Aetna Invisalign Coverage Your Aetna plan might cover your Invisalign treatment, although it depends entirely on the plan. Treating providers are solely responsible for dental advice and treatment of members. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. . All care is the responsibility of the treating provider, in consultation with the participant. The Aetna Dental Direct plan covers preventative care 100% with no out of pocket cost. Aetna Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits and do not constitute dental advice. Give your member information at your visit. *Acupuncture is an essential health benefit, and the discount for this service may duplicate benefits if you are enrolled in a full-service plan. Major services are covered at 50% with in-network providers (after deductible) Waiting periods for basic and major care waived with prior dental insurance No waiting periods for preventive services See any dentist, but you'll save more if you stay in network Annual Deductible $50 Per Person $150 Per Family, per calendar year Some of the covered dental services may include (be sure to check with your plan for details): If you have network or OSB coverage, you may be limited to a specific number of services per year. Overall, it is very affordable compared to competitors and comes with many different amounts of coverage. With our HMO-POS plans, you can enjoy all the benefits of receiving medical care through a network provider. Brushing, flossing and getting regular dental checkups help to keep your mouth healthy. Aetna Dental Direct | Secure Member Portal Login Secure Member Portal * required Username * Forgot Username? By clicking on I Accept, I acknowledge and accept that: The Applied Behavior Analysis (ABA) Medical Necessity Guidehelps determine appropriate (medically necessary) levels and types of care for patients in need of evaluation and treatment for behavioral health conditions. To learn more about using your Aetna MA dental benefits, read our guide below. SBBC now offers the option of four dental plans available from three dental carriers. Coverage Period: 01/01/2022 - 12/31/2022 Coverage for: Self Only, Self Plus One or Self and Family | Plan Type: PPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. See the insurance policy for details. Members should discuss any matters related to their coverage or condition with their treating provider. No claims or paperwork for in-network care. Members and their providers will need to consult the member's benefit plan to determine if there are any exclusions or other benefit limitations applicable to this service or supply. You are leaving our Medicare website and going to our non-Medicare website. Your dental plan may have yearly and lifetime limits on coverage. Go to the American Medical Association Web site. We're here 8 a.m. - 8 p.m., Monday through Friday. New and revised codes are added to the CPBs as they are updated. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. When billing, you must use the most appropriate code as of the effective date of the submission. Coinsurance: the percentage of dental care expenses you pay after your deductible. Teeth whitening and facings on molar crowns and pontics will always be considered cosmetic. Aetna does not provide dental, medical, vision or other health care/treatment. If you need a PDF document in an accessible format, you can request it directly through"Contact Us" here or at the top of the page. Do you cover adult orthodontia? As you age, maintaining your oral health is an important part of your whole-body wellness.
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