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. Your dentist usually will submit your claims for you. Aetna Medicare DMO Dental Provider Directory This directory provides a list of Aetna Medicare network dental providers. Call our National Dentist Line at 1-800-451-7715 or visit Information about Aetna Dental Networks. As with an HMO, you only receive a benefit when you use a participating provider. Total number of Dentists in New Jersey on Doctor.com who Accept Aetna: 3261: Dentists in New Jersey who are confirmed as being board certified and take Aetna: 100%: AetnaDentists in New Jersey listed on Doctor.com have been practicing for an average of: 40.4 year(s) Average ProfilePoints™ score for Dentists in New Jersey who take Aetna: 34/80 The DPO\DMO is a in network dental plan only. It’s the simple way to care for smiles. You get a menu of plan choices to protect members’ whole health, for a whole-healthy business. You’ve got the right dental insurance plan. Yes, but some plans may limit the benefit to certain teeth. southwestern vermont medical center. Virginia Members: In Virginia, DMO is called DNO (Dental Network Only). They’re available standalone or with any medical plan. Health information programs provide general health information and are not a substitute for diagnosis or treatment by a physician or other health care professional. This directory is for New York. Unless required by state law, a pediatric dentist is considered a specialist, not a PCD. Each main plan type has more than one subtype. 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. The Aetna DMO is available only in areas where there are participating dentists. *State laws vary with regard to out-of-network benefits. You can find a network dentist with our online directory. DMO is a in network dental plan only. There are no referrals required either way. An in-network primary care dentist (PCD) guides members’ care, with no deductibles, paperwork or hassles. The DMO plan does not have any deductibles or annual maximums. Copay — You pay a set dollar amount 1.2. stanford hospital. Dental benefits and dental insurance plans contain exclusions and limitations. st joseph's wayne hospital. The primary payor pays claims as it normally would, as if there were no secondary payor. Have your dentist send a pretreatment estimate (predetermination) to us. Aetna sells traditional health insurance plans and related services, such as dental, pharmacy, group life, disability, and long-term care insurance. Each covered family member must select a participating Primary Care Dentist (PCD) to coordinate all dental care. This material is for information only. For example, if each plan covers two cleanings per year, you are not entitled to four cleanings per year. (For example, a change made on April 16 will take effect June 1.). And the aetna dental dmo providers is directly related to dental services. Today, dentistry is actively developing. Periodontal maintenance is for patients who have previously been treated for periodontal disease. Please note that there are several types of coordination of benefits provisions. This is called an extension of benefits provision. If the teeth were lost or extracted before your coverage began, then services to replace them may not be covered by your 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. The DMO Aetna Dental insurance plans have a good amount of participating dentists in the network, but the database appears to be incorrect often. DNO (Dental Network Only) in Virginia is not an HMO. Aetna’s DMO networks are available to retirees nationwide. If you do not intend to leave our site, close this message. They may have to file a claim to get reimbursed, but they’ll never have to worry about choosing a PCD or getting referrals. The mechanisms and equipment used by dentists are actively modernized. Today, dentistry is actively developing. Depending on your plan, you may pay for dental care in one of two ways: Coinsurance — You pay a percentage of covered expenses. 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. For one price, choose Aetna DMO for the simplicity and savings of in-network, PCD-guided care. Do you want to continue? Want to become a participating dentist? Development occurs in the methods of treatment used. You are given a list of dentists in your area who have contracted to provide dental services at discounted rates. As with an HMO, you receive a benefit only when you use a participating provider. 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. Aetna website Links to various non-Aetna sites are provided for your convenience only. Development of dentistry and aetna dental dmo providers. DNO (Dental Network Only) in Virginia is not an HMO. With the Aetna Dental indemnity plan, members can visit any licensed dentist, anywhere in the country. Referrals are not required for orthodontic treatment from a participating provider. If you choose a new PCD on or before the 15th of the month, the change will go into effect on the first day of the following month. Explore quoting, enrollment and reporting tools to ease administration for plan sponsors and brokers. 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). Keep members healthy and engaged with programs and services that keep whole health in mind. Aetna has a huge network of Aetna Dental providers as long as you carry a PPO plan. For more details, contact Member Services or review your plan documents. Each main plan type has more than one subtype. For language services, please call the number on your member ID card and request an operator. Aetna’s DMO networks are available to employees nationwide. saint barnabas medical center. Find 3030 listings related to Aetna Dental Dmo Providers in San Antonio on YP.com. Download the free app today at the App Store or Google Play. This search will use the five-tier subtype. With the DMO, a participant does not have to meet a deductible or file any claim forms. Or, stay in our broad network to budget and save. To receive maximum benefits, members must choose a participating primary care dentist to coordinate their care with in-network providers. Start your search for a dentist by entering your zip code below. Aetna has an arrangement with our DMO providers that sets what they can charge for covered services. Each insurer has sole financial responsibility for its own products. The Aetna DMO is a Dental Maintenance Organization. For all other states, dental benefits and dental insurance plans are offered and/or underwritten by Aetna Health Inc., Aetna Dental Inc., Aetna Dental of California Inc. and/or Aetna Life Insurance Company (Aetna). 