Oral Surgery FAQs

How do I know which plan - medical or dental - covers oral surgery?
This will depend upon the procedures involved and how your plan is set up. We suggest you get a pre-treatment estimate for any oral surgery procedure. Send that estimate to:

Aetna Dental
P.O. Box 14094
Lexington, KY 40512

We'll let you know if your plan covers the care suggested.

For more information, call the Member Services number on your Aetna ID card. Ask for our Oral Surgery Center of Excellence.

Do I have to get treatment from an oral surgeon, or can my general dentist perform the services I need? 
It depends upon your plan. First find out if your treatment will be covered under your medical or dental benefits or insurance plan. Get a pre-treatment estimate and send it to:

Aetna Dental
P.O. Box 14094
Lexington, KY 40512

We'll let you know if your plan covers the care suggested.

How will my oral surgery service be reimbursed if my oral surgeon is in your dental and medical networks? 
You will be reimbursed under the plan in which the oral surgery procedures are considered covered services.

Can I go to a participating dental specialist even if my procedures are going to be payable under my medical plan?
It depends on your medical plan. Your participating dentist's contracted rates will apply. To confirm coverage, call member services at the number listed on your Aetna ID card. Ask for the Oral Surgery Center of Excellence.

Are surgical extractions, such as removal of impacted teeth, considered dental or medical in nature oral surgery procedures? 
Surgical extractions of any type are considered dental in nature and are typically covered under an Aetna medical plan. There are exceptions, however. To verify whether your medical or dental plan may cover surgical extractions, call the member services number on your Aetna ID card. Ask for our Oral Surgery Center of Excellence.

 

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