Aetna dental ppo coverage 2023

Dental services provided for the routine care, treatment, or replacement of teeth or structures (e.g., root canals, fillings, crowns, bridges, dental prophylaxis, fluoride treatment, and extensive dental restoration) or structures directly supporting the teeth are generally excluded from coverage under Aetna's medical plans, except under the ...

4 out of 5 stars* for plan year 2024. Aetna Medicare Value (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Aetna Inc. Plan ID: H7301-007-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium.As of 2015, the Current Dental Terminology codes for a surgical extraction range from D7210 to D7251, according to a policy of coverage for Aetna dated April 17, 2015. Both codes r...Looking for a more beautiful, brighter and whiter smile? Whether seeking whiter teeth for a ‘Hollywood’ ready smile or just seeking the confidence of smilin Looking for a more beau...1673583-02-01 (1/23) Your future looks bright. Now you and your family can choose from great Aetna Dental® plans. All cover preventive care, so you can keep on smiling for years to come. • Our Direct Preferred PPO plan has the highest level of coverage if you need more than routine dental care.2. Log in to your member website. OR. 1. Get the Aetna Health app by texting “GETAPP” to 90156 (TTY: 711) for a link to download the app and create an account. Message and data rates may apply.***. * In Texas, the Preferred Provider Organization (PPO) plan is known as the Participating Dental Network (PDN).2023 Summary of Benefits. Aetna Medicare Elite Plan (PPO) H5521 ‐ 303. Here’s a summary of the services we cover from January 1, 2023 through December 31, 2023. Keep in mind: This is just a summary. Need a complete list of what we cover and any limitations? Just visit AetnaMedicare.com where you’ll find the plan’s Evidence of Coverage ...Plan Name: Aetna Dental of CA Inc. Type of Product Line: DMO Effective Date: 01/01/2023-12/31/2023. Name of Product: Aetna Dental® DMO® Plan Phone #: 1-877-238-6200 Plan Website: www.aetna.com. THIS MATRIX IS INTENDED TO BE USED TO HELP YOU COMPARE COVERAGE BENEFITS AND WHAT YOU WILL PAY FOR COVERED …

Dec 23, 2020 · These include: Monthly plan premium: Aetna plan premiums begin at $0 but may cost more depending on coverage, location, and a person’s details. A person must also pay the premiums for Medicare ... Original Medicare coverage) Our plan pays up to $2,000 every year for covered services. Cosmetic procedures such as teeth whitening are not covered. You are responsible for any costs over this amount. This plan uses the Aetna Dental PPO Network. You can see in‑ or out‑of‑network providers for dental services (out‑of‑networkText4baby is a free service that sends you three text messages a week throughout your pregnancy and your baby's first year. The messages include expert health and safety tips on prenatal care, nutrition, safe infant sleep and more. You can cancel the service whenever you wish. Aetna has been an outreach partner of Text4baby since 2010.The Supplemental Document applies to our Large Group (Middle Market, Public & Labor and National Accounts) Insured dental relationships administered by Aetna Life Insurance Company, Aetna Dental of California Inc., Aetna Health Inc., Aetna Dental Inc., and its affiliates. In Arizona, Advantage Dental, Basic Dental and Family Preventive Dental ...Sep 27, 2022 · Original Medicare coverage) Our plan pays up to $2,000 every year for covered services. Cosmetic procedures such as teeth whitening are not covered. You are responsible for any costs over this amount. This plan uses the Aetna Dental PPO Network. You can see in‑ or out‑of‑network providers for dental services (out‑of‑network Coverage for Major services is subject to a waiting period and will take effect after 12 months of continuous coverage under the PPO Plan (does not apply to Maine contract state and Maine residents). Emergency Dental Care If you need emergency dental care for the palliative treatment (pain relieving, stabilizing) of a dental emergency, you are

Aetna Medicare Eagle Plan (PPO) 3.5 out of 5 stars* for plan year 2024. Aetna Medicare Eagle Plan (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Aetna Inc. Plan ID: H3288-051-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium. Provider network. Visit any Aetna participating provider. Visit any dental provider (in or out of network) Switch plans easily. -. Cost. $150-$200 a year. $400-$700 a year. *Waiting periods may be waived with prior dental insurance. In Maryland, by Aetna Health Inc., 151 Farmington Avenue, Hartford, CT 06156. DMO dental benefits and dental insurance plans are underwritten by Aetna Dental Inc., Aetna Dental of California Inc., Aetna Health Inc. and/or Aetna Life Insurance Company. Dental PPO and dental indemnity insurance plans are underwritten and/or administered by Aetna ... This Aetna Dental® Preferred Provider Organization (PPO) benefits summary is provided by Aetna Life Insurance Company for some of the more frequently performed dental procedures. Under the Dental Preferred Provider Organization (PPO) plan, you may choose at the time of service either a PPO participating dentist or any nonparticipating …

