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 an Aetna Medicare Advantage plan can get 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 the 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	See an in-network dentist*
Oral exams	Covered
Routine cleanings	Covered
X-rays	Varies by plan.*
Fillings	Varies by plan.*
Extractions	Varies by plan.*
Teeth whitening	Teeth whitening is a cosmetic service. It’s not covered.

	Who you can see for dental care
Dental benefit	See an in-network dentist*
	Oral exams
Dental benefit	Covered
	Routine cleanings
Dental benefit	Covered
	X-rays
Dental benefit	Varies by plan.*
	Fillings
Dental benefit	Varies by plan.*
	Extractions
Dental benefit	Varies by plan.*
	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:

One routine vision exam per year

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	Direct member reimbursement
Who you can see for vision care	See an in-network vision provider.*	See any vision provider.*
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)	Varies by plan.*	Varies by plan.*

	Who you can see for vision care
Network	See an in-network vision provider.*
Direct member reimbursement	See any vision provider.*
	How vision coverage works
Network	Network providers bill Aetna Medicare directly.
Direct member reimbursement	You pay up front and submit information to get reimbursed.*
	Routine vision exam
Network	Covered
Direct member reimbursement	Covered
	Eyewear coverage (glasses/contacts)
Network	Varies by plan.*
Direct member reimbursement	Varies by plan.*

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:

One annual routine hearing exam

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	Covered*
Hearing aid fitting	Covered*

	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	Covered*
	Hearing aid fitting
Hearing benefit	Covered*

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