Dental benefits and dental insurance plans are underwritten by Aetna Dental Inc., Aetna Dental of California Inc., and Aetna Health Inc. and/or Aetna Life Insurance Company Aetna. In Texas by Aetna Dental Inc. and in Virginia, the DMO plan is known as the Dental Network Only plan DNO. DNO in Virginia is not an HMO. The Aetna DMO is a Dental Maintenance Organization. As with an HMO, you only receive a benefit when you use a participating provider. You must select a primary care dentist PCD who will provide most of your dental care and provide referrals, if needed.
Aetna DMO dental plans offer low premiums in exchange for higher costs. You must use an in-network provider in order to receive insurance coverage and you must set up a primary care dentist. If a specialist is needed, your preferred dentist will provide a referral so you can receive coverage for that too. AETNA DENTAL DMO & PPO COMPARISON PLAN FEATURE DMO BENEFIT PPO / IN NETWORK PPO / OUT OF NETWORK Plan Type Fixed Copay Plan N/A N/A OfficeVisit Copay $5 N/A N/A Coinsurance – Preventative Set Reduced Fee 80% 80% Coinsurance – Basic Set Reduced Fee 60% 60% Coinsurance – Major Set Reduced Fee 40% 40% Deductible N/A $50 $50.
Subject to state requirements. Out-of-area emergency dental care may be reviewed by our dental consultants to verify appropriateness of treatment. This benefits summary of the Aetna Dental DMO® Dental Maintenance Organization provides information on benefits provided when services are rendered by a participating dentist. A DHMO plan will provide discounted and sometimes free dental services to plan participants if you receive the services from a dentist inside the DHMO network. From routine cleanings, exams and X-rays to bigger restorative procedures like root canals and extractions, a DHMO plan will make all your dental care more affordable.
A DMO plan is a low-cost dental maintenance plan. You are given a list of dentists in your area who have contracted to provide dental services at discounted rates. You must choose one of these as your primary care dentist, who will be responsible for your general dental services. The PPO vs. DMO Comparing - Benefits and Limitations. The PPO vs DMO question has been haunting the minds of dental insurance buyers for so long. The ensuing battle between these two main types of dental insurance plans have caused too much confusion that it’s time to finally put an end to it. Aetna. Find an Aetna Dentist in Your Area. Aetna Dentists Near Me. 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. Find a dentist by entering your zip code. we recommend you ask your out-of-network dental provider to contact Aetna Medicare for prior authorization of those services. If you’re enrolled in an Aetna Medicare DMO dental plan: • ou must choose a primary care dentist PCD. This directory lists our network dentists. Y • Generally, you must get dental services from your PCD.
Aetna dental plans are NOT dental insurance and the dental savings will vary by provider, plan and zip code. Aetna dental plans are not considered to be qualified health plans under the Affordable Care Act. Aetna Dental offers a variety of dental insurance options for individuals, families, and groups. It has one of the largest networks of dentists, making it very accessible for everyone. What's included with aetna Dental? Network only Plans DMO Dental maintenance organization DMO is available at a lower cost than a traditional dental PPO.
Pay less for richer coverage We recognize that not everyone has the same dental benefit needs. As an alternative to our Dental PPO plan we are offering the Aetna DMO program. This program offers both a lower paycheck deduction cost and richer benefits. How is this accomplished? By offering a narrower network of participating dentists. 1 The term “DHMO” is used to refer to product designs that can vary depending on your state, including but not limited to, prepaid plans, managed care plans and plans with open access features. The Cigna Dental Care plan is not available in all states. 2 A benefit is paid for covered out-of-network emergency dental. Aetna Dental Insurance DHMO. A Aetna Dental Insurance DHMO Dental Health Maintenance Organization requires you to choose from a small network of dentists. Often, you’ll only be able to pick one primary dentist or facility from which to receive care. aetna dmo dental – this topic people are often interested in, because there are important reasons for this. Almost every person has experienced toothache in his life. In order to solve this problem, he always turned to the dentist.
A DMO is a Direct Maintenence Organization and is similar to an HMO, or Health Maintenance Organization. A DMO is a closed panel of Physicians and Hospitals that have negotiated a preset schedule of reimbursements with Aetna. For example, an Aetns. THE AVAYA INC. RETIREE DENTAL EXPENSE PLAN, A COMPONENT OF THE AVAYA INC. HEALTH AND WELFARE BENEFITS PLAN FOR RETIREES Plan Number 553 SUMMARY PLAN DESCRIPTION Aetna Freedom of Choice – Dental Maintenance Organization DMO for all states except Arizona, California, New Jersey & Texas EFFECTIVE AS OF JANUARY 1, 2018. Aetna Medical Claim Form; Health Savings Accounts; Components of Your Medical Plan; Best Doctors; Prescription Drug Information. EnvisionPharmacies Brochure; Registration and Prescription Order Form English Registration and Prescription Order Form Espanol Vision Plan; Dental Plans. Aetna Dental Maintenance Organization DMO Aetna Dental. Our Aetna DMO trades off a lower premium and richer benefits for a narrower network of participating dentists. 1. Under the DMO dental plan, services performed by specialists are eligible for coverage only when prescribed by the primary care dentist and authorized by Aetna Dental. If Aetna's payment to the specialty dentist is based on a negotiated fee, then the member's copayment for the service will be based on the same negotiated fee.
Aetna Dental Review. Aetna is well-known for providing medical, dental, prescription and disability insurance, among other financial products. Aetna Dental offers three dental insurance plans and a dental discount plan, explained later in this review. Learn about your health plan or find coverage for you and your family. Dental Plan Information. You will have a choice of two dental plans, both provided by Aetna. Employees may enroll in a dental plan through FCPS without enrolling in a medical plan through FCPS. Aetna Dental Preferred Provider Organization DPPO The Aetna DPPO includes the following features: A large nationwide network of dental providers. 29/10/2019 · Your employer offers two dental plan options — a DMO benefits plan or a preferred provider organization PPO insurance plan. Here’s a guide to help you choose which plan is best for you. aetna dental dmo – this topic people are often interested in, because there are important reasons for this. Almost every person has experienced toothache in his life. In order to solve this problem, he always turned to the dentist.
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