Aetna Dental PPO

We have a lot of patients who are saving on dental care by using their Aetna Dental PPO at our office.

Hi, I'm Lauren! I will be the one greeting you when you call us.

Hi, I’m Lauren! I will be the one greeting you when you call us.

What does my Aetna Dental PPO cover?

Different plans have different provisions, and we can tell you more once we see your plan.

But you will not have any out-of-pocket costs for your first checkup visit. 

Call us at (914) 630 – 2833 or make an appointment online for your fully covered checkup or consultation today.

Does Aetna Dental PPO cover Invisalign or Six Month Braces?

Some plans do, and some don’t. Many plans will only cover any orthodontic treatment up to 19 years of age, while others have no restrictions. Ask us – we’ll have this information for you in minutes!

 Does Aetna Dental PPO cover dental implants?

Very often, a portion of the treatment is covered. Varies by the plan, inquire about details.

 Does Aetna Dental PPO cover dental veneers or other cosmetic dentistry?

Unfortunately, no dental insurance covers cosmetic dentistry. But if we are replacing old, unsightly fillings and crowns, the replacement is frequently covered, even if done for mostly cosmetic reasons.

This is a brief description of common terms and conditions found in most Aetna Dental PPO plans.

AETNA offers a wide variety dental insurance plans, and the type of plan you have depends on the contract your employer signed with them. Many of the plans follow similar structure – but yours may have specific conditions and exclusions not found in any other.

 

Your plan will have different provisions depending on what your employer chose.

Here are some common terms explained.

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 –

 Typical coverage is twice a year, or once every 6 months, or twice every 12 (plans vary.)

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.

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

 We want you to know that when you select us for your dental care needs, you make the right choice!

Some of the companies and organizations in and around Westchester County who offer AETNA Dental to their employees and members are:

 

Charlie Brown’s
Town of Harrison
Schulte, Roth, and Zabel LLP
Maxx Properties
Mastercard International
Avon Products
New York Presbyterian
Bank of New York
Swiss Reinsurance
Abigail Kirsch
Mt Kisco Police Dept.
Inventiv Health
KPMG
Iona College
NEW YORK TRANSIT AUTHORITY
Cement Masons Local 79
White Plains Pba
Meritdirect, Llc””
Ford Foundation
Doherty Enterprises
Jackson Lewis
Murray Feiss Import LLC
Stanwich School
Jrd Management
P.M.A. Reinsurance
Jack Resnik
Bank Of America
Redac Inc.
PRUDENTIAL INVESTMENT MANGEMEN
Borders Group, Inc
Starbucks
Shoreline Pools
PMA Capital
Warburg Pincus LLC
Grubb And Ellis
Wear Me Apparrel
Broadview Network
Werner Tietjen
VOLT
Jones Apparel Group
Village Of Rye Brook
Merrill Lynch
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