Aetna PPO Dental Coverage
Aetna Dental offers many plans to help your family get the care you need at a price that you can afford. These plans may be provided by your employer or purchased as individual or family dental plans. Aetna Dental has a large network of dental practices and providers. Sunnyvale Dentist Dr. Antonious is an Aetna PPO (Preferred Provider Organization) Dental provider. Why visit an Aetna PPO Dental provider instead of a dentist who does not participate in the Aetna network? Dentists who are in network with Aetna PPO Dental like Sunnyvale Dentist Dr. Antonious will bill you based on the Aetna reduced fees instead of their standard dental fees. This will mean less out of pocket expense for your dental care. Your Aetna PPO Dental plan has a yearly maximum which will vary by plan. Most Aetna PPO Dental plans also have an annual deductible. Services are covered on a percentage basis under three categories: Preventative, Basic and Major. The annual maximum, deductible, and coverage table for your individual insurance plan can be found in the benefits booklet provided to subscribers (persons purchasing dental insurance) from your employer or directly from Aetna.
Preventative services normally have the highest coverage ranging on average from 80% to 100%. Routine x-rays, routine cleanings, oral exams, sealants and fluoride are generally considered preventative treatment.
Basic services may include fillings and simple extractions. Coverage for basic services may range from 60% to 80%.
Major services like dentures, partial dentures, crowns, and bridges are generally covered at 50%.
Oral surgery, root canal therapy, and periodontal deep cleanings may fall under the basic or major category depending on the individual insurance plan.
Some Aetna PPO Dental insurance plans have waiting periods. This can be especially true for individual plans not provided by an employer. A waiting period usually applies to basic and or major treatment and can be from six months to one year. Our insurance coordinator at Sunnyvale Dental Care will research whether or not you have a waiting period. Some services such as sealants and fluoride application may have age limits depending upon the chosen insurance plan. We will be happy to research this for you as well.
The Sunnyvale Dental Care team is very familiar with Aetna PPO Dental insurance plans and will submit your dental claims directly to Aetna for you.