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Information is believed to be accurate as of the production date; however, it is subject to change. See all legal notices. Get answers to the most frequently asked questions about Aetna’s Dental Maintenance Organization (DMO) plan.
- Oral Surgery Coverage FAQS
The Dental Clinical Policy Bulletins (DCPBs) describe...
- Orthodontic Care Coverage FAQS
Yes. Your plan may have one or both of these age limits:...
- Register and Log in to Your Member Website
Log in to your Aetna account to access health benefits and...
- Oral Surgery Coverage FAQS
No idea who your DMO provider is but I might suggest staying away from Aetna's DMO. I had to have all of my teeth removed at 37, also needed an immediate denture. Both myself, and the in-network provider, submitted and got things pre-approved.
DMO will most likely have a more stringent network for dentists as a tradeoff for better benefits as you can see. PPO gives you more flexibility on who you want to see. Here's a good article on the differences between Dental PPO and DMO .
Dental Maintenance Organizations (DMO) only covers in-network services. Preferred Provider Organizations (PPO) and Participating Dental Network (PDN) structures cover in- and out-of-network plans. Delta Dental is the way to go for individual and family plans because of its selection.
A DMO plan only covers diagnostic and preventative care. Any restorative procedures get paid out of pocket. Unfortunately theres also very little incentive for providers to contract at the DMO level as the fee schedules on these plans are often significantly reduced.
In Illinois, the Aetna Dental DMO plan provides limited out-of-network benefits. To receive maximum benefits, members must select and have care coordinated by their PCD. In Illinois, the Aetna Dental DMO plan is not a health maintenance organization (HMO).
People also ask
What types of dental plans does Aetna offer?
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What's the difference between dental PPO and DMO?
What is the difference between Delta Dental & Aetna dental insurance?
How do I check if I have Aetna dental DMO?
Sep 9, 2024 · A dental savings plan, also known as a dental discount plan, incorporates some of the advantages of both a prepaid dental plan and a dental PPO. With an Aetna dental savings plan, you pay a low annual or monthly membership fee and receive discounts between 10% and 60% off the cost of most dental procedures as long as you visit an in-network ...
