Dental

Dental coverage helps you maintain a healthy smile with preventive care, basic services, and major procedures. You can visit any licensed dentist, but you’ll save the most when you use an in-network provider who has agreed to discounted rates. Out-of-network dentists may charge more than the plan’s allowed amount, and you may be responsible for the difference. Most plans cover preventive services—such as exams, cleanings, and X-rays—at 100% when you stay in-network, making regular checkups an easy way to protect your oral health and avoid costly issues.

Plan Documents

Plan Contacts

Aetna PPO “Core”

Benefit Highlights

In-Network

Deductible (Individual/Family)
$75/$225

Annual Plan Max (Per Individual)
$1,000

Preventive Care
$0

Basic Services
20%*

Major Procedures
50%*

Orthodontia (Adults and Children)
50% up to a lifetime maximum benefit of $1,000 per individual; deductible waived

* After deductible

Out-of-Network

Deductible (Individual/Family)
$75/$225

Annual Plan Max (Per Individual)
$1,000

Preventive Care
Covered up to maximum allowable charge

Basic Services
20%* up to maximum allowable charge

Major Procedures
50%* up to maximum allowable charge

Orthodontia (Adults and Children)
50% up to a lifetime maximum benefit of $1,000 per individual; deductible waived

Plan Cost

Employee Only: $XX

Employee and Spouse: $XX

Employee and Child(ren): $XX

Employee and Family: $XX

Aetna PPO “Buy Up”

Benefit Highlights

In-Network

Deductible (Individual/Family)
$50/$150

Annual Plan Max (Per Individual)
$2,000

Preventive Care
$0

Basic Services
10%*

Major Procedures
40%*

Orthodontia (Adults and Children)
50% up to a lifetime maximum benefit of $2,000 per individual; deductible waived