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Oct 19, 2023 · Dental care is a vital part of maintaining your health and well-being, especially as you age. And one of the main perks of joining a Medicare Advantage (MA) plan is that many plans offer dental coverage to help you keep up with your oral health. Original Medicare, on the other hand, does not cover routine dental care, such as cleanings, X-rays ...
- Dental Insurance Plans for Individuals & Families | Aetna
Plan features for the way you live. With Aetna Dental, you...
- Find a Medicare Dentist | Aetna Medicare
Call a licensed agent at 1-855-335-1407 (TTY: 711) , Monday...
- Dental Insurance Plans for Individuals & Families | Aetna
If you have any questions, you can contact our dedicated Medicare Provider Services team. They offer personalized customer service and can help you with Medicare dental plan benefits. Just call 1-800-624-0756 (TTY: 711).
- Overview
- What is Aetna?
- What is Medicare?
- Do the plans include dental coverage?
- How are the benefits administered?
- Costs
- Eligibility
- Summary
Aetna Medicare Advantage plans match the coverage of original Medicare and offer additional benefits, including dental care.
Some plans cover preventive care, and others extend coverage to comprehensive care, such as fillings and extractions.
Medicare is a federal government program, and people can access Medicare benefits through either original Medicare or a Medicare Advantage plan from a private insurance company, such as Aetna.
This article discusses Aetna Medicare Advantage plans and dental care coverage. It also looks at eligibility for Aetna plans and some of the costs.
We may use a few terms in this piece that can be helpful to understand when selecting the best insurance plan:
•Deductible: This is an annual amount that a person must spend out of pocket within a certain time period before an insurer starts to fund their treatments.
Aetna began in 1853 in Hartford, CT. CVS Health acquired the company in 2018, and Aetna currently serve the health needs of about 39 million people.
Aetna provide medical, prescription drug, and dental insurance plans, including Medigap and Medicare Advantage plans. The company’s Advantage plans include:
•Health Maintenance Organization (HMO) plans
•Health Maintenance Organization Point-of-Service (HMO-POS) plans
•Preferred Provider Organization (PPO) plans
•Dual Special Needs Plans (D-SNPs)
Medicare is a federal government health program with four parts. It is available to people aged 65 years and over, as well as younger people with disabilities or specific health conditions.
Each of the Medicare parts covers a different aspect of healthcare services:
•Part A covers inpatient hospital care.
•Part B covers outpatient medical care, including preventive care.
•Part C, also called Medicare Advantage, combines the basic coverage of Part A and Part B (original Medicare) and may include Part D.
•Part D is coverage for prescription drugs.
Aetna Medicare Advantage plans offer additional benefits that original Medicare does not provide. These benefits may include coverage for dental care, including:
•teeth cleaning, scaling, and polishing
•examinations
•simple extractions
•fillings
•denture or bite adjustments
Directly through an Aetna network
With a network plan, the member must use an approved dentist from a named network who has a contract with Aetna. The company’s in-network plans cover the total cost for preventive care, which includes oral exams, dental cleanings, and radiography. Some Aetna Advantage plans include extensive services, such as fillings and extractions.
Through direct member reimbursement benefit
If an Aetna Medicare Advantage plan offers dental coverage through DMR, a person pays upfront when they get the dental care and then submits an itemized receipt. Aetna provide forms that the person needs to complete, and the company then reimburse the amount up to the plan allowance. People can use any licensed dental care provider in the United States for Aetna-approved services, providing that the provider accepts Medicare. DMR plans include coverage for most preventive care and other comprehensive services.
All Medicare Advantage plans, including Aetna’s offerings, have associated costs. These include:
•Monthly plan premium: Aetna plan premiums begin at $0 but may cost more depending on coverage, location, and a person’s details. A person must also pay the premiums for Medicare Part A (if applicable) and Part B. The monthly Part B premium for 2021 is $148.50.
•Copays and coinsurance: Each time someone receives a healthcare service, they pay an amount. A copay is a fixed amount, such as $20, whereas a coinsurance is a percentage of the total cost of the service.
•Deductible: This is the amount that a plan member must pay out-of-pocket before their plan begins to pay its share.
Plan costs vary. For example, the Aetna Medicare Value HMO Plan has the following associated costs for 2021:
•$0 monthly premium
To join an Aetna Medicare Advantage plan, people must qualify for enrollment in original Medicare.
Generally, U.S. citizens or permanent legal residents meet the requirements for original Medicare when they reach the age of 65 years. A person may also qualify if they are under 65 years of age and, for the last 2 years, have received Social Security disability benefits or a disability pension from the Railroad Retirement Board.
If someone has end stage renal disease or amyotrophic lateral sclerosis, they may also qualify for enrollment, although they may need to select an SNP. These plans cater specifically to people with certain health conditions.
There are various enrollment periods during which people can join, change, or cancel their Medicare plans, including Advantage plans.
Aetna Medicare Advantage plans provide benefits that original Medicare does not. These typically include some level of dental coverage, including twice-yearly oral health exams, teeth cleaning, and X-rays, if necessary.
The level of dental coverage and the associated costs vary among Aetna plans.
Plan features for the way you live. With Aetna Dental, you get: Affordable plans. Plan options start at $20. And your dental checkups, cleanings and X-rays are 100% covered. Choice of providers. You get access to a nationwide network with your choice of more than 445,000 dental providers.*. The coverage you need.
Jun 7, 2024 · Call a licensed agent at 1-855-335-1407 (TTY: 711) , Monday to Friday, 8 AM to 8 PM. Contact us. Contact Member Services. Find a dentist or dental specialist in the Aetna Medicare network in your area.
Sep 18, 2023 · The cost of an Aetna Medicare Advantage plan with dental coverage varies, but many plans are available with $0 monthly premiums. Depending on the plan, there may be deductibles, copays or coinsurance costs for some covered care. Preventive dental care is often fully covered by Medicare Advantage plans, with some restrictions.
People also ask
How much does Aetna Medicare dental coverage cost?
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Can I see all Aetna dental Medicare Advantage members?
Aetna, a CVS Health company, is the fourth-largest provider of Medicare Advantage plans, and 84% of Medicare beneficiaries have the option of a $0-premium Aetna plan. Aetna also offers stand-alone ...