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Contact Information. Aetna dental plans. Phone: 877-238-6200. Website: View Aetna Website. Group Number: 811221. Emory employees can choose from two types of dental plans: the Aetna Traditional Dental (PPO) or the …1-855-335-1407 (TTY: 711) Monday to Friday, 8 AM to 8 PM. Medicare FAQs. Get answers to common Medicare questions. With Aetna Medicare Advantage PPO plans, you can visit any doctor in or out of our provider network who accepts Medicare and our plan terms. Learn more about our Medicare Advantage PPO plans. You can: Enter the first 3 letters of a medicine name to check coverage. Find pricing for store pickup or through mail order. Get suggestions for generic drugs that can help you save. There’s more, including medicine support, refill alerts and safety information. To find it all, look for “Prescriptions” once you’re logged in. 2024-2025 Heath Plan Guide (Effective July 1, 2024) 2023-24 Plan Resource Guide (PDF); 2024-25 Plan Resource Guide (PDF); Summary of Plan Description (SPD) HMO Plan. 2022-2023 SPD

We would like to show you a description here but the site won’t allow us.Aetna Medicare Premier Plus (PPO) H1608 ‑ 021 Here’s a summary of the services we cover from January 1, 2023 through December 31, 2023. Keep in mind: This is just a summary. Need a complete list of what we cover and any limitations? Just visit AetnaMedicare.com where you’ll find the plan’s Evidence of Coverage (EOC) or you may call us toSkilled Nursing Facility (SNF) Care $0 per day, days 1-100. Limited to 100 days per Medicare Benefit Period. The member cost sharing applies to covered benefits incurred during a member's inpatient stay. A benefit period begins the day you go into a hospital or skilled nursing facility.We’ve got answers. Connect with us. Talk to a licensed agent by calling 1-855-335-1407 (TTY: 711). They’re available Monday to Friday, 8 AM to 8 PM. Or, we’ll call you. Learn more about benefits Aetna Medicare may offer for your Medicare hearing aids, dental coverage, and eyewear needs.Aetna Dental Direct plan members, log in to our secure member portal or register if you are first time user. Here you can manage benefits, handle claims, find forms and more.It’s generally known as the Evidence of Coverage (EOC). The EOC is the legal contract between you and the Medicare plan. It’s generally available starting in September and describes costs and benefits of your plan that will take effect on January 1 of the following year. If you have questions about your Medicare plan, start here.Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates (Aetna). Health benefits and health insurance plans contain exclusions and limitations. Aetna offers health insurance, as well as dental, vision and other plans, to meet the ...Expedited medical exceptions. In certain circumstances*, you or your prescriber can request a medical exception for a non-covered drug. To submit a request, call our Precertification Department at 1-855-582-2025 (TTY: 711), or fax a request to 1-855-330-1716.You also can mail a written request to Aetna PA, 1300 E. Campbell Rd., …SBC Search Tool:SBC. Please note: SBCs with coverage effective dates of 2013 and earlier do not have supplemental materials associated with the SBC. Supplemental materials are supported for SBCs with a coverage effective date of 1/1/2014 or later. The SBCs in Mandarin, Tagalog, Spanish, and Navajo are provided upon request.The most you pay for copays, coinsurance and other costs for medical services for the year. Once you reach the maximum out‐of‐pocket, our plan pays 100% of covered medical services. Your premium and prescription drugs don’t count toward the maximum out‐of‐pocket. $315 per day, days 1‐7; $0 per day, days 8‐90.Aetna Medicare Essential Plan (PPO) H5521 ‑ 082 Here’s a summary of the services we cover from January 1, 2023 through December 31, 2023. Keep in mind: This is just a summary. Need a complete list of what we cover and any limitations? Just visit AetnaMedicare.com where you’ll find the plan’s Evidence of Coverage (EOC) or you …

Aetna estimates 84% of the Medicare-eligible beneficiaries in the U.S. will have access to a $0 monthly premium Aetna MA plan. 1. For 2023, Aetna is offering Medicare Advantage Prescription Drug ...