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. Aetna Dental members do not need a member ID card to get dental care. Choose a provider – Using a participating dentist in the plan network will ensure you receive the highest benefits from your plan. Illinois DMO is not an HMO. DMO plans require a surgical periodontal history. To receive maximum benefits, members must choose a participating primary care dentist to coordinate their care with in-network providers. Take two easy steps to start your dental care Step 1: Pick a PCD. Aetna Dental Maintenance Organization (DMO) A DMO is a network of dentists and specialists who provide dental care services at a fixed cost. Aetna and its providers www.aetna.com 00.03.684.1 (5/12) In New Jersey, health/dental benefits and health/dental insurance plans are offered, administered and/or underwritten by Aetna Health Inc., Aetna Dental Inc., Aetna Health Insurance Company and/or Aetna Life Insurance Company (Aetna). Some services have this type of restriction. The Aetna DPO is affordable with a lower monthly premium compared to the Dental Expense Plan! If you do not intend to leave our site, close this message. You must select a primary care dentist (PCD) who will provide most of your dental care and provide referrals, if needed. (For example, if you change your PCD on April 15, the change will take effect May 1.) There are no deductibles or annual dollar maximums. For personalized results, first log in to your secure member website. In Illinois, DMO plans provide limited out-of-network benefits. The secondary plan acts like a supplement to the primary plan. Others have four tiers, three tiers or two tiers. Please log in to your secure account to get what you need. Illinois DMO is not an HMO. 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. It’s easy with our range of vision, pharmacy and other complementary benefits. Do you want to continue? Choose a primary care dentist who participates in our network. Each covered family member can select his or her own. Register and log in today at Aetna.com. Improved drugs used by dentists. If you choose a new PCD on the 16th day of the month or later, the change will go into effect two months afterward. Yes. You can continue to use Aetna’s electronic tools on AetnaDental.com for all your dental transactions. Information is believed to be accurate as of the production date; however, it is subject to change. Contact Member Services if you have questions. This will let you and the dentist know what the benefit would be if the service were done. Log in to find a dentist who accepts your coverage. Box 14597 Lexington, KY 40512-4597. Signing up is simple and free. And this, in turn, has an active influence on the development of the aetna dental dmo provider. This applies to first-time dentures, fixed or removable bridges, and implants. However, in order to receive maximum benefits, members must select and have care coordinated by a participating primary care dentist. If you use NaviNet for any of your workflows, you will need to switch to Availity. To change your PCD, log in to your secure member website, or call Member Services using the number on your ID card. With Aetna Freedom-of-Choice, members can switch between two plans — with two networks — to fit changing needs. If your members like freedom, they’ll love Aetna Dental PPO. A Chinese version of the Introduction follows the English version. If you need more information, please contact Member Services using the number on your ID card. And pay the bill direct to their dentist. If not, we pay as the secondary payor. To find a provider, go to the Aetna website. Choose a primary care dentist who participates in our network. Dental / Aetna. 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. Learn more about our plans for individuals, get a quote, or see available plans in your area. If your plan has a coordination of benefits provision, we confirm which plan has primary responsibility for claim payment. The Aetna DMO is a Dental Maintenance Organization. Coinsurance — You pay a percentage of covered expenses 2. The PCD has primary responsibility for managing your dental care. 3. In fact, members can switch between two plans every month. You can also view and share your digital ID card from the Aetna Health℠ app. This makes it difficult to find a primary dentist or a specialist that accepts the insurance. 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. I did not get an ID card. Your must contact us before treatment so we can authorize the use of a different provider. The Plan offers two different dental programs, both administered by Aetna Dental. In Idaho, dental benefits and dental insurance plans are offered and/or underwritten by Aetna Life Insurance Company. Please see your plan documents or contact Member Services for coverage details. You can get a Summary of Benefits from the employer that is providing your insurance. 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. How does the Aetna DMO® plan* work? Your Aetna Summary of Benefits describes the services that are covered under your plan. With Aetna Dental® DMO*, you get quality dental coverage that fits everyone’s budget. Yes. There are no claim forms to fill out and no deductibles to pay. 