Do you want to continue? Applicable FARS/DFARS apply. You can choose from thousands of dental providers nationwide, including those who offer virtual dental visits. However, applicable state mandates will take precedence with respect to fully insured plans and self-funded non-ERISA (e.g., government, school boards, church) plans. General anesthesia and intravenous sedation, unless specifically covered and only when done in connection with another eligible dental service ", The five character codes included in the Aetna Precertification Code Search Tool are obtained from Current Procedural Terminology (CPT. In the event that a member disagrees with a coverage determination, member may be eligible for the right to an internal appeal and/or an independent external appeal in accordance with applicable federal or state law. License to sue CPT for any use not authorized herein must be obtained through the American Medical Association, CPT Intellectual Property Services, 515 N. State Street, Chicago, Illinois 60610. Best Dental Insurance Plans for Seniors in 2023 - The Senior List Is there a maximum dental benefit? If you do not intend to leave our site, close this message. Cancelled or missed appointment charges or charges to complete claim forms. CPT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to the implied warranties of merchantability and fitness for a particular purpose. offering the same type of coverage; i.e., you (or covered family members) cannot be covered by two FEDVIP dental plans or two FEDVIP vision plans. Your benefits plan determines coverage. It gives members access to discounted fees according to schedules negotiated with providers by Aetna Life Insurance Company for Aetna Vital Savings. If you do not intend to leave our site, close this message. With adirect member reimbursementallowance, youre givena set amount of money to spend each year on dental care.. Provided by an out-of-network provider in excess of the recognized charge. With Aetna MA plans that include a direct member reimbursement (DMR) allowance, members are given a set amount of money to spend each year on dental care. Youcansee anylicenseddental provider in the U.S. You can use the allowance toward almost all dental services except for teeth whitening and a few administrative costs (e.g., missed appointments). Knowing more about your plan can help you get the most from your benefits and covered services. Special promotions including, but not limited to, additional months free are not available to California residents or on Fully Insured Plans. PDF Summary of Benefits and Coverage: What this Plan Covers - Aetna Feds Register Compare our plans and find the coverage that's best for you. Cigna DPPO networks offer convenient access to quality dentists all across the country and savings on covered dental services. Aetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. Aetna Student Health is offering a Dental Preferred Provider Organization (PPO) planto Columbia University students and their eligible dependents. Alternate Treatment Rule Aetna defines a service as "never effective" when it is not recognized according to professional standards of safety and effectiveness in the United States for diagnosis, care or treatment. The discussion, analysis, conclusions and positions reflected in the Clinical Policy Bulletins (CPBs), including any reference to a specific provider, product, process or service by name, trademark, manufacturer, constitute Aetna's opinion and are made without any intent to defame.
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