Dental benefit
Dental care, eyewear and hearing benefits
In most cases, Original Medicare won’t cover routine dental, vision or hearing care. Learn how your Aetna Medicare Advantage plan has you covered.
Learn about Medicare Advantage benefits
Want to know more about what’s covered? Take a look at each tab for more on dental, vision and hearing benefits with Aetna Medicare Advantage. Plans can vary. So, you should check your Evidence of Coverage (EOC) for details on your plan.
Dental benefit
Aetna® has Medicare Advantage plans with a dental benefit. Many plans cover preventive care. Like oral exams, cleanings and X-rays. We also offer plans with even more covered dental services. Like fillings and extractions.
How it works
Most dental benefits use the Aetna Dental® PPO network. That stands for preferred provider organization. See if your dentist is in the Aetna network.
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Who you can see for dental care |
See an in-network dentist* |
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Oral exams |
Covered |
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Routine cleanings |
Covered |
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X-rays |
Covered |
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Fillings |
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Extractions |
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Teeth whitening |
Teeth whitening is a cosmetic service. It’s not covered. |
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Dental benefit |
Who you can see for dental care |
|---|---|
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See an in-network dentist* |
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Dental benefit |
Oral exams |
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Covered |
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Dental benefit |
Routine cleanings |
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Covered |
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Dental benefit |
X-rays |
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Covered |
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Dental benefit |
Fillings |
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Dental benefit |
Extractions |
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Dental benefit |
Teeth whitening |
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Teeth whitening is a cosmetic service. It’s not covered. |
Check your Evidence of Coverage for more details on your plan’s benefits.
Vision benefit
Aetna® has Medicare Advantage plans with a vision benefit. All plans cover a yearly eye exam. And some plans give you a benefit amount (allowance) for prescription eyewear.
How it works
With a network benefit, you can see any vision provider in your plan’s network. See if your provider is in the network.
Visit AetnaMedicareVision.com for a list of network providers.
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Vision benefit |
Network |
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Who you can see for vision care |
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How vision coverage works |
Network providers bill Aetna Medicare directly. |
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Routine vision exam |
Covered |
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Eyewear coverage |
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Vision benefit |
Who you can see for vision care |
|---|---|
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Network |
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Vision benefit |
How vision coverage works |
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Network |
Network providers bill Aetna Medicare directly. |
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Vision benefit |
Routine vision exam |
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Network |
Covered |
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Vision benefit |
Eyewear coverage |
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Network |
Check your Evidence of Coverage for more details on your plan’s benefits.
Hearing benefit
Aetna® Medicare has teamed up with NationsHearing® to provide hearing benefits. We have Medicare Advantage plans that cover one routine hearing exam per year, hearing aids and one hearing aid fitting per year.
How it works
We offer Medicare HMO and PPO plans. These are also known as health maintenance organization and preferred provider organization plans.
With an HMO plan: You can see any NationsHearing provider for a hearing exam.
With a PPO plan: You can see any licensed provider for a hearing exam.
Hearing aids are only covered through NationsHearing.
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Hearing benefit |
HMO |
PPO |
|---|---|---|
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Who you can see for hearing care |
See any NationsHearing provider. |
See any licensed provider. |
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How hearing coverage works |
Contact NationsHearing to schedule your visit. |
Contact your provider or NationsHearing to schedule your visit. |
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Routine hearing exam |
Covered |
Covered |
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Hearing aids |
Covered through NationsHearing |
Covered through NationsHearing |
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Hearing aid fitting |
Covered |
Covered |
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Hearing benefit |
Who you can see for hearing care |
|---|---|
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HMO |
See any NationsHearing provider. |
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PPO |
See any licensed provider. |
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Hearing benefit |
How hearing coverage works |
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HMO |
Contact NationsHearing to schedule your visit. |
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PPO |
Contact your provider or NationsHearing to schedule your visit. |
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Hearing benefit |
Routine hearing exam |
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HMO |
Covered |
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PPO |
Covered |
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Hearing benefit |
Hearing aids |
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HMO |
Covered through NationsHearing |
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PPO |
Covered through NationsHearing |
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Hearing benefit |
Hearing aid fitting |
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HMO |
Covered |
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PPO |
Covered |
Check the Evidence of Coverage for more details on each plan’s benefits.
To file a claim
If you would like us to reimburse you for services or items, you will need to send us the information listed below. So be sure to ask for all the information you need while you’re there.
Ask for a copy of the receipt from the provider or the place you purchased your item from with:
- The date of service
- Your provider’s name
- Your provider’s address
- A short description of the services or items you want us to pay for. For example, tooth crown. Or the procedure codes, if any. Or prescription eyewear. Submit both the description and the codes if you have them.
- Your diagnosis codes from your provider
Also include:
- Your first and last name
- Your member ID number
- Your date of birth
Put your member ID on every item you send us. Including the receipt from the provider. Then, send them to us with your claim form.
Questions? We’ve got answers
Member Services
Access resources and contact information that is specific to your plan.
For who you can see for dental services
Members of some plans can also see dentists that are not part of their plan’s network. Members of these plans that choose a provider not in their plan’s network may have higher costs.
For benefits that vary by plan
Check your plan’s Evidence of Coverage (EOC) for details on what’s covered by that plan. This benefit is not included on all plans.
For who you can see with a network plan
Members of some plans can also see licensed vision providers that are not part of the network but may be responsible for additional costs.