Bank of America Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services Coverage Period: 01/01/2023–12/31/2023 Aetna Comprehensive PPO Plan Coverage For: Individual/Family | Plan Type: PPO 1 of 13 The Summary of Benefits and Coverage (SBC) document will help you choose a health plan.Corporate headquarters. For general inquiries, reach our corporate headquarters at 1-888-US-AETNA ( 1-800-872-3862) (TTY: 711). There is no option for members to get information at this number. The corporate headquarters phone lines are staffed: Monday through Friday, 8 AM to 6 PM ET. 1. Under the DMO dental plan, services performed by specialists are eligible for coverage only when prescribed by the primary care dentist and authorized by Aetna Dental. If Aetna's payment to the specialty dentist is based on a negotiated fee, then the member's copayment for the service will be based on the same negotiated fee. 2. 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 420,000 dentist locations in the Aetna Dental PPO network.Inpatient Hospital Care. $295 per day, days 1-6; $0 per day, days 7-90 in-network | $395 per day, days 1-6; $0 per day, days 7-90 out-of-network. Urgent Care. Copayment for Urgent Care $20.00. Worldwide Coverage: Copayment for Worldwide Urgent Coverage $100.00. Maximum Plan Benefit of $250000.00. Emergency Room Visit.We review UnitedHealthcare’s dental plans, including coverage benefits, premiums and available plan types. By clicking "TRY IT", I agree to receive newsletters and promotions from ...Dental services provided for the routine care, treatment, or replacement of teeth or structures (e.g., root canals, fillings, crowns, bridges, dental prophylaxis, fluoride treatment, and extensive dental restoration) or structures directly supporting the teeth are generally excluded from coverage under Aetna's medical plans, except under the ...Sep 27, 2022 · Aetna Medicare Premier 2 (PPO) H5521 ‑ 020 Here’s a summary of the services we cover from January 1, 2023 through December 31, 2023. Keep in mind: This is just a summary. Need a complete list of what we cover and any limitations? Just visit AetnaMedicare.com where you’ll find the plan’s Evidence of Coverage (EOC) or you may call us to Aetna Medicare Premier Plus (PPO) H1608 ‑ 021 Here’s a summary of the services we cover from January 1, 2023 through December 31, 2023. Keep in mind: This is just a summary. Need a complete list of what we cover and any limitations? Just visit AetnaMedicare.com where you’ll find the plan’s Evidence of Coverage (EOC) or you may call us toEffective Date: 01-01-2023 Dental Benefits Summary Active PPO With PPOII Network Participating Non-participating Annual Deductible* Individual $50 $50 Family $150 $150 ... Aetna may decide to authorize coverage only for a less costly covered service provided that all of the following terms are met: (a) the service must be listed on the Dental ...

