aetna dental dmo login patient

What dentist accepts Aetna?

Dentist That Accepts Aetna. Central Park Modern Dentistry is your one stop shop for dental services, and we are preferred providers and an in-network provider with Aetna dental insurance plans. This means that if you are a member of Aetna, our office will offer a lower copay than one which is out-of-network.

Does Aetna have a good dental plan?

When you have an Aetna Dental plan, you know you’re taking the right steps toward being healthy. You get a broad choice of dentists and dental providers, wellness discounts and offers that stretch your health care dollar, digital tools to easily manage your care, and more. We make dental care convenient.

Is Aetna a good insurance company?

Aetna is an especially good fit for Medicare beneficiaries, employers, and individuals qualifying for Medicaid. Individual plans are not currently available, though the company plans to offer them in the future.

Does Aetna have a Medicare Advantage plan?

Depending on where you live, you may be able to enroll in one of the following types of Aetna Medicare Advantage plans: Aetna Medicare Advantage HMO (Health Maintenance Organization) plans may have lower costs than other types of Medicare Advantage plans because they use a contracted provider network to keep health-care expenses low.

What is a DMO dental insurance plan?

A DMO plan is a low-cost dental maintenance plan. 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.

Why can't I log into my Aetna account?

Check that your Caps Lock key and/or your Num Lock key are not on. If they are on, Aetna Rx Home Delivery will not accept them. If you kept a record of your user name and password, consult it to make sure that you are entering your information correctly.

Is DMO the same as PPO?

HMO/DMO providers can be expected to perform services for a deeply discounted rate. On the other hand, PPO dentists only receive money from the insurance company if services are rendered.

Is Aetna DMO the same as HMO?

To receive maximum benefits, members must select and have care coordinated by their PCD. In Illinois, the Aetna Dental DMO plan is not a health maintenance organization (HMO).

How do I find my Aetna username?

Find Your Username Most people use their Member ID. You can find your Member ID on your ID card, Welcome Letter, or any EOB we sent to you.

How do I change my Aetna username?

How do I change my name or address? Give changes of name or address to the employer through which you have Aetna coverage. The employer will send this information to us. If you are covered by a plan you purchased on the exchange (also called the Health Insurance Marketplace), you should contact the plan directly.

Is Aetna DMO a PPO plan?

Each insurer has sole financial responsibility for its own products. Your employer offers two dental plan options — a DMO* benefits plan or a preferred provider organization (PPO) insurance plan. Here's a guide to help you choose which plan is best for you.

Is DHMO or PPO better?

Generally speaking, DHMO plans are more cost effective, while PPO dental plans offer greater flexibility. There's no way of saying that one plan is better than the other – it just comes down to which will meet your unique needs.

What is PPO good for?

PPO stands for preferred provider organization. Just like an HMO, or health maintenance organization, a PPO plan offers a network of healthcare providers you can use for your medical care. These providers have agreed to provide care to the plan members at a certain rate.

What is a PPO plan?

A type of health plan that contracts with medical providers, such as hospitals and doctors, to create a network of participating providers. You pay less if you use providers that belong to the plan's network.

Does Aetna dental have a missing tooth clause?

Yes, but some plans may limit the benefit to certain teeth. Contact Member Services if you have questions. Are there any restrictions in replacing my missing teeth? If the teeth were lost or extracted before your coverage began, then services to replace them may not be covered by your plan.

What is a passive PPO Aetna?

The term “passive PPO” means that in-network benefits are paid at the same percentages as benefits paid for out-of-network care.

Is Aetna a part of CVS?

Continue. Aetna is proud to be part of the CVS Health family. You are now being directed to the CVS Health site.

Is Aetna responsible for the content of linked sites?

Aetna Inc. and its subsidiary companies are not responsible or liable for the content, accuracy, or privacy practices of linked sites, or for products or services described on these sites. Continue. You are now being directed to the US Department of Health and Human Services site.

What is Aetna insurance?

Aetna is the brand name used for products and services provided by one or more of the Aetna group of subsidiary companies, including Aetna Life Insurance Company and its affiliates (Aetna).

How often can you change your PCD?

The PCD has primary responsibility for managing your dental care. Each DMO member must select a PCD. You can switch your selection as frequently as once per month. To change your PCD, log in to your secure member website, or call Member Services using the number on your ID card.

What is an extension of benefits provision?

If you were covered under a previous insurance carrier, certain services will be covered by that plan even after your Aetna coverage begins. This is called an extension of benefits provision. These services include: Crowns and fixed bridgework, when the teeth were prepared before your Aetna coverage began.

What is Aetna summary of benefits?

Your Aetna Summary of Benefits describes the services that are covered under your plan. You can get a Summary of Benefits from the employer that is providing your insurance.

What happens if you have primary responsibility?

If we have primary responsibility, we pay as the primary payor. If not, we pay as the secondary payor. The primary payor pays claims as it normally would, as if there were no secondary payor. The secondary plan acts like a supplement to the primary plan. If you are enrolled in two dental plans, benefits are not additive.

When does a PCD change take effect?

If you choose a new PCD on or before the 15 th of the month, the change will go into effect on the first day of the following month. (For example, if you change your PCD on April 15, the change will take effect May 1.)

Does Aetna have a deductible?

What you pay will be based on either a percentage of those charges (coinsurance) or it will be a flat dollar amount (copay). The DMO plan does not have any deductibles or annual maximums.

What is Aetna Dental?

Aetna is the brand name used for products and services provided by one or more of the Aetna group of subsidiary companies (A etna ). Dental benefits and dental insurance plans are underwritten by Aetna Dental Inc., Aetna Dental of California Inc., and Aetna Health Inc. and/or Aetna Life Insurance Company (Aetna).

What is patient roster?

The online patient roster offers an easy way to confirm that your patients are covered and get plan information. It's all available to you through our free, secure provider website.

What is the phone number for ClaimConnect?

Who do I contact if I have a question regarding receipt of my online patient roster? If you have questions, call ClaimConnect customer service at 1-800-576-6412, extension 452.

Verify benefits eligibility information electronically

Electronic eligibility and benefits information is available at any time, for all our dental plans.

What do I need to submit an inquiry?

The information you’ll need depends on the method you use to submit an inquiry.

What if I get an error response?

Your message will explain the cause of the error. Depending on the error, you may have to re-enter your data or contact your vendor for help.

What is Aetna Dental?

Aetna is the brand name used for products and services provided by one or more of the Aetna group of subsidiary companies (A etna ). Dental benefits and dental insurance plans are underwritten by Aetna Dental Inc., Aetna Dental of California Inc., and Aetna Health Inc. and/or Aetna Life Insurance Company (Aetna).

Is DNO an HMO?

DNO in Virginia is not an HMO. To receive maximum benefits, members must choose a participating primary care dentist to coordinate their care with network providers. Dental PPO insurance plans are underwritten and/or administered by Aetna Life Insurance Company.