If you have an Aetna Dental PPO dental insurance plan, you can view it as a precious resource. Not only may it allow you to enjoy low-cost preventive care, but it may also prove to be invaluable for those times when your smile requires some restorative attention. Still, you may wonder what you can do to get the greatest value out of your policy. Our Meriden, CT, team is here to assist you. As an in-network Aetna dentist, we have the expertise necessary to help you maximize your benefits.
Aetna Coverage Availability/Fees
Aetna offers a few different PPO dental plans, each of which comes with its own unique coverage package. Therefore, you should take time to familiarize yourself with the details of your specific plan. In the meantime, here is a generalized overview of the coverage that might be available to you:
- Preventive care. This category includes services like cleanings, exams, and routine X-rays. 100% coverage is common for preventive treatments.
- Basic services. Fillings, simple extractions, and emergency pain relief all fall under the umbrella of basic services. They may be 50% - 80% covered.
- Major services. Root canal therapy, crowns, bridges, and dentures are all considered to be major services. They are up to 50% covered.
Your plan may enforce a waiting period before you can receive certain types of coverage. Deductibles are also very common among Aetna PPO plans. Additionally, you may have an annual maximum (a limit on how much Aetna will pay for approved services in a calendar year). Typically, the maximum is between $1,000 and $1,250.
Because we are in-network with Aetna, we have a contract with them that controls prices. Therefore, you are likely to get more value at our practice than you would by visiting an out-of-network provider.
Meet Donna
Our entire team would like to see you get the most out of your Aetna dental insurance plan, but Donna, our office manager, is the one who takes the lead in that area. She has been with our practice since 1991, and she still loves to enjoy positive and meaningful interactions with patients. To receive Donna’s assistance with your insurance, call our office and provide your policy information. She can verify your benefits and help you understand how they may apply in various situations. When you receive treatment, she will file claims on your behalf. She wants to make the process of using your Aetna coverage as easy as possible!