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Having straight teeth is often the foundation of a beautiful smile. The issue, though, is that orthodontic care is usually costly, even if you have insurance — and it can be outrig... Evidence of Coverage. January 1 - December 31, 2022. Evidence of Coverage: Your Medicare Health Benefits and Services and Prescription Drug Coverage as a Member of Aetna Medicare Plan (PPO) This booklet gives you the details about your Medicare health care and prescription drug coverage from January 1 - December 31, 2022. As Of 06-06-2023. Dental Preferred Provider Organization (PPO) Allows members to choose the dentist they want and pay deductibles and coinsurance up to an annual maximum. Members generally save on dental costs when they see an in- network dentist, as coinsurance is applied to a negotiated rate.4 out of 5 stars* for plan year 2024. Aetna Medicare Value (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Aetna Inc. Plan ID: H7301-007-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium.You can find your Evidence of Coverage (EOC), Summary of Benefits, Star Ratings, Formulary — Prescription Drug Coverage, Over-the-counter (OTC) benefit catalog, and more. If you’re in a Medicare Advantage plan, your plan name is listed on your member ID card. If you’re in a plan with prescription drug coverage only (PDP), look at the “S ...Sep 27, 2022 · 2023 Summary of Benefits. Aetna Medicare Elite Plan (PPO) H5521 ‐ 303. Here’s a summary of the services we cover from January 1, 2023 through December 31, 2023. Keep in mind: This is just a summary. Need a complete list of what we cover and any limitations? Just visit AetnaMedicare.com where you’ll find the plan’s Evidence of Coverage ... Learn about Aetna Dental, one of the FEDVIP dental plans offered by BENEFEDS . Compare plan options, benefits, and costs to find the best fit for you. Easy-to-use coverage that fits your budget. Dental Plan Organization is a in-network dental plan only. It is available to SHBP and SEHBP active members. In-network dental plan only; Choose a primary care dentist from our directory; Each family member can pick a different dentist; You need referrals to see specialty dentists Looking for a more beautiful, brighter and whiter smile? Whether seeking whiter teeth for a ‘Hollywood’ ready smile or just seeking the confidence of smilin Looking for a more beau...Emergency Dental Care. If you need emergency dental care for the palliative treatment (pain relieving, stabilizing) of a dental emergency, you are covered 24 hours a day, 7 days a week. When emergency services are provided by a participating PPO dentist, your co-payment/coinsurance amount will be based on a negotiated fee schedule.This plan uses the Aetna Dental PPO Network. Note: Most out‑of‑network providers will bill us directly. If you use one who won't bill us, you can pay for covered services and ask us to reimburse you. Glaucoma screening $0 Diagnostic eye exams (including diabetic eye exams) $0 Routine eye exam (eye refraction) $0Annual maximum benefit: $1,250 per person. $50/$150. $59-75/$114-141 *varies by location, estimates calculated for one or two adults between ages 50 and 60. n/a. Aetna Dental® Direct Core. PPO. After the deductible, you pay 50 percent for basic services and 50 percent for major services. ….

2023 - 2024 Aetna PPO Dental Plan Design and Benefits Summary (PDF) 2023 - 2024 Member Policy Contract Documents - Dental (PDF) ... For example, you pay 20%, and your plan pays 80%. Your dental plan may have yearly and lifetime limits on coverage. There also may be age and frequency limits on some services. Your dental plan may have …Aetna Student Health ℠ gives you access to care by working closely with your school and with a network of doctors, hospitals, pharmacies and specialists throughout the country. Health Care 101 (PDF) Straightforward explanations about plans, payments and easy ways to save. You can enroll in the Dental PPO plan and/or Vision plan.Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates (Aetna). Health benefits and health insurance plans contain exclusions and limitations. Get tools and guidelines from Aetna to help with submitting insurance claims and ...If you work or worked for the federal government, you may be eligible for a dental plan from the Government Employees Health Association (GEHA), a non-profit insurance provider tha...Current Dental Terminology © 2023 American Dental Association. ... Your Dental Care Plan Coverage Is Subject to the Following Rules: ... Dental plans are provided ...Some patients have two dental insurance policies to help offset their dental treatment cost. Perhaps that is true of you. You may have an Aetna PPO Dental ...The Aetna health benefits plans offered by the State of Illinois provide you with tools, tips, programs and services such as: ... 