Aetna Dental Direct plan You get lots of cost-friendly features to keep your mouth healthy. Get a quote to find out just how affordable adding supplemental insurance protection can be. Questions? There are three types of plans offered by Davis Vision: Essential, Classic, and Premier. If you are outside of California, please call (916) 636-1980. We continue to Stand By You through our partnership with Careington Maximum Care PPO Dental Network, providing you access to discounted costs on a wide range of services. that insure or administer group HMO, dental HMO, and other products or services in your state). Insurance product availability may vary by state. $15; 1 per year, EXAMINATION Medical insurance is very important but it is only part of the protection you need. Any exams given during your stay in a hospital or other facility for medical care. Access to quality vision care and a large specialty network 1 of optometrists, ophthalmologists, and nationally recognized eye care retailers. If there is a discrepancy between a Clinical Policy Bulletin (CPB) and a member's plan of benefits, the benefits plan will govern. Semi-Annual exams, cleanings, and x-rays covered at The purpose of this communication is the solicitation of insurance. In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members. Members should discuss any matters related to their coverage or condition with their treating provider. Aetna offer several types of Medicare Advantage plan that provide different coverage levels, though they may not offer every plan in every location. For questions regarding your Medi-Cal eligibility, please contact your county social services office. Accessibility (888) 878-8959. Our calculator will be back soon, but you can still learn more about how Covered California works. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. Unlisted, unspecified and nonspecific codes should be avoided. CVS and Aetna are part of the CVS Health family of companies. In addition, any prospectus information available on this Site is posted for informational purposes only. Part C, or Medicare Advantage, combines the benefits of original Medicare and may also include Part D. Part D is optional prescription drug coverage for people enrolled in original Medicare. Plans, products, and services are solely and only provided by one or more ManhattanLife Entities specified on the plan, product, or service contract, not Manhattan Life Group Inc. Not all plans, products, and services are available in each state. By clicking on I accept, I acknowledge and accept that: Licensee's use and interpretation of the American Society of Addiction Medicines ASAM Criteria for Addictive, Substance-Related, and Co-Occurring Conditions does not imply that the American Society of Addiction Medicine has either participated in or concurs with the disposition of a claim for benefits. In Conversation: Is the ketogenic diet right for autoimmune conditions? Commonly, Medicare Advantage plans provide additional benefits, such as routine vision services. The table below shows a few examples of premium costs, together with the annual eyewear coverage allowance and maximum out-of-pocket costs. No Waiting Period Treating providers are solely responsible for dental advice and treatment of members. Special supplies such as nonprescription sunglasses and subnormal vision aids. In addition, coverage may be mandated by applicable legal requirements of a State or the Federal government. This product includes CPT which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515 North State Street, Chicago, Illinois, 60610. Aetna Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits and do not constitute dental advice. If you have an account with us, your user ID and password will not change. THE VISION AND HEARING DISCOUNT PLAN IS NOT INSURANCE and is not intended to replace health insurance. Subject to underwriting guidelines, review and approval. Go to dental.chesapeakeplus.com to find the Maximum Care dentist in your area. Eye surgery for the correction of vision, including radial keratotomy, LASIK and similar procedures. BASIC SERVICES Choice, convenience, and savings with Aetna VisionSM Preferred. Pre-/postnatal professional care: 35% of our allowance . Many Aetna Medicare Advantage plans cover routine eye care and may include an amount for purchasing eyeglasses or contact lenses. The plan covers only those services and supplies that are included in the What the Plan Covers section. Certain claims administration services are provided by First American Administrators, Inc. and certain network administration services are provided through EyeMed Vision Care (EyeMed), LLC. Careington Benefit Solutions, administers the SureBridge dental insurance plans through their extensive CAREINGTON Maximum Care Network of 135,000 providers. For prescription sunglasses or light sensitive lenses in excess of the amount which would be covered for non-tinted lenses. Individuals enrolled in the companys network plans are entitled to one annual routine vision exam with a provider in that network. The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc. LINA and NYLGICNY are not affiliates of Cigna. The responsibility for the content of this product is with Aetna, Inc. and no endorsement by the AMA is intended or implied. