Wednesday, June 15, 2022

Does Aetna Offer Dental Insurance

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Directly Through An Aetna Network

Extra benefits of Medicaid from Aetna Better Health | Aetna Medicaid

With a network plan, the member must use an approved dentist from a named network who has a contract with Aetna.

The companys 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.

Options For Every Budget

Acrylic dentures are one of the easiest to afford treatments for replacing missing teeth. As such, its easier to fit them into just about any budget whether or not you have dental insurance.

If your budget allows, you can also choose to have higher-end dentures designed of quality porcelain materials or a hybrid/Hybridge option that is more like an extended bridge on top of dental implants. Thanks to advancements in modern technology, there have never been so many designs of dentures available for you to choose from.

Does Aetna Dental Insurance Cover Dental Implants

Dental implants are a popular, effective way to replace a missing tooth or create a support structure for bridges and dentures. Unfortunately, they can also be pretty expensive. Implants often make the most sense for your dental health, but theyre not always a great fit for your budget.

Dental insurance can help lower implants costs, but there are often limitations and restrictions. Lets take a closer look at what implant coverage is provided through an Aetna dental insurance policy and whether a different option called an Aetna Dental Savings Plan might better serve your needs.

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How Do I Enroll In An Aetna Medicare Advantage Plan

Once you have your original Medicare number, you can enroll in an Aetna Medicare Advantage plan. Plan availability changes by state.

To see which plans are available in your area, visit the Medicare plan finder tool and enter your ZIP code. Read more about each plan to find out what dental services they offer, and check yearly allowances, copays, and monthly premiums.

When youre ready to enroll, fill out an application form online to join an Aetna Medicare Advantage plan. You can also register by phone at 855-335-1407, weekdays between 8:00am and 8:00pm.

Aetna Dental Insurance Plans For Seniors

How Much Does Aetna Dental Insurance Cost?

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Unfortunately, dental problems are a standard part of getting older. While regular dental visits can limit your long-term expenses by helping you identify and treat problems early on, many older people skip going to the dentist because Medicare does not cover any preventative or routine dental care. Of course, leaving oral issues untreated is not the solution, and doing so can hurt your overall health. Thus, lots of older adults are left searching for ways to make their dental care more affordable.

Aetna, a company with over a century in the insurance industry and 50 years providing dental insurance, works to ensure older adults maintain healthy teeth and gums through its variety of dental insurance and discount plans. Based in Hartford, Connecticut, Aetna serves 13 million members across the United States, with 372,000 in-network dental providers.

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How Do I Enroll In Full Coverage Dental Insurance

There are a few ways you can find and enroll in a dental insurance plan for yourself or for your family. If youre purchasing a health care plan through the Marketplace, you can consider purchasing a dental plan along with your health plan. You can only purchase a dental plan through the Marketplace if youre buying a health insurance plan at the same time.

Not purchasing a health insurance plan through the Marketplace? Research the dental insurance providers that offer plans in your area. Once youve found a plan you would like to enroll in, you may have the option to enroll in your plan online. Otherwise, you can contact an insurance provider to complete the enrollment process.

What Do Aetna Medicare Advantage Plans Offer

Aetna Medicare Advantage plans vary based on your location, but many plans offer opportunities to make access to your day-to-day necessities as simple as possible.

Generally, Medicare Advantage plans offer private health insurance through Medicare and provide common benefits that original Medicare does not. Aetna is one of the most popular Medicare Advantage providers, with a clear focus on your overall well-being.

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They Can Be Repaired And Relined

How long can a denture last? If youre caring for yours properly, removable prosthetics can last for 5-8 years. Over time, your jaw structure will likely change, requiring you to get new dentures. Depending on the type of wear and tear that your denture goes through, they can sometimes be repaired or relined to keep them fitting properly without having to replace them entirely.

What Type Of Insurance Does Aetna Offer

Aetna Connected Plan with CVS Health

Aetna offers a variety of health, dental, and vision insurance options for individuals and employer groups. The company stopped offering individual health insurance plans in 2018 due to revenue losses on the healthcare marketplace. The company does offer Medicare Advantage plans and Medicare Supplements to eligible seniors. It also offers standalone dental plans for individuals and families.

For employer groups, Aetna offers the following types insurance plans.

  • Employer health insurance
  • Group vision insurance
  • Group disability insurance

This list of insurance products available from Aetna is not exhaustive. Check out the carriers website to find out about all of the options available.

Using our insurance company directory can help you find the best insurance companies that specialize in your specific coverage needs. The company directory can also help you get connected to an agent near you.

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Maximizing Your Insurance Benefits

Because Aetna insurance plans as well as benefits from other providers usually emphasize prevention, the easiest way to maximize benefits is to visit us for regular preventive care. These checkups give us the opportunity to partner with you to prevent the need for more advanced oral health concerns that have higher costs and lower insurance coverage. When were unable to prevent the oral health issues, these visits give us the chance to diagnose conditions in the earliest stages to provide the most conservative treatment options.