2024-2025 Summary of Benefits and Coverage (PDF) 2023-2024 Summary of Benefits and Coverage (PDF) Teachers Retirement Insurance Program (TRIP) 2024-2025 Heath Plan Guide (Effective July 1, 2024)We have many patients in the office who have Aetna Dental PPO. They choose us because of the highest level dental care and outstanding customer service they receive at our office. Read their reviews and discover for yourself. (914) 228-1009, Send a Message or. Schedule Your Appointment Now.An Aetna team member will answer your call. 2023 Summary of Benefits Aetna Medicare Advantra Premier (HMO-POS) | H3959-032 | $0 | Y0001_H3959_032_HQ61_SB23_M ... This plan uses the Aetna Dental PPO Network. Note: Most out‑of‑network providers will bill us ... Original Medicare coverage) Aetna …With Aetna Dental, you get: Affordable plans. Plan options start at $20. And your dental checkups, cleanings and X-rays are 100% covered. Choice of providers. You get access to a nationwide network with your choice of more than 445,000 dental providers.* The coverage you need. You’re covered for fillings, crowns, root canals and more. Plan ... Aetna dental ppo coverage 2023, Under the Affordable Care Act (ACA), you must receive a Summary of Benefits and Coverage (SBC) document. It explains your benefits. It also has examples of how much you might pay out of pocket for certain health services. All SBCs must follow a standard format. This makes it easier to compare health plans and costs. Where to find your plan’s SBC., Print. If you're looking for dental coverage for 2023, preview 2023 plans and prices. (Stand-alone dental plans offered in the Marketplace are separate dental plans that you can buy when you buy a Marketplace health plan at the same time. Learn more about dental coverage in the Marketplace.), 2023 Summary of Benefits. Aetna Medicare Elite Plan (PPO) H5521 ‐ 303. Here’s a summary of the services we cover from January 1, 2023 through December 31, 2023. Keep in mind: This is just a summary. Need a complete list of what we cover and any limitations? Just visit AetnaMedicare.com where you’ll find the plan’s Evidence of Coverage ..., Overall, it is very affordable compared to competitors and comes with many different amounts of coverage. 5. Pros. Cons. Very low rates. Not available in many states. Vision and hearing at no additional cost. No deductible for preventative care. Aetna dental, vision, and hearing insurance is some of the most affordable on the market., Applying to Dental School - Applying to dental school is done through the Associated American Dental Schools Application Services. Learn more about applying to dental school. Adver..., To learn more about your Aetna Medicare options or to enroll in a Medicare Advantage plan, speak with a licensed insurance agent. You can reach one by calling 1-877-890-1409 TTY Users: 711 24 hours a day, 7 days a week. More than 30 million people are enrolled in a Medicare Advantage plan. 1., Among the top 10 dental insurance plans ranked by Consumers Advocate, as of 2015, are plans from Delta Dental, Guardian Dental, United Concordia Dental, Ameritas and Cigna Dental. ..., With the Aetna Open Choice ® PPO plan, members can visit any provider, in network or out, without a referral. But when they stay in network, we’ll handle the claims and offer lower, contracted rates. So they save. And you can, too. Plan highlights. Broad networks. Discounted network rates. No claims to handle., member.aetna.com, With Aetna Dental® plans, you get a strong national network, a flexible portfolio of dental plan designs and convenient virtual and mobile care options to support members in every health moment, for better health outcomes. Learn more about Aetna’ dental insurance plans and coverage, including PPO, DMO, Indemnity and Hybrid plans., Highmark Blue Cross Blue Shield: my Blue Access PPO Premier Gold 0 + Adult Dental and Vision Coverage for: Individual/Family Plan Type: PPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The SBC shows you how you and the plan would share the cost for covered health care services., Good oral health starts at a very young age. Taking care of your child's gums and teeth every day helps prevent tooth decay and gum disease. It also helps make it a regular habit f..., Urgent Care: Copayment for Urgent Care $45.00 Worldwide Coverage: Copayment for Worldwide Urgent Coverage $100.00: Emergency room visit: $100 If you are admitted to the hospital within 0 hours your cost share may be waived, for more information see the Evidence of Coverage: Ambulance transportation: $290 in-network | $290 out-of-network, An Aetna team member will answer your call. 2023 Summary of Benefits Aetna Medicare Advantra Premier Plus (PPO) | H5522-002 | $77 | Y0001_H5522_002_PR18_SB23_M ... If you choose a provider outside of the Aetna Dental PPO Network, ... coverage) Aetna Medicare Advantra Premier Plus (PPO) | H5522-002 …, Coverage for Major services is subject to a waiting period and will take effect after 12 months of continuous coverage under the PPO Plan (does not apply to Maine contract state and Maine residents). Emergency Dental Care If you need emergency dental care for the palliative treatment (pain relieving, stabilizing) of a dental emergency, you are , Aetna provides free aids/services to people with disabilities and to people who need language assistance. If you need a qualified interpreter, written information in other formats, translation or other services, call 877-238-6200. 