SBBC now offers the option of four dental plans available from three dental carriers. CPT is a registered trademark of the American Medical Association. All Rights Reserved. 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. This search will use the five-tier subtype. DISCOUNT OFFERS ARE NOT INSURANCE. Enrollment in this voluntary dental plan is open to all registered students and their eligible dependents. 2022 - 2023 Aetna PPO Dental Plan Design and Benefits Summary. Aetna Medicare Advantage HMO-POS plans. Get the Aetna Health app by texting GETAPP to 90156 for a link to download the app and create an account. Preventive services Waiting period*: None, Basic services are covered at 80% with in-network providers (after deductible), Major services are covered at 50% with in-network providers (after deductible), Waiting periods for basic and major care waived with prior dental insurance, No waiting periods for preventive services, See any dentist, but youll save more if you stay in network, 100% coverage for preventive services when you see an in-network dentist, Basic services covered at 80% with in-network providers (after deductible), Major services covered at 50% with in-network providers (after deductible), Waiting periods* for Basic and Major services waived with prior dental insurance, $50 individual / $150 family per calendar year, Waiting period is waived if all family members enrolling had dental coverage within the past 90 days. CPBs include references to standard HIPAA compliant code sets to assist with search functions and to facilitate billing and payment for covered services. Important Disclaimers for Medicare Members For questions on your dental benefits, call us 1-866-409-0937 (TTY: 711). Whats covered under Medicare Advantage dental plans. Pricing starts at $20 in most regions, and also includes: No waiting periods Inclusive plans. Youll pay for your dental care up front when you see a dentist, and then submit your receipts to Aetna for reimbursement. If you are already an Aetna Dental Insurance Member and have a question regarding your existing policy or claim, please visit Aetna.com or call 1-800-872-3862 I have a question about billing Topic* Please select a topic for your inquiry Billing Question Other Language services can be provided by calling the number on your member ID card. Members should discuss any matters related to their coverage or condition with their treating provider. They also have Direct Preventive, which only covers the costs of preventive dental care. The employee pays the remainder through payroll deduction Premiums are deducted on a pre-tax basis Contact Information at Aetna Customer Service 1-877-238-6200 or www.aetna.com About the Plan Aetna Dental Summary - Effective January 1, 2023 If you do not intend to leave our site, close this message. Information is believed to be accurate as of the production date; however, it is subject to change. Visit a dentist in the Aetna Dental PPO* network. Aetna's conclusion that a particular service or supply is medically necessary does not constitute a representation or warranty that this service or supply is covered (i.e., will be paid for by Aetna). For more details see our Privacy Policy. Copyright 2015 by the American Society of Addiction Medicine. Spirit Dental & Vision is a nationwide carrier that offers a range of PPO dental insurance plan. This search will use the five-tier subtype. Aetna is continuing to expand the Aetna Dental PPO network across the country to . Since Dental Clinical Policy Bulletins (DCPBs) 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. 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. 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. PDF A Nationwide Dental PPO Plan - BENEFEDS Massachusetts license number: 10041444. *** Terms and conditions: Bit.ly/2nlJFYG. the difference in cost between the approved less costly service and the more costly covered service. In Pennsylvania, the waiting period is called an elimination period and most Basic services have one month waiting period. How to enroll: 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. Members should discuss any Dental Clinical Policy Bulletin (DCPB) related to their coverage or condition with their treating provider. The five character codes included in the Aetna Clinical Policy Bulletins (CPBs) are obtained from Current Procedural Terminology (CPT), copyright 2015 by the American Medical Association (AMA). Aetna does not provide dental, medical, vision or other health care/treatment. . Dental care is a vital part of maintaining yourhealth and well-being, especially as you age.

Red Rock Canyon Colorado Concerts 2022, Super Junior Problematic, Head Start Pedestrian Safety, Articles A