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. These services include: If you had no coverage and started treatment for a service, that service may not be covered under your Aetna 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. Box 10462 Van Nuys, CA 91410 . 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. If you are enrolled in two dental plans, benefits are not additive. In Virginia, the DMO® plan is known as the DNO plan. Each covered family member can select his or her own. Improved drugs used by dentists. 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). Please see your plan documents or contact Member Services for details. If you are looking for a specific provider and cannot find them online, need more information, help, or would like a printed copy of the provider directory mailed to you, call us at … Aetna maintains a network of over a million healthcare providers and services over 30 million policyholders nationwide. If you were covered under a previous insurance carrier, certain services will be covered by that plan even after your Aetna coverage begins. Others have four tiers, three tiers or two tiers. If more than one service is needed to fix a problem, most services are considered separately. They can pay a little more to visit any out-of-network dentist. You’ll get a text from us soon with a link to download the Aetna Health app, Two different plans for one, simple price, Referrals required for specialty care (except orthodontia), Share of the cost paid directly to the dentist, Great for fully insured and self-funded customers, Annual and lifetime limits on coverage may apply, Switch between two dental plans throughout the plan year, Freedom to visit providers in or out of network, No PCD or referrals required (PPO & Indemnity). See reviews, photos, directions, phone numbers and more for Aetna Dental Dmo locations in Philadelphia, PA. Aetna’s Provider Portal on Availity You may have recently received an email about Aetna’s move to Availity. raritan bay medical center old bridge division. Search for a dentist by name, specialty, zip code or the number of miles you are willing to travel. With Aetna Dental® plans, you get more than ancillary products, you get a menu of plan choices to protect members’ whole health, for a whole-healthy business. You can view and print your ID card from your member website. The information you will be accessing is provided by another organization or vendor. Aetna DMO ® and PPO grievance and appeals. Links to various non-Aetna sites are provided for your convenience only. Development occurs in the methods of treatment used. In Texas, the Aetna Dental PPO insurance plan is underwritten by Aetna Life Insurance Company. Learn more about Aetna's dental insurance plans and coverage, including PPO, DMO, Indemnity and Hybrid plans. All states except California: Aetna Dental P.O. Some subtypes have five tiers of coverage. You must select a primary care dentist (PCD) who will provide most of your dental care and provide referrals, if needed. How will my dentist know I have coverag… It’s that easy. The Aetna Retiree DPO is affordable with a lower monthly premium. You or your dentist may also call Member Services at the number on your member ID card. Contact Member Services to see if your plan has a work-in-progress exclusion. Links to various Aetna Better Health and non-Aetna Better Health sites are provided for your convenience. Your Aetna rep can tell you more. Thanks! You can switch your selection as frequently as once per month. Complete your dental plan with protection for every benefit need — from group medical to Medicare to vision and beyond. Most PCDs treat children, and can refer members to a pediatric dentist if necessary. See reviews, photos, directions, phone numbers and more for Aetna Dental Dmo Providers locations in San Antonio, TX. The information you will be accessing is provided by another organization or vendor. Please log in to your secure account to get what you need. What you pay will be based on either a percentage of those charges (coinsurance) or it will be a flat dollar amount (copay). Choose a category below to see questions and answers about Dental Maintenance Organization (DMO) coverage. California only: Aetna Dental P.O. The online provider directory is updated daily. Dentist's reimbursement is a combination of what Aetna pays the dentist and the member’s copay/coinsurance amount. 1. Links to various non-Aetna sites are provided for your convenience only. Please confirm with the provider when you call them. For other specialists, the PCD will arrange a referral if it is necessary. Each DMO member must select a PCD. Find 3030 listings related to Aetna Dental Dmo in Philadelphia on YP.com. When you go to the dentist, tell the office staff that you have Aetna Dental and they will verify your coverage. Illinois Members: State laws vary with regard to out-of-network benefits. Aetna Dental Insurance, part of Aetna Health Inc. stresses that dental care is a vital part of overall health, and thus aims to offer flexible coverage for any budget. Find a Dentist In Your Area. This search will use the five-tier subtype. For language services, please call the number on your member ID card and request an operator. In Illinois, DMO plans provide limited out-of-network benefits. However, in order to receive maximum benefits, members must select and have care coordinated by a participating primary care dentist. Or choose our PPO or indemnity plan for the freedom to visit any provider, anywhere. Four dental insurance plan options for flexibility, savings and freedom. You’ll get a text from us soon with a link to download the Aetna Health app. Links to various non-Aetna sites are provided for your convenience only. There are no deductibles or annual dollar maximums. Thanks! Find Aetna Medicare network doctors, pharmacies, dentists, and hospitals in your area. 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