1-800-648-7817, TTY: 711, Fax: 859-425-3379 (CA HMO customers: 860-262-7705),, We’ve got answers. Connect with us. Talk to a licensed agent by calling 1-855-335-1407 (TTY: 711). They’re available Monday to Friday, 8 AM to 8 PM. Or, we’ll call you. Learn more about benefits Aetna Medicare may offer for your Medicare hearing aids, dental coverage, and eyewear needs., AetnaMedicare.com where you’ll find the plan’s Evidence of Coverage (EOC) or you may call us to ... 2023 Summary of Benefits Aetna Medicare Choice Plan (PPO) | H3288-001 | $18 | Y0001_H3288_001_PP32_SB23_M (Updated) ... If you choose a provider outside of the Aetna Dental PPO Network, you may be responsible for …, We offer Medicare Advantage plans with prescription drug coverage and dental, vision and hearing benefits. ... Join us in person to learn more about Aetna Medicare. RSVP to a meeting. Join our email list. Stay informed with important updates, reminders and tips. Sign up. Contact us. 1-844-696-0192 Call!, See full list on emeriti.aetnamedicare.com , Provider network. Visit any Aetna participating provider. Visit any dental provider (in or out of network) Switch plans easily. -. Cost. $150-$200 a year. $400-$700 a year. *Waiting periods may be waived with prior dental insurance. , You can: Enter the first 3 letters of a medicine name to check coverage. Find pricing for store pickup or through mail order. Get suggestions for generic drugs that can help you save. There’s more, including medicine support, refill alerts and safety information. To find it all, look for “Prescriptions” once you’re logged in., Many older adults who need to replace lost teeth consider dental implants over dentures or bridges. However, dental coverage with Medicare can be a confusing process to navigate. D..., Nov 17, 2018 · 1-855-335-1407 (TTY: 711) Monday to Friday, 8 AM to 8 PM. Medicare FAQs. Get answers to common Medicare questions. With Aetna Medicare Advantage PPO plans, you can visit any doctor in or out of our provider network who accepts Medicare and our plan terms. Learn more about our Medicare Advantage PPO plans. , Aetna's additive effects on CVS' earnings might be front and center, but it isn't fully actualized just yet....CVS As CVS Health (CVS) continues to tout its Aetna acqui..., If a decaying tooth falls out, what happens next? Find out what you should do if a decaying tooth falls out. Advertisement Typically, tooth decay happens from poor oral care. But e..., Original Medicare coverage) Our plan pays up to $1,000 every year for covered services. Cosmetic procedures such as teeth whitening are not covered. You are responsible for any costs over this amount. This plan uses the Aetna Dental PPO Network. You can see in‑ or out‑of‑network providers for dental services (out‑of‑network, Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates (Aetna). Health benefits and health insurance plans contain exclusions and limitations. Our dental, vision and supplemental health benefits complement your medical plan., Call a licensed agent at 1-855-335-1407 (TTY: 711) , Monday to Friday, 8 AM to 8 PM. Contact us. Contact Member Services. Find a dentist or dental specialist in the Aetna Medicare network in your area., You can also call your Aetna Service Advocate at 1-866-267-1091 , Monday through Friday, 8 a.m. to 6 p.m. your local time. Dental plans. You have a choice of two Aetna dental plans: PPO and DMO. Click on the links below each dental plan name to learn more. PPO., With the Aetna Open Choice ® PPO plan, members can visit any provider, in network or out, without a referral. But when they stay in network, we’ll handle the claims and offer lower, contracted rates. So they save. And you can, too. Plan highlights. Broad networks. Discounted network rates. No claims to handle., Aetna Medicare Essential Plan (PPO) 4 out of 5 stars* for plan year 2024. Aetna Medicare Essential Plan (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Aetna Inc. Plan ID: H5521-168-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium., Aetna Medicare Freedom Plan (PPO) H2293 ‑ 017 Here’s a summary of the services we cover from January 1, 2023 through December 31, 2023. Keep in mind: This is just a summary. Need a complete list of what we cover and any limitations? Just visit AetnaMedicare.com where you’ll find the plan’s Evidence of Coverage (EOC) or you may call us to