Dental
Taking care of your oral health is not a luxury; it is a necessity for long-term optimal health. With a focus on prevention, early diagnosis, and treatment, Dental insurance can greatly reduce your costs when it comes to restorative and emergency procedures.
When you visit a dentist in the network, you will maximize your savings. These dentists have agreed to reduced fees, which means you won’t get charged more than your expected share of the bill.
Aetna Dental PPO
Plan Information
Plan Name: Aetna Dental PPO
Policy Number: 804745
Effective Date: 06/01/2025
Provider Network: PPOII and ExtendSM Network
Benefit Highlights
In-Network | Out-of-Network |
|---|---|
| Deductible (Individual/Family) | Deductible (Individual/Family) |
| $50/$150 | $75/$225 |
| Annual Plan Maximum | Annual Plan Maximum |
| $1,000 per individual; combined with Out-of-Network | $1,000 per individual; combined with In-Network |
| Preventive Care | Preventive Care |
| $0 | 20% coinsurance |
| Basic Services | Basic Services |
| $0 | 20% coinsurance |
| Major Services | Major Services |
| 30% coinsurance | 50% coinsurance |
| Orthodontia | Orthodontia |
| Not covered | Not covered |
Plan Documents
Contact Information
Aetna Dental PPO – Buy-Up
Plan Information
Plan Name: Aetna Dental PPO – Buy-Up
Policy Number: 804745
Effective Date: 06/01/2025
Provider Network: PPOII and ExtendSM Network
Benefit Highlights
In-Network | Out-of-Network |
|---|---|
| Deductible (Individual/Family) | Deductible (Individual/Family) |
| $50/$150 | $75/$225 |
| Annual Plan Maximum | Annual Plan Maximum |
| $1,750 per individual; combined with Out-of-Network | $1,750 per individual; combined with In-Network |
| Preventive Care | Preventive Care |
| $0 | 20% coinsurance |
| Basic Services | Basic Services |
| $0 | 20% coinsurance |
| Major Services | Major Services |
| 30% coinsurance | 50% coinsurance |
| Orthodontia | Orthodontia |
| Not covered | Not covered |
Plan Documents
Contact Information
Aetna Dental HMO
Plan Information
Plan Name: Aetna Dental HMO
Policy Number: 804745
Effective Date: 06/01/2025
Provider Network: Organization (DMO) Network
Benefit Highlights
In-Network Only |
|---|
| Deductible (Individual/Family) |
| $0/$0 |
| Annual Plan Maximum |
| $0 |
| Preventive Care |
| $0 |
| Basic Services |
| $0 (anterior resin composite filling) $28 (extraction, erupted tooth with bone removal) $62 (scaling and root planing per quadrant) |
| Major Services |
| $255 (ceramic crown) $275 (removable partial denture) $280 (molar root canal) |
| Orthodontia |
| $2,400 with a lifetime maximum of $0 |