Aetna Dental PPO

Annual Maximum Benefit –

Is what your AETNA Dental insurance will pay in any given insurance year. For Aetna, it is typically between $1500 and $2500. Most Aetna Plans define INSURANCE YEAR from January 1 to December 31. Some plans, especially for school employees, may run on July 1-June 30 year. Check with your plan.

Annual Deductible –

 what your AETNA Dental insurance plan wants you to pay before they cover anything. For AETNA, it is usually $50.

 Coverage for Preventive procedures –

 what your AETNA Dental insurance plan will pay for checkups, cleanings, X-rays, and sealants and fluoride for children. It is typically 100%, although some plans may pay less. Usually, the deductible does not apply.

 Coverage for Cleanings and Checkups –

Coverage for Basic procedures –

what your AETNA insurance plan will pay for fillings, root canals, gum treatments, and extractions. Most AETNA plans will cover 60-80% of the procedure costs. Sometimes, even though the plan says they will cover 80% of the procedure, their fees are so low that the actual coverage may be less.

 Coverage for Major Procedures –

crowns, bridges, dentures. Typically, it is 50%, but it is subject to many provisions and restrictions, such as missing tooth clause, alternative minimum benefits, and others.

 Coverage for Cosmetic Procedures –

veneers, teeth whitening, cosmetic bonding, adult orthodontics. No AETNA plan we have seen provides any coverage for these procedures.

 Coverage for Dental Implants –

Aetna Dental coverage varies greatly by the plan. Check with your carrier for specific information.

Please keep in mind that your plan may be completely different from the general guidelines we have provided here. We use a sophisticated computer system  to help us get as much information as possible. Very often, we are able to tell you about your plan in great detail once we know who the employer is. Call us at 914 630 2833 for more information.

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We know that when you look for an AETNA dentist in Harrison, Scarsdale, White Plains, Mamaroneck, or Rye, you have a wide selection.