Using An Aetna Medicare Dental Provider

Your ability to use an Aetna Medicare dental provider will depend partly on the type of Medicare Advantage plan that you have.

  • An HMO plan may restrict members to seeing only dental providers within the Aetna network of participants. Certain specialized dental services may require a referral. Preventive services like exams and cleanings are often covered at 100%.
  • A PPO or HMO-POS plan typically allows a little more freedom to seek dental care outside of the Aetna network and still receive some coverage under the plan. Like HMO plans, preventive services under these plans are often covered at 100% and you will pay nothing out of pocket when receiving care inside the Aetna network.

Aetna HMO, PPO and HMO-POS plans will typically include a benefit maximum, which is a limit to the amount of dental care that the plan will cover in a given year.

Some Aetna Medicare plans use direct reimbursement, which means you will pay for your dental care upfront and then submit a receipt for the services to Aetna for reimbursement. You will be given an annual allowance to spend on dental care. There is no need to see only Aetna dental providers with plans that use direct reimbursement. You are free to see any dental provider who accepts Medicare, even if they do not accept Aetna insurance.

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We Participate With Aetna Dental Insurance

We are in network with Aetna Dental Insurance.

Are you looking for a dental office that accepts Aetna Dental insurance? A family dentist office that is in network with Aetna? If so, youve come to the right place!

We are a family oriented dental office that participates with nearly all versions of Aetna dental insurance . From kids to seniors, from simple fillings to specialty procedures such as wisdom teeth extractions or IV sedation, our office can help you with nearly any dental need. Please note that we DO NOT participate with Aetna DMO.

Some dental offices in the greater New Haven area that elect to accept this insurance will double book patients, rush through procedures, or periodically push extras such as whitening or other procedures. Not us! We offer gentle, personalized care in a friendly, modern office. And we have ceiling mounted TVs! Check out our Reviews on this page or Google us to see how much our patients love us.

What Does it Mean When You Accept Aetna Dental Insurance?

A Happy Aetna Dental PPO patient with Dr. Nick.

A dental office can elect to become in network or to accept the insurance or to become participating providers. These are all different ways of saying the same thing. When this is done, the dentist and insurance company contractually agree on multiple items when the dentist is treating patients covered by that insurance plan. In nearly all cases, this results in cost savings for the patient.

About Aetna Dental PPO and our Office

How Much Do Braces Cost

Does Aetna Dental Insurance have a Waiting Period?

Traditional braces range from about $4,000 to $8,000. Generally, metal braces are less expensive than ceramic. Lingual braces are a bit more expensive. They typically start at $6,000 but can exceed $10,000.

Aligners range from around $5,000 to $8,000. However, youll also need to wear them for longer than conventional braces, which means extra visits to the dentists office. An increased number of checkups can increase total costs.

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Avoid The Root Canal Altogether

The very best way to pay for a root canal is to prevent the infection from happening. While that isnt always possible it can sometimes be done. For instance, seeing your dentist regularly will allow him/her to diagnose cavities when theyre just beginning. At this point, its cheaper and less invasive to fill the cavity. Ignoring it and putting your filling off will lead to the decay expanding deeper into your toothcausing an abscess, and requiring a root canal. Try to keep your dental visits every six months!

Does Aetna Cover Chantix

No, Aetna does not typically cover Chantix. However, the member or treating physician or health care professional can obtain a medical exception from Aetna for the medication to be eligible for coverage in some instances, such as:

  • AIDS-related pneumonia
  • Precancerous lesions
  • Lung cancer
  • Chronic obstructive pulmonary disease
  • Emphysema

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Option : Medicare Advantage Plans With Dental Coverage

Dental coverage varies widely by Medicare Advantage plan. In some cases, you have to pay extra to have dental care included in your plan. There could also be options for basic or premium coverage, letting you choose the dental plan that works for you.

Look for plans that offer low-cost or free preventative services. If you need more expensive treatments, pay attention to the plans cost-sharing percentage and the cap on how much the plan will cover each year.

AARP: largest network of dentists

Among our picks for the best Medicare Advantage plans, Aetna has the cheapest monthly costs. The company reimburses policyholders for in-network dental coverage, and it provides the option for expanded dental benefits at an additional monthly cost. This can be a great way to manage your expenses if you need significant dental services in the upcoming policy year.

If youre signing up for a new Medicare Advantage plan, you can choose your dental coverage options during the plan selection process. If youre already enrolled in Medicare Advantage, talk to your provider about what dental coverage options are available to you, and if there is no add-on coverage available, you may be able to enroll in a standalone dental policy.

