Aetna dmo dental plan

A cost-saving plan that’s so easy to use. Get the benefit of wide coverage, plus the bonus of cost savings. Illinois DMO is not an HMO.

Each insurer has sole financial responsibility for its own products. However, in order to receive maximum benefits, members must select and have care coordinated by a participating primary care dentist.

In Texas, the Preferred Provider Organization (PPO) plan is known as the Participating Dental Network (PDN). Virginia, the DMO plan is known as the Dental Network Only plan (DNO). DNO in Virginia is not an HMO. Find a dentist by entering your zip code.

Dental benefits and dental insurance plans contain exclusions and limitations. Dental information programs provide general dental information and are not a substitute for diagnosis or treatment by a dentist or other dental care professional. You are given a list of dentists in your area who have contracted to provide dental services at discounted rates.

You must choose one of these as your primary care dentist, who will be responsible for your general dental services.

Take two easy steps to start your dental care Step 1: Pick a PCD. Your DMO benefits and insurance plan begins with your primary care dentist (PCD). DMO plan ) If you are covered under the DMO plan and need emergency dental care for the palliative treatment (pain relieving, stabilizing) of a dental emergency, you are covered hours a day, days a week.

You should contact your Primary Care Dentist to receive treatment. CT, IL, KY and OH and for members residing in MA and OK (regardless of contract situs state). View your plan documents for coverage details. You can also access these materials through the Fairfax County Public Schools website.

DMO Comparing - Benefits and Limitations. The PPO vs DMO question has been haunting the minds of dental insurance buyers for so long. The ensuing battle between these two main types of dental insurance plans have caused too much confusion that it’s time to finally put an end to it. Please consult with the respective plan detail page for additional plan terms. To receive maximum benefits, members must choose a participating primary care dentist to coordinate their care with network providers.

If you’re intereste please click here to request an application. In Virginia, we refer to the DMO plan as the DNO ( Dental Network Only) plan. As with an HMO, you only receive a benefit when you use a participating provider.

You must select a primary care dentist (PCD) who will provide most of your dental care and provide referrals, if needed.

For highlights on what your plan covers and how benefits are pai refer to the Booklet-Certificate that accompanies this SPD. Dental offices are located throughout the United States. Lower premiums than the DPPO plan. Click on the dental plan name to learn more. Aetna PPO Dental Plan The Aetna PPO Dental Plan gives you the freedom to choose any dentist.

However, when you use in-network dentists and specialists, it means they have agreed to provide dental care for a discounted fee and the plan will pay a higher level of coverage. These benefits may be included in the plan ’s premium or offered as an Optional Supplemental Benefit (this means you pay an additional premium). The benefits may be an allowance or offered via a network. Aetna recognizes the vital role the specialty dental office plays in delivering a successful dental plan. We appreciate your participation and look forward to a long relationship.

The dental discounts are available through participating. Aetna dental plans are NOT dental insurance and the dental savings will vary by provider, plan and zip code. A DMO is a closed panel of Physicians and Hospitals that have negotiated a preset schedule of reimbursements with Aetna. Aetna will continue to provide Retiree Medicare Advantage coverage to over retirees. Aetna will also continue to offer the Dental Expense Plan (DEP) and the Dental Plan Organization (DPO) plan to active and retiree members.

A PPO plan does not require that you select a primary dentist or get referrals before seeking treatment. The major disadvantages of a PPO dental plan are its higher out-of-pocket costs and billing paperwork. A PPO plan may also limit the amount of coverage you can receive in a year. Find your best coverage from over 7Medicare plan s nationwide.

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