Aetna Medicare (HMO) (PPO) Optional Supplemental Benefits
Many Aetna Medicare Advantage HMO and PPO plans allow you to select our optional supplemental dental coverage benefit for an additional plan premium. The optional dental plans allow you to receive covered dental services when you select a participating primary care dentist. Some plans may include an eyewear or hearing aid reimbursement, while others may include eyewear and hearing aid reimbursement. Below is a list of the benefits you can receive.
| Aetna Medicare HMO Preventive Dental Plan | Aetna Medicare HMO Advantage Dental Plan | |
|---|---|---|
| Covered services (partial list) |
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|
| Covered services received out of network |
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| Reduced-fee services (partial list)** |
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| ** Reduced-fee services must be provided by your selected primary care dentist and are not eligible for out of network benefits. | ||
| Aetna Medicare HMO Preventive Dental Plan + Eyewear + Hearing Aids | Aetna Medicare HMO Advantage Dental Plan + Eyewear + Hearing Aids | |
|---|---|---|
| Covered services (partial list) |
|
|
| Covered services received out of network |
|
|
| Reduced-fee services (partial list)** |
|
|
| ** Reduced-fee services must be provided by your selected primary care dentist and are not eligible for out of network benefits. | ||
| Eyewear Reimbursement |
|
|
| Hearing aid Reimbursement |
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|
Aetna Medicare HMO Advantage Dental Plan + Eyewear
|
|
|---|---|
|
Covered services
(partial list) |
|
|
Covered services received out of network
|
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|
Reduced-fee services
(partial list)** |
|
| ** Reduced-fee services must be provided by your selected primary care dentist and are not eligible for out of network benefits. | |
| Eyewear Reimbursement |
|
|
$25 Deductible
|
|
| You pay: $25 Deductible |
Aetna Medicare PPO Advantage Dental Plan
|
|---|---|
|
$0 copay per office visit with selected Network Primary Care Dentist for covered services
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Out-of-Network reduced-fee services
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Note: There may be a per-visit dental copay for covered services.
Find and compare available medical plans, premiums and copays >
You can find optional dental plan premium and copay information online if you view an Aetna Medicare Advantage Plan's details, select View Plan Documents, and go to the Benefits at a Glance or the Summary of Benefits. To view a list of participating dentists, select the DMO network in DocFind.
The benefit information provided herein is a brief summary, not a comprehensive description of benefits. For more information contact the plan.


