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Two great dental insurance plans for individuals
Aetna Individual Advantage Dental has two plans to meet your needs — the Aetna Individual AdvantageSM Dental PPO Plan and the Aetna Individual AdvantageSM Dental PPO Plus Plan. They both offer coverage for:
If you are interested in one of these plans, print out an application
Aetna Advantage Dental Plans, U22N P.O. Box 730 Blue Bell, PA 19422 Monthly premium costs Please select your state:
Choose any dentist Both plans offer you the freedom to visit any dentist you choose. But you may find that you save money when you visit in-network dentists rather than out-of-network dentists.
You can visit a dentist who participates in the Aetna network (also known as a participating or in-network dentist). You can also visit a dentist who does not participate in the network (also known as a nonparticipating or out-of-network dentist).
In-network dentists have agreed to provide services to Aetna members at a negotiated (discounted) rate. They will charge the discounted rate for services covered by these two plans, as well as for non-covered services such as cosmetic tooth whitening and orthodontic care.
So, you generally pay less out of your own pocket when you visit in-network dentists — because the percentages you pay for the care you receive are based on those discounted rates.
It is easy to find a participating or in-network dentist in your area. Visit our online DocFind® directory.
While in-network dentists accept the negotiated fee in full, out-of-network dentists generally do not. As a result, you will end up paying more for their services. You may be subject to balance billing — the dentist may bill you to make up for the difference between their standard fee and what the plan pays.
What’s different between the two plans? Keep in mind: While the level of benefits is the same for in-network and out-of-network dentists, what the plan pays for covered out-of-network services is a percentage of the negotiated rate with in-network dentists in the applicable geographic area — not a percentage of the standard fee charged by out-of-network dentists. Dental services covered and amount paid by plan
Above list of covered services is representative.
*Out-of-network coverage is limited to a maximum of the plan’s payment, which is based on the negotiated, contract rate for in-network providers in a particular geographic area. |
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