Does Aetna Cover Birth Control

Dental Insurance Scam by Aetna

Aetna does provide birth control coverage. Patients need to obtain a prescription from a medical doctor before heading to a pharmacy. Most plans cover the generic drug formulas, although its essential to check the plan details to understand the full scope of your coverage. Most Aetna plans also cover IUDs, hormonal, and copper as contraception or heavy menstrual bleeding.

The Affordable Care Act requires that plans and issuers must cover, without cost-sharing, at least one form of contraception in each of the methods that the FDA has identified under the current Birth Control Guide.

The contraceptive methods presently recognized by the FDA with at least one form that Aetna covers at zero dollar member cost share for women and medically documented transgender members are as follows:

  • sterilization surgery for those with female reproductive organs
  • surgical sterilization implants for those with female reproductive organs
  • implantable rod
  • emergency contraception
  • emergency contraception

Following the Affordable Care Act, claims for Non-Preferred Brand or formulary excluded contraceptives that meet medical exception criteria are eligible to members at zero co-pays.

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Aetna Pros And Cons: Is Aetna Dental Good

Aetna dental insurance is just like other dental insurance companies when it comes to pros and cons. Every company will have them. Some may have more pros than cons while others will have more cons than pros, such as Aetna. Aetna has a huge network of Aetna Dental providers as long as you carry a PPO plan. The DMO Aetna Dental insurance plans have a good amount of participating dentists in the network, but the database appears to be incorrect often . This makes it difficult to find a primary dentist or a specialist that accepts the insurance. One thing that separates Aetna Dental® from the competition is their digital, online tools. You can fill out claim forms within your online account rather than deal with faxes, papers, or mail delays.


  • One of the largest dental insurance providers in the U.S.
  • More than 300,000 dentists in the PPO network
  • Easy, digital online Aetna Dental access to filing claims, sending paperwork, viewing policy info, checking provider information, and more
  • Over 50 years of dental insurance experience


Most frequent questions and answers

What Is An Aetna DMO Dental Plan?

What Is The Difference Between Aetna Dental PPO and DMO?

Who Accepts Aetna Dental Insurance?

You can browse in-network Aetna Dental providers at

How Do I get Aetna Dental To Cover Something They Denied?

What is Aetna Dentals Phone Number?

What Is Covered Under Aetna Insurance

The details of your insurance plan will vary a bit based on a few details, including what you pay as a copay and how much your annual maximum is. However, you can expect your dental insurance to cover a portion of services on a scale that looks like this:

  • Preventive services: 100% covered. This includes six-month checkups and cleanings as well as an annual set of X-rays. Dental sealants and fluoride treatments may be covered for children, too.
  • Restorative care: 50% to 80% covered. More basic services, like fillings, are covered by 80%. Complex treatments or prosthetics like crowns and dentures will usually be covered by half.
  • Elective treatments, like cosmetic dentistry, usually are not eligible for any discounts.

To find out just what you are covered for, we will perform a verification of benefits. We can use this information to help guide your treatment plan — but we will always encourage you to act in the best interest of your oral health, rather than on what is covered by dental insurance.

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Are There Discounts For Aetna Dental Care

Yes! There are a few discount Aetna dental plans worth considering that work like savings plans rather than traditional programs. For instance:

Aetnas Vital Savings Dental Discount Plan card start as low as $7.99 per month and provide instant savings on most services. When you visit any of the 240,000+ participating dental offices nationwide, a 15-50% discount is applied to applicable treatments. If youre looking for a plan for your family, pricing starts at under $16 per month. The Aetna Dental Access and Aetna Vital Dental Savings Plus Rx plans offer similar advantages on resource ranging from preventative care to dental prescriptions.

Does Aetna Cover Chiropractic Services

New Dental Discounts with Aetna Dental Access® Network ...

Aetna will only cover chiropractic services when the insured has a neuromusculoskeletal disorder, the medical necessity for treatment is documented, and improvement is documented within the initial two weeks of chiropractic care.

If there is no documented improvement within the first two weeks, additional chiropractic treatment is considered not medically necessary unless the treatment is modified.

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Meet Our Friendly Insurance Coordinators

If you have questions about your Aetna benefits, we encourage you to talk with Gay. She is experienced in dealing with all types of insurance plans, and she will ensure that you understand your coverage so there are no surprises when it comes to your out-of-pocket cost for treatment.

Gay will also help you maximize your insurance benefits during the coverage year so you can get the treatment you need when you need it most.

Give JL Dental a call today to talk with Gay and learn more about your Aetna insurance benefits and how we can help you!

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Get A Healthy Smile For Affordable Rates

Now, it is easier than ever to get the dental care you need to ensure your teeth and gums stay healthy for a lifetime. In addition to brushing and flossing, you need to see your Aetna dentist in Upper Arlington at least twice a year for a cleaning and checkup. This allows us to monitor your oral health to keep your smile healthy. As a result, you lower your long-term dental costs. At Artistry Smile Center, we provide you with the comprehensive services you need to reach your oral health goals while staying within your budget.

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