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. $1,000, $1,500, or $3,000 Policy Year Maximums available We work with some of the best-known carriers and products in the marketplace. Aetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Contact us to learn about translation services provided to you at no cost. Call us Monday to Friday, 7am to 7pm Central time. By choosing Equitable, youll have access to extensive nationwide dental and vision networks Equitable Dental Network and VSP Vision Care. Apply online, in person, or by phone. Policy forms issued in Oklahoma include: GR-9N, GR-29N. Products underwritten by Nationwide Mutual Insurance Company and Affiliated Companies. Hours: 7:00 a.m. - 6:00 p.m. CT, Please call (800) 815-8535 to speak to a live agent. The Careington Maximum Care Plus Dental PPO Network offers convenience and flexibility, as well as these great dental benefits: A national network with thousands of dental providers No deductible for in-network preventative services Cost savings compared to out-of-network providers Choose from online, independent and retail providers,including: How do I compare Medicare Advantage plans? Providers are credentialed and recredentialed which includes investigation of malpractice history, verification of education and licensure, and confirmation of adequate malpractice coverage. Aetna's conclusion that a particular service or supply is medically necessary does not constitute a representation or warranty that this service or supply is covered (i.e., will be paid for by Aetna). Under certain plans, if more than one service can be used to treat a covered person's dental condition, Aetna may decide to authorize coverage only for a less costly covered service provided that certain terms are met. Routine eye exam and eyeglasses once every 24 months. Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider. If there is a discrepancy between this policy and a member's plan of benefits, the benefits plan will govern. For example, exams and materials required by an employer, medical or surgical treatment of the eyes, and any experimental or non-conventional treatment or devices are generally not covered. Equitable Advisors is the brand name of Equitable Advisors, LLC (member FINRA,SIPC) (Equitable Financial Advisors in MI & TN). The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this product. Dental care, eyewear and hearing aids Many of our Medicare Advantage plans include dental, eyewear and hearing benefits. For individuals and families (covers children under 18) Choose $1,000, $1,500, or $2,000 maximum benefit per policy year that covers dental, vision and hearing per person. Many people with higher incomes now qualify for financial help, and people who make less are getting even more savings than before. Can diet help improve depression symptoms? Search from a network of more than 135,000 providers! These vision exclusions are in addition to the exclusions listed under your medical coverage. Medicare Advantage plans and original Medicare (Part A and Part B) offer beneficiaries equal coverage levels. They serve more than 39 million people. Farm Bureau Health Plans now offers DentalVision, a combined dental and vision plan geared to people under 65 years old at rates less than $1.75 per person per day. Cigna may not control the content or links of non-Cigna websites. Copyright 2015 by the American Society of Addiction Medicine. Careington Benefit Solutions, administers the SureBridge dental insurance plans through their extensive CAREINGTON Maximum Care Network of 135,000 providers. Have questions about your Surebridge Dental or Hearing Plan? Contact an Aetna rep We continue to Stand By You through our partnership with Careington Maximum Care PPO Dental Network, providing you access to discounted costs on a wide range of services. The plans do not limit a person to using an in-network provider, so individuals can visit any licensed vision care provider in the U.S., providing they accept Medicare. . or doctor of osteopathy (D.O.)) Treating providers are solely responsible for medical advice and treatment of members. https://www1.careington.com/media/videos/index.aspx. The responsibility for the content of Aetna Clinical Policy Bulletins (CPBs) is with Aetna and no endorsement by the AMA is intended or should be implied. Employer Manage your group's dental and vision plans easily and effectively. Ophthalmologists are physicians (doctor of medicine (M.D.) *Hearing benefits are not available to New Mexico policy holders. Certain services may include limitations. %%EOF Maximum Care network is a national, seamless, credentialed PPO dental network, ranking in the top 10 for network size Coverage for you and qualified family members Coverage for preventive, basic and major services No Waiting Periods for preventive and basic services Guaranteed acceptance Low deductible limits FAQ: People can find more detailed plan information in the companys Evidence of Coverage. Policy forms: OK - HP-APP-1 et al., OR - HP-POL38 02-13, TN - HP-POL43/HC-CER1V1 et al. Coverage is paid according to the plan design. Supplemental insurance pays you a cash benefit directly to you to help fill financial gaps. Please enter a valid age for each person. 197 0 obj <>/Filter/FlateDecode/ID[]/Index[167 59]/Info 166 0 R/Length 128/Prev 61364/Root 168 0 R/Size 226/Type/XRef/W[1 2 1]>>stream License to sue CPT for any use not authorized herein must be obtained through the American Medical Association, CPT Intellectual Property Services, 515 N. State Street, Chicago, Illinois 60610. But dont take our word for it. notice, Indexed All applicable co-pays, deductibles or co-insurance, outlined by the plan design, are to be paid directly to the dental office at the time service is rendered. Save 40% on diagnostic services, including hearing exams, at over 3,800 provider locations nationwide. Costs and benefits vary among the different Aetna Medicare Advantage plans. Sign up for email updates to get deadline reminders and other important information. Most likely, yes! Replacement of lost, stolen or broken prescription lenses or frames. For Dental, you may also send a written request to P.O. If you choose to get care outside of the network (such as a physician, hospital, clinic or pharmacy), those out-of-network services will be covered at a higher cost to you and will have to submit claims yourself. They may also cover eye exams, eyeglasses, frames, and contact lenses. The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc. All pictures are used for illustrative purposes only. So when you buy Aetna Dental Direct, you can add Aetna VisionSM Preferred to your dental plan in most states. Fee schedules, basic unit values, relative value guides, conversion or... Beneficiaries equal coverage levels, though they may not offer every plan in location. Et al., or by phone the amount which would be covered for non-tinted.... Not offer every plan in every location eyewear coverage allowance and Maximum out-of-pocket costs deadline reminders and important! 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