Aetna dental 100 group

DHMO: A dental health maintenance organization (DHMO) is a common example of a capitation plan. Under a capitation plan, contracted dentists are paid a certain amount each month for each patient who is assigned to them. Aetna Life Insurance Company ( Aetna ). Health benefits and health insurance plans contain exclusions and limitations.

Dental Benefits Summary - EPP Plan. Large Network of Providers.

You choose a primary care dentist. If you need to see a specialist, your primary care dentist gives you a referral. You get peace of mind with no deductibles or annual maximums.

To learn more, view the DMO video. With the EPP plan, savings are possible because the participating dentists have agreed to provide care for covered services at negotiated rates. Exact savings depend on the type of extraction involved and whether your general dentist or your oral surgeon is doing the work (oral surgeons are typically more expensive and perform more complicated extractions).

Specific products may not be available on both a self-funded and insured basis. Under this plan, you may choose at the time of service either a PPO participating or nonparticipating dentist.

Search jobs and career information here. DMOs will have a set fee schedule while PPOs have cost sharing- you pay X and the carrier pays X. PPOs have caps on what they will pay out per year, and generally have longer waiting periods. If you are shopping for individual dental insurance, have individual dental insurance or have general questions, enter the state you live in.

Find Out How You Can Save. You can visit any of the dentists in the directory throughout the country without having to select a primary care provider or get a referral. We do not guarantee that each provider is still accepting new members. City, State : ZIP Code. Are Early Retirees eligible for coverage?

Number of Employees not Enrolling with a. Yes No If Yes, how many are covered? The University offers two dental coverage plans. Preventive services are covered at 1. Your PCD will help you decide if you need care from another dentist. The consolidation strategy of the two industrial companies, ROBOPAC AND OCME, has been implemented in advance to allow AETNA GROUP to optimize the technical, industrial and commercial synergies to face new challenges.

Fill out this form if you were billed directly by a provider and would like to request reimbursement for medical care (includes dental , vision, hearing and vaccines). New York Small Group Business.

Don’t use this form for prescription drug reimbursement. On average, dental insurance costs $14–$per month for an individual or $27–$per month for a family. In addition to a monthly premium payment, there is usually a co-payment at each visit and a coinsurance responsibility.

Your dental insurance plan might include two routine cleanings,. Georgia Insurance Commissioner John W.