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Dental care, eyewear and hearing aids

Many of our Medicare Advantage plans include dental, eyewear and hearing benefits. Compare our plans and find the coverage that’s best for you.

Learn about these benefits

Dental, eyewear and hearing coverage can be offered through a network benefit or as a direct member reimbursement (DMR) benefit. You can find specific plan information in the Evidence of Coverage (EOC).

Network plans

These plans require you to see a network provider. You may have a different network for medical benefits than for dental, eyewear or hearing services. The EOC can help you find the right network for your plan.

Direct Member Reimbursement (DMR)

A DMR is an annual allowance to see any licensed provider in the U.S. that has not opted out of Medicare. Members will pay out of pocket and then submit a form to get reimbursed up to the plan’s allowance.

2022 Dental benefits
 

Plans that offer benefits through a network cover preventive care such as oral exams, cleanings and X-rays.* Some plans include comprehensive services such as fillings and extractions. You can find specific benefit information in the Evidence of Coverage.

 

Plans that offer DMR benefits cover most dental procedures, including preventive care and comprehensive services. Members will pay out of pocket at the time they get care and then send us information like a receipt and reimbursement form to get reimbursed up to the plan’s allowance.

 

Network

DMR

Who you can see for care

Has a separate dental network to use**

Allows you to see any dental provider***

How it works

Network providers agree to bill us directly

Member pays up front and submits information to get reimbursed

Oral exams

Routine cleanings

X-rays

Fillings

Extractions

Teeth whitening

† 

Network

Who you can see for care

Has a separate dental network to use**

How it works

Network providers agree to bill us directly

Oral exams

Routine cleanings

X-rays

Fillings

Extractions

Teeth whitening

DMR

Who you can see for care

Allows you to see any dental provider***

How it works

Member pays up front and submits information to get reimbursed

Oral exams

Routine cleanings

X-rays

Fillings

Extractions

Teeth whitening

† 

*Coverage for the frequency of these services may vary based on your plan.

 

**Some HMO-POS and PPO members can also see dentists that are not part of the network. Members of these plans that choose a provider not in the Aetna Dental® PPO Network may have higher costs. If a provider not in our network is not willing to bill us directly, members may have to pay upfront and submit a request for reimbursement.

 

***Must be a licensed provider in the U.S.

 

Generally, cosmetic services (such as teeth whitening) are not covered.

2022 Eyewear benefits
 

Plans that offer eyewear benefits through a network cover one annual routine vision exam. And an annual allowance that can be used to purchase prescription eyewear.

 

Plans that offer DMR benefits cover one annual routine vision exam and provide an annual allowance to purchase prescription eyewear. Members will pay out of pocket when they get care. Then they send us information like a receipt and reimbursement form to get reimbursed up to the plan’s allowance.

 

Network

DMR

Who you can see for care

Select a vision provider from a network**

Any vision provider*

How it works

Network providers agree to bill us directly

Member pays up front and submits information to get reimbursed***

Routine vision exam

Eyewear coverage (glasses/contacts)

Network

Who you can see for care

Select a vision provider from a network**

How it works

Network providers agree to bill us directly

Routine vision exam

Eyewear coverage (glasses/contacts)

DMR

Who you can see for care

Any vision provider*

How it works

Member pays up front and submits information to get reimbursed***

Routine vision exam

Eyewear coverage (glasses/contacts)

*Must be a licensed provider in the U.S.

 

**Some PPO members can also see vision providers that are not part of the network but may have higher costs.

 

***Visit AetnaMedicareVision.com for a list of providers that don’t require you to take any action for eyewear reimbursement. If you use one of these providers, there’s no need to submit a claim form and receipt for eyewear reimbursement. The provider will automatically apply your eyewear benefit up to your plan’s annual eyewear coverage limit and submit the claim to us.

2022 Hearing benefits

 

Most of our plans include coverage for hearing aids through a network provider. We teamed up with NationsHearing to provide hearing exam and hearing aid benefits. Hearing benefits generally include one annual routine hearing exam and hearing aid fitting covered at 100 percent. Most plans also include coverage toward the purchase of hearing aids.

 

Network

Who you can see for care

Any NationsHearing provider

How it works

Contact NationsHearing to schedule your appointment

Routine hearing exam

Hearing aid coverage

Hearing aid fitting

Network

Who you can see for care

Any NationsHearing provider

How it works

Contact NationsHearing to schedule your appointment

Routine hearing exam

Hearing aid coverage

Hearing aid fitting

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