Dental
Dental coverage helps you maintain a healthy smile with preventive care, basic services, and major procedures. You can visit any licensed dentist, but you’ll save the most when you use an in-network provider who has agreed to discounted rates. Out-of-network dentists may charge more than the plan’s allowed amount, and you may be responsible for the difference. Most plans cover preventive services—such as exams, cleanings, and X-rays—at 100% when you stay in-network, making regular checkups an easy way to protect your oral health and avoid costly issues.
Aetna Dental PPO – Base
Benefit Highlights
In-Network
Deductible (Individual/Family)
$50/$150
Annual Plan Max (per member)
$1,000
Preventive Care
No charge
Basic Services
No charge after deductible
Major Procedures
30% after deductible
Orthodontia (Adults and Children)
Not covered
Out-of-Network
Deductible (Individual/Family)
$75/$225
Annual Plan Max (per member)
$1,000
Preventive Care
20%
Basic Services
20% after deductible
Major Procedures
50% after deductible
Orthodontia (Adults and Children)
Not covered
Plan Cost
Employee Only: $20.23
Employee and Spouse: $46.15
Employee and Child(ren): $47.80
Employee and Family: $66.40
Aetna Dental PPO – Buy-Up
Benefit Highlights
In-Network
Deductible (Individual/Family)
$50/$150
Annual Plan Max (per member)
$1,750
Preventive Care
No charge
Basic Services
No charge after deductible
Major Procedures
30% after deductible
Orthodontia (Adults and Children)
Not covered
Out-of-Network
Deductible (Individual/Family)
$75/$225
Annual Plan Max (per member)
$1,750
Preventive Care
20%
Basic Services
20% after deductible
Major Procedures
50% after deductible
Orthodontia (Adults and Children)
Not covered
Plan Cost
Employee Only: $23.78
Employee and Spouse: $52.63
Employee and Child(ren): $54.51
Employee and Family: $75.72
Aetna Dental HMO
Benefit Highlights
In-Network
Deductible (Individual/Family)
None
Annual Plan Max (Individual/Family)
None
Preventive Care
$0 – $83 copay
Basic Services
$0 – $210 copay
Major Procedures
$0 – $403 copay
Orthodontia (Adults and Children)
$2,400 copay
Plan Cost
Employee Only: $7.65
Employee and Spouse: $13.29
Employee and Child(ren): $13.76
Employee and Family: $19.12