Aetna sites are provided for your convenience only. 2022 - 2023 Aetna PPO Dental Plan Design and Benefits Summary. PDF Summary of Dental Benefits and Coverage Disclosure Matrix (SDBC) Part I How we make it simple for you About Medicare Advantage We're here to help you learn more about what you can get out of Medicare Advantage. Aetna Dental provides national network coverage for Prince George's County Government through two networks: You receive greater benefit coverage when you use a provider who participates in the Aetna Dental participating network. 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. The ABA Medical Necessity Guidedoes not constitute medical advice. The AMA is a third party beneficiary to this Agreement. - The tooth is an abutment to a covered partial denture or fixed bridge. 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. This information is neither an offer of coverage nor medical advice. Best Dental Insurance Plans for Seniors in 2023 - The Senior List Learn more and see if your dentist is in the network with these plans on aetna.com. This is only a summary of the plan's exclusions and limitations. App Store is a service mark of Apple Inc. Android and Google Play are trademarks of Google LLC. The following information is about the Aetna Medicare Choice Plan (PPO) formulary (or drug list). Choose a PCD from our network**: Use ourprovider search toolto find one. Unlisted, unspecified and nonspecific codes should be avoided. Network dentists offer special rates for covered services. Cancelled or missed appointment charges or charges to complete claim forms. You may also have to file your own claims. 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. New and revised codes are added to the CPBs as they are updated. If you need a PDF document in an accessible format, you can request it directly through"Contact Us" here or at the top of the page. With our dental insurance plans for individuals, you can get services from either a participating or nonparticipating dentist. Privacy policy: Aetna.com/legal-notices/privacy.html. This information is neither an offer of coverage nor medical advice. Thats it. If you do not intend to leave our site, close this message. 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). Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Crown, inlays and onlays, and veneers unless for one of the following: The Aetna Dental Direct plan covers preventative care 100% with no out of pocket cost. Overall, it is very affordable compared to competitors and comes with many different amounts of coverage. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept". Aetna Medicare SM Plan (PPO) Learn more about Aetna Feeling Good: Your Verizon Aetna magazine Check out Feeling good , the magazine created specifically for Verizon Aetna members. Aetna MAplans offer three types of dental benefits:network,direct memberreimbursementallowanceand optional supplemental benefits. Persons with a hearing or speech disability can use 711 for Telecommunications Relay Service (TRS). Aetna Dental Direct | Secure Member Portal Login Secure Member Portal * required Username * Forgot Username? Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider. You may pay more when you get care from dentists who arent in the network.**. In MD and NJ, student medical insurance is underwritten by Aetna Health and Life Insurance Company (AHLIC).Self-insured plans are funded by the applicable school, with claims administration services provided by Aetna Life Insurance Company. Send the form with the receipt to the claims address found on your member ID card. Brushing, flossing and getting regular dental checkups help to keep your mouth healthy. Click here to review plans with a $0 deductible. By submitting your information you are agreeing to receive communications from Aetna Dental Offers. This site has its own log in. Get savings on weight-loss programs and meal plans, and enjoy one-on-one help, personalized menus, online tools and chat rooms. For prescribed drugs, pre-treatments or analgesia. 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. Not available in many states. There are no claims or referrals to worry about, and no limits on how much you can save. Aetna Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits and do not constitute dental advice. CPT is a registered trademark of the American Medical Association. The AMA disclaims responsibility for any consequences or liability attributable or related to any use, nonuse or interpretation of information contained in Aetna Precertification Code Search Tool. In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members. Aetna Dental PPO By clicking on I Accept, I acknowledge and accept that: The Applied Behavior Analysis (ABA) Medical Necessity Guidehelps determine appropriate (medically necessary) levels and types of care for patients in need of evaluation and treatment for behavioral health conditions.
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