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Aetna Dental Direct Preferred PPO

Find plan availability & pricing in your area by entering in your ZIP code below:

Questions? Call 1-877-242-1463

Aetna Dental Direct Preferred PPO

  • Annual Deductible - $50 per person, $150 family
  • Annual Maximum Benefit - $1,250 per person

Program Summary

Aetna Dental has over 50 years of experience offering dental benefits. With Aetna Dental Direct, you’ll get the coverage you need to keep your teeth healthy. The plan offers preventive treatment at 100% with no out of pocket cost. You can choose from one of the more than 330,000 dentist locations in the Aetna Dental PPO network. Caring for your teeth should never feel out of reach with Aetna Dental Direct.

  • 100% coverage for preventive services when you see an in-network dentist
  • Waiting periods waived with proof of prior dental insurance
  • No waiting periods for preventive
  • Basic services covered at 80% with in-network providers (after deductible)
  • Major services covered at 50% with in-network providers (after deductible)

 

Benefit In-network Out-of-network
Individual Annual Deductible $50 Per Person $50 Per Person

Family Annual Deductible

$150 Per Family $150 Per Family
Annual Benefit Maximum $1,250 Per Person $1,000 Per Person

Aetna Dental Direct Preferred PPO

Find plan availability & pricing in your area by entering in your ZIP code below:

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Plan Highlights

Aetna Dental Direct Preferred PPO
Here is a sample of covered services In-Network
You Pay
Out-of -Network
You Pay
Preventive services - Waiting period*: None
Preventive oral examinations No Cost 20%
Cleanings No Cost 20%
Full mouth series images No Cost 20%
Sealants (permanent molars only) No Cost 20%
     
Basic services - Waiting period*: 6 months
Resin filling (1 surface) 20% 40%
Periodontal maintenance cleanings 20% 40%
Extraction (uncomplicated) 20% 40%
     
Major services - Waiting period*: 12 months
Oral Surgery 50% 60%
Crowns 50% 60%
Root canal therapy 50% 60%
Dentures 50% 60%
Orthodontics not covered
     
Deductible (calendar year)** $50 (Individual) $150 (Family)
Annual maximum benefit** $1,250 $1,000
     
*In Pennsylvania, the "waiting period" is called an "elimination period."
     
**Deductible and Annual Maximum cross-apply between In-Network and Out-of-Network. Deductible applies to Basic & Major services only.
     
Aetna Dental Direct Preferred PPO

Find plan availability & pricing in your area by entering in your ZIP code below:

Additional Plan Information For Aetna Dental Direct Preferred PPO

Annual Maximum

This is the total amount per person your plan will pay toward the cost of dental care each year.

  • $1,250, per enrollee on the plan

 

Deductible For Covered Services

  • $50 per individual per calendar year
  • $150 annual deductible for families

 

Waiting Periods

  • After 6 months of continuous coverage under the PPO Plan: Resin filling (1 surface), periodontal maintenance cleanings, extraction (uncomplicated).
  • After 12 months of continuous cover under the PPO Plan: Oral surgery, crowns, root canal therapy, and dentures.

 

Choose any dentist

See dentists both in and out of our network. With our dental insurance plans for individuals, you can get services from either a participating or nonparticipating dentist. Participating dentists have agreed to provide services at a negotiated rate for covered services. You also have the flexibility to visit a licensed dentist who does not participate in our network. However, if you do this, you won’t benefit from negotiated rates.

Aetna Dental Direct Preferred PPO

Find plan availability & pricing in your area by entering in your ZIP code below: