Please note also that the ABA Medical Necessity Guidemay be updated and are, therefore, subject to change. Aetna Dental has over 50 years of experience offering dental benefits. The Aetna HealthSM app and your Aetna member website are personalized, seamless and easy to use. You can choose from one of the more than 420,000 dentist locations in the Aetna Dental PPO network. If you do not intend to leave our site, close this message. Aetna Dental provides national network coverage for Prince George's County Government through two networks: You receive greater benefit coverage when you use a provider who participates in the Aetna Dental participating network. Alternate Treatment Rule You are now being directed to the CVS Health site. In Pennsylvania, the waiting period is called an elimination period and most Basic services have one month waiting period. This Aetna Dental Preferred Provider Organization (PPO) benefits summary is provided by Aetna Life Insurance Company for some of the more frequently performed dental procedures. Do you cover implants? Aetna Medicare Advantage plans provide benefits that original Medicare does not. Aetna Dental Direct PPO Plans are Subject to the Following Rules: Replacement Rule Very low rates. Provided for your personal comfort or convenience, or the convenience of any other person, including a dental provider. With a PPO plan, you can visit any dentist you want (whether they are in or out of the network) and usually receive some coverage level. Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. The information contained on this website and the products outlined here may not reflect product design or product availability in Arizona. Aetna Student HealthSM is the brand name for products and services provided by Aetna Life Insurance Company, Aetna Health and Life Insurance Company and their affiliated companies. The AMA is a third party beneficiary to this Agreement. Studies show that a healthy mouth helps you avoid health problems in the body, too. Register to watch this video opens in a new tab to get answers to frequently asked questions about the Verizon Advantage plan. The conclusion that a particular service or supply is medically necessary does not constitute a representation or warranty that this service or supply is covered (i.e., will be paid for by Aetna) for a particular member. Aetna Dental has over 60 years of experience offering dental benefits. CPT only Copyright 2022 American Medical Association. They are not benefits under your insurance plan. Aetna defines a service as "never effective" when it is not recognized according to professional standards of safety and effectiveness in the United States for diagnosis, care or treatment. Aetna is continuing to expand the Aetna Dental PPO network across the country to . Aetna Student Health Agency Inc. is a duly licensed broker for student accident and health insurance in the Commonwealth of Massachusetts. If more than one service can be used to treat a covered person's dental condition, Aetna may decide to authorize coverage only for a less costly covered service. Click the Register button to get started. There is one exception, however:If you needmedicaldental procedures whileyourein the hospital, Medicare may pay for those services as part of Medicare Part A (hospital insurance). Aetna Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits and do not constitute dental advice.