Medicare Advantage Dental, Medicare Advantage Dental Plan - Aetna Medicare

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. 

Covered services
(partial list)
  • Oral and emergency exams
  • Cleanings
  • Oral hygiene consultation
  • X-rays
  • Oral and emergency exams
  • Cleanings
  • Oral hygiene consultation
  • X-rays
  • Restorative care: retention pins, fillings, minor denture adjustments
  • Periodontic care: scaling and root planing
Covered services received out of network
  • Not covered when you are a medical HMO member  
  • Not covered when you are a medical HMO member
Reduced-fee services
(partial list)**
  • Restorative care: fillings and minor denture adjustments
  • Oral surgery
  • Crowns, bridges and dentures
  • Crowns, bridges and dentures
  • Root canals
  • Oral surgery, including non-surgical extractions
  • Periodontic care: maintenance and surgeries
** Reduced-fee services must be provided by your selected primary care dentist and are not eligible for out of network benefits.

 

Covered services
(partial list)
  • Oral and emergency exams
  • Cleanings
  • Oral hygiene consultation
  • X-rays
  • Oral and emergency exams
  • Cleanings
  • Oral hygiene consultation
  • X-rays
  • Restorative care: retention pins, fillings, minor denture adjustments
  • Periodontic care: scaling and root planing
Covered services received out of network
  • Not covered when you are a medical HMO member  
  • Not covered when you are a medical HMO member
Reduced-fee services
(partial list)**
  • Restorative care: fillings and minor denture adjustments
  • Oral surgery
  • Crowns, bridges and dentures
  • Crowns, bridges and dentures
  • Root canals
  • Oral surgery, including non-surgical extractions
  • Periodontic care: maintenance and surgeries
** Reduced-fee services must be provided by your selected primary care dentist and are not eligible for out of network benefits.
Eyewear Reimbursement
  • Up to $125 per year
  • Up to $125 per year
Hearing aid Reimbursement
  • Up to $300 per year
  • Up to $300 per year

 

 

Covered services
(partial list)
  • Oral and emergency exams
  • Cleanings
  • Oral hygiene consultation
  • X-rays
  • Restorative care: retention pins, fillings, minor denture adjustments
  • Periodontic care: scaling and root planing
Covered services received out of network
  • Not covered when you are a medical HMO member
Reduced-fee services
(partial list)**
  • Crowns, bridges and dentures
  • Root canals
  • Oral surgery, including non-surgical extractions
  • Periodontic care: maintenance and surgeries
** Reduced-fee services must be provided by your selected primary care dentist and are not eligible for out of network benefits.
Eyewear Reimbursement
  • Up to $125 per year

$25 Deductible
Covered services
(partial list)


$0 copay per office visit with selected in-network Primary Care Dentist for covered services


Reduced-fee services (out-of-network)

 

 

 

$0 copay per office visit with selected Network Primary Care Dentist for covered services
  • Oral and emergency exams (deductible does not apply)
  • Cleanings (deductible does not apply)
  • Oral hygiene consultation (deductible does not apply)
  • X-rays (deductible does not apply)
  • Amalgam fillings (after deductible)

 

Out-of-Network reduced-fee services
  • 100% after deductible (Georgia, Maryland, Nevada, Ohio or Texas)
  • 50% after deductible (Connecticut, Delaware, Florida, Illinois, Pennsylvania, Virginia or Washington D.C.)


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.


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Page Last Updated: January 22, 2013