Dental Benefits

Good dental care improves your overall health. Our Aetna dental plans are designed to help you and your covered dependents maintain a healthy smile through regular dental care and to fix any problems as soon as they occur. Find a provider at aetna.com. If you have questions about your Aetna coverage, call 833-313-1969.

PPO Dental Plans

The PPO dental plans offer the freedom and flexibility to choose any licensed dentist around the world. You receive the greatest savings when you visit in-network providers. If you visit an out-of-network provider, you will pay a percentage of the Reasonable and Customary (R&C) fee based on the dentist’s rates.

Plan Features	Aetna PPO Base Plan		Aetna PPO Buy-Up Plan
	In-Network	Out-of-Network*	In-Network	Out-of-Network*
Calendar Year Deductible Individual/Family	$75 / $225		$50 / $150
Calendar Year Maximum	$1,250 per covered person		$2,000 per covered person
Diagnostic & Preventive Services (x-rays, cleanings, exams)	Covered in full (deductible waived)		Covered in full (deductible waived)
Basic & Restorative Services (fillings, extractions, root canals)	Covered at 80% after deductible		Covered at 80% after deductible
Major Services (dentures, crowns, bridges)	Covered at 50% after deductible		Covered at 50% after deductible
Orthodontia (adults & children)	N/A		Covered at 50% after deductible $2,000 lifetime maximum (per person)
Occlusal once every 3 years (night guards – for bruxism only)	Covered at 50% after deductible		Covered at 50% after deductible

*Note: If you visit an out-of-network provider, you are responsible for any charges above the 95th percentile of usual, customary, and responsible (UCR) limits of your geographic area.

See the Benefit Guide or benefits summaries for detailed information on your dental plans.

Dental Coverage Video