Discount Dental

Aetna Dental Access(SM)

As a member of program, you and your family have access to a national network of over 61,000* available dental practice locations to choose from nationwide. Participating dental locations provide savings on average of 30%** with savings ranging up to fifty percent (50%)*** on some dental services including cleaning, x-rays, fillings, root canals, crowns, bridges, and orthodontia.

*According to the Aetna Enterprise Provider Database as of May 1, 2005.
**Anticipated national average dental charges for the 2005 calendar year based on the comparison of provider-negotiated fees to national average charges. Actual discounts will vary based on locations and services provided.
***Actual costs and savings vary by geographic area.

The program is NOT INSURANCE it is a reduced fee for service program that is designed to save you money on most of your families dental needs; your final cost will depend upon the type of dental work performed as well as your geographic location.

Important: You must pay the reduced cost for the dental work performed at the time service is rendered unless other arrangements are made with the dentist’s office. There are no out of network benefits or benefits payable in this program. The Aetna Dental Access discounts cannot be combined with any other discount dental program.

To access the dental network: Simply visit our website at www.locateprovider.com or call the toll free number listed on the front of your membership card. We are open 24 hours a day 7 days a week excluding holidays for your convenience. The customer service representative will request your name, group number, membership number and zip code. Once your information is confirmed, you will be provided with the names and telephone numbers of participating dentists in your community. Please make sure to identify yourself as an Aetna Dental Access(SM) member when making an appointment with a participating dentist.

If you are currently working with a dentist that does not participate in this program, you may ask them to contact us at the toll-free number listed on your membership ID card. A provider application will be sent to them promptly. Unfortunately, we cannot guarantee acceptance by either the Aetna Dental Access (SM) network or the dentist.

Remember, since you and your family members are eligible to receive these discounts throughout your membership, the more you use the dental services, the more you save.

The Aetna Dental Access network provides enrollees access to a network of independent practicing providers. All network providers are independent contractors in private practice and are neither employees nor agents of Aetna Life Insurance Company and/or its parents, subsidiaries or affiliates (“Aetna”). The availability of any particular provider cannot be guaranteed, and provider network composition is subject to change. Aetna does not provide medical or dental care/treatment and is not responsible for outcomes. All dental care is the responsibility of the treating provider, in consultation with the enrollee. Selection of a dentist is also the responsibility of the enrollee and is not based on any representations by Aetna.

THE AETNA DENTAL ACCESS PROGRAM IS NOT AN INSURANCE PROGRAM. There are no benefits payable to enrollees, nor does Aetna compensate dentists for services they may render to enrollees. Aetna is not an insurer, guarantor or underwriter of any services provided under the program or of any payments to providers. Enrollees arrange for needed dental care, including payment, directly with the network provider. Enrollees are responsible for the entire cost of the dental care and Aetna shall in no event be liable for any payment to a provider accessed under the program or for the refusal of a provider to accept the discounted rates. Aetna Dental Access SM is a service mark of Aetna Inc. The Aetna Dental AccessSM program network is provided by Aetna Life Insurance Company.

Note: The Aetna Dental Access(SM) program is NOT insurance. It is a reduced fee for Service program that provides discounts at certain providers. In order to receive the special pricing, you must pay in full at the time of service.


How this Program Can Save You Money

Aetna Dental Access is a discount or reduced-fee dental program. This program is designed for health conscious consumers looking to maintain their oral health and minimize their dental care expenses.

General dentists who participate in Aetna Dental Access have agreed to accept the Aetna Dental Access contracted rate as payment in full for services performed. A sample table of Aetna Dental Access discounted fees can be found below.

THIS IS NOT INSURANCE


Sample Discounted Fees and Savings

ADA Code Procedure Name Usual Fee Discounted Fee
(for Plan Members)
Member Savings
0120 Routine 6 Month Check-Up $40 $24 $16
0150 In Depth Check-Up $69 $37 $32
0210 Full Mouth X-Rays $106 $65 $41
0274 Bitewings - Four Films $52 $25 $27
0330 Panoramic Film $95 $50 $45
1110 Prophylaxis-Adult $75 $44 $31
1120 Prophylaxis-Child $60 $32 $28
1351 Sealant - Per Tooth $47 $26 $21
2330 White Filling $129 $71 $58
2750 Crown - Porcelain $950 $566 $384
2752 Crown - Porcelain Fused to Noble Metal $921 $549 $372
3330 Root Canal - Molar $895 $522 $373
4341 Perio scaling and root planning (per quadrant) $221 $123 $98
5110 Upper Denture (Complete) $1,400 $725 $675

The sample table above is a small selection of common procedures discounted by Aetna Dental Access. The procedures discounted under Aetna Dental Access offer similar savings to the sample above.

This fee schedule is only to be used as a guide to determine approximate prices for dental services in the geographic area noted. The discounted fee schedule amount reflects the average fee information currently available on our systems. Individual dentist fee schedules may differ. Aetna makes no guarantee as to the accuracy of any particular fee amount. In order to determine the specific rates for a dental provider, you should contact the dental provider directly.

* Source: American Dental Association (ADA) 2003 Regional Survey of Dental Fees. Fees may vary slightly by region.

** Discounted fees are listed for visits to a participating general dentist. Members will be charged the provider's Aetna Dental Access contracted fees. Charges may vary from the sample fee schedule above. Consult with your provider prior to beginning any treatment.Lab fees may be additional.

TO LOCATE PROVIDERS NEAR YOU GO TO www.locateprovider.com

Specialist Savings and Discounts

Aetna Dental Access enrollees who visit a participating specialist receive discounts according to the fee schedule. Specialists include:

• Orthodontists - braces
• Periodontists - gums
• Oral Surgeons - wisdom tooth or major extractions
• Prosthodontists - bridges and dentures
• Pediatric Dentists - child treatment
• Endodontist - extensive root canals

 

 

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