*The Aetna ValuePass (SM) program (the "Program") is NOT insurance. This Program does not meet the Minimum Creditable Coverage requirements in Massachusetts. The Program provides cardholders with access to discounted fees pursuant to schedules negotiated by Aetna Life Insurance Company ("Aetna"), 151 Farmington Avenue, Hartford, CT 06156, 1-888-215-6578, with dental providers (the "Aetna ValuePass Participating Providers") in the Aetna Dental Access (R) network. Aetna is the Discount Medical Plan Organization. Your Card may be used at any dental provider, but you will only receive discounted fees at Aetna ValuePass Participation Providers. The range of discounts provided under the Program will vary depending on the type of Aetna ValuePass Participating Provider and type of services received. The Card provides payments directly to the providers accepting payments using the funds on your Card. In order to receive a discount, you must use the Card to pay for services or products furnished by the Aetna ValuePass Participating Providers. www.aetnavaluepass.com Oklahoma form numbers for discount programs are: GR-96402-02 04-09.

**Aetna may receive a percentage of the fee you pay to the discount vendor. Vital Savings by Aetna is not available in Vermont or Montana. Vital Savings by Aetna provides participants with access to a network of independent practicing providers. The availability of a particular provider cannot be guaranteed and provider network composition is subject to change. Aetna does not provide dental, medical, vision or other health care/treatment and is not responsible for outcomes. All care is the responsibility of the treating provider, in consultation with the participant. Selection of a program provider is also the responsibility of the participant and is not based on any representations by Aetna. Program providers are solely responsible for the products and services they provide. Aetna does not endorse any vendors, products or services associated with this program. The non-dental discounts are rate-access programs. Aetna does not recommend the self-management of health problems, nor do we promote any particular form of medical treatment.

***State laws vary with regard to out-of-network benefits. In Illinois, DMO plans provide limited out-of-network benefits. However, in order to receive maximum benefits, members must select and have care coordinated by a participating primary care dentist. Illinois DMO is not an HMO.

Aetna Life Insurance Company, Aetna Dental Inc., Aetna Dental of Califorina Inc., Aetna Health Inc. and/or Aetna Life Insurance Company (Aetna). Each insurer has sole financial responsibility for its own products.


****Discounts for non-covered services may not be available in all states.

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