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A man and woman looking at a laptop and learning about their Medicare dental, vision and hearing aid coverage

Dental care, eyewear and hearing benefits

Original Medicare doesn’t cover routine dental, vision or hearing care. Learn how your Aetna Medicare Advantage plan has you covered.

Learn about Medicare Advantage benefits

Review each tab for details on each type of dental, vision and hearing benefit under Aetna Medicare Advantage. Check the Evidence of Coverage (EOC) for details that are specific to each plan.

Dental benefit



Aetna® has Medicare Advantage plans that cover preventive care like oral exams, cleanings and X-rays. We also offer plans with even more dental services. Like fillings and extractions. You can find specific benefit details in your plan’s Evidence of Coverage.  

 

a tooth to represent Aetna Medicare’s dental network

Dental benefits use the Aetna preferred provider organization (PPO) network. See if your dentist is in the Aetna network.

 

Dental benefit

Who you can see for dental care

Oral exams

Covered

Routine cleanings

Covered

X-rays

Fillings

Extractions

Teeth whitening

Teeth whitening is a cosmetic service. It’s not covered.

Who you can see for dental care

Dental benefit

Oral exams

Dental benefit

Covered

Routine cleanings

Dental benefit

Covered

X-rays

Dental benefit

Fillings

Dental benefit

Extractions

Dental benefit

Teeth whitening

Dental benefit

Teeth whitening is a cosmetic service. It’s not covered.

Vision benefit


Aetna has Medicare Advantage plans with a vision benefit. The vision benefit includes:

 

eye exam chart

One routine vision exam per year

Woman with Medicare covered eyeglasses

An annual allowance that can be used to buy prescription eyewear, depending on the plan  

Plans are offered as a network benefit or as a direct member reimbursement (DMR) benefit. With a network benefit, you can see any vision provider in your plan’s network.

 

For plans with a DMR benefit, you get an annual benefit amount (allowance) that you can use for covered eyewear. You can see a licensed provider of your choice. You'll pay out of pocket when you get care. And we'll reimburse you afterwards. File a claim and include your receipt and any needed information. Then, we can reimburse you up to your plan's benefit amount. 

 

 

Network

DMR

Who you can see for vision care

How vision coverage works

Network providers bill Aetna Medicare directly.

You pay up front and submit information to get reimbursed.*

Routine vision exam

Covered

Covered

Eyewear coverage
(glasses/contacts)

Who you can see for vision care

Network

DMR

How vision coverage works

Network

Network providers bill Aetna Medicare directly.

DMR

You pay up front and submit information to get reimbursed.*

Routine vision exam

Network

Covered

DMR

Covered

Eyewear coverage
(glasses/contacts)

Network

DMR

 

Submitting your reimbursement

Submitting your reimbursement

You may have a DMR plan for your vision benefit. If so, Aetna will need some info to process your reimbursement request. You may need to ask for some of these items during your visit. So be sure to ask for all the information you need while you’re there.
 

  • A copy of the paid itemized receipt from the provider, including:
    • The date of service
    • The name of your provider
    • The address of your provider 
    • A brief description of the services or items you need reimbursement for. For example, tooth crown. Or the procedure codes, if any. Submit both the description and the codes if you have them.  
    • Your diagnosis codes
  • 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 reimbursement claim. 

Get reimbursed 

Hearing benefit

 

Aetna offers Medicare Advantage plans with a hearing benefit. We teamed up with NationsHearing to provide hearing exams and hearing aid benefits. We have plans that include:


 

a calendar to schedule your Medicare hearing exam

One annual routine hearing exam

 an ear to represent a hearing aid fitting covered by Medicare

Hearing aid coverage* and one hearing aid fitting

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. If you have a PPO plan, you can see any provider for a hearing exam. Hearing aids are only covered through NationsHearing.

 

 

Hearing benefit

Who you can see for hearing care

See any NationsHearing provider.

How hearing coverage works

Contact NationsHearing to schedule your visit.

Routine hearing exam

Covered

Hearing aids

Hearing aid fitting

Who you can see for hearing care

Hearing benefit

See any NationsHearing provider.

How hearing coverage works

Hearing benefit

Contact NationsHearing to schedule your visit.

Routine hearing exam

Hearing benefit

Covered

Hearing aids

Hearing benefit

Hearing aid fitting

Hearing benefit

Questions? We’ve got answers

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