Aetna Individual Dental Plans - General Plan Descriptions
Aetna Dental is one of the nation's leading providers of integrated and stand-alone dental products, serving more than 14 million dental members in the U.S. In Illinois, there are two PPO-style options for individuals to choose from - the Aetna Individual Advantage(SM) Dental PPO Plan and the Aetna Individual Advantage(SM) Dental PPO Plus Plan. Both plans will give members access to Aetna's PPO network of participating dental practices, which includes more than 105,000 available dental practice locations throughout the country.
Aetna Individual Advantage Dental Plans
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Aetna Individual Advantage Dental has two plans to meet your meets - the Aetna Individual AdvantageSM Dental PPO Plan and the Aetna Individual AdvantageSM Dental PPO Plus Plan. They both offer coverage for:
- Preventive care services such as cleanings, x-rays and more
- Basic care like fillings, simple extractions, root canals, basic restorative work and more
- Major services such as bridges, crowns, dentures and more
Features of the Standalone Dental Plans include:
- No underwriting required - plan is automatic issue
- Members who access participating PPO dentists will receive discounts (equal to the PPO negotiated rate) for non-covered services such as tooth whitening and adult orthodontics
- All Individual Advantage PPO Dental Plan members get access to Aetna's Value Added Discount Programs. Members can save on: Vision, Natural Products and Services, Fitness, and discounts on Oral Health Care Supplies. In addition, discounts on vitamins, massage and acupuncture are also available
|
Dental Services |
Aetna PPO Plus Plan pays* |
Aetna PPO Plan pays* |
| Preventive (deductible waived) | ||
|
Diagnostic and preventive |
100% |
80% |
| Basic (6 month waiting period) | ||
|
Periodontal maintenance cleanings |
80% |
50% |
|
Denture repair, rebase, and relining |
80% |
50% |
|
Basic restorative (fillings) |
80% |
50% |
| Oral Surgery |
50% |
50% |
| Endodontics (root canals) |
50% |
50% |
| Major (18 month waiting period) | ||
| Periodontics (gum disease) |
50% |
50% |
| Crown and cast restorations |
50% |
50% |
| Prosthodontics (dentures) |
50% |
50% |
| Deductibles and Maximums (per member) | ||
| Deductible (calendar year) |
$50 |
$100 |
| Maximum benefit (calendar year) |
$1200 |
$1000 |
2008 Illinois Plan Rates
|
|
Aetna PPO Plus Plan Rates (per month) |
Aetna PPO Plan Rates (per month) |
| Ages 49 and Under - Zip Codes 60001 - 60899 | ||
|
1 Person |
$37.99 |
$26.92 |
|
2 People |
$77.55 |
$54.96 |
|
Family |
$128.97 |
$91.73 |
| Ages 49 and Under - Zip Codes 60901- 62999 | ||
|
1 Person |
$28.26 |
$23.86 |
|
2 People |
$57.30 |
$48.44 |
|
Family |
$95.95 |
$81.28 |
| Ages 50 and Over - Zip Codes 60001 - 60899 | ||
|
1 Person |
$50.61 |
$36.23 |
| 2 People |
$96.15 |
$68.84 |
| Family |
$144.84 |
$103.65 |
| Ages 50 and Over - Zip Codes 60901 - 62999 | ||
|
1 Person |
$36.73 |
$31.45 |
| 2 People |
$69.79 |
$59.75 |
|
Family |
$106.60 |
$91.01 |