Year 2 70% Please call 1-800-541-5555 for questions or assistance. So, that's really where it comes in trying to focus in on, you know, what do you personally and your family need from a plan? Your benefits plan determines coverage. Vision insurance plans are offered, insured and/or administered by Aetna Life Insurance Company (Aetna). Eye surgery for the correction of vision, including radial keratotomy, LASIK and similar procedures. Inc. You get lots of cost-friendly features to keep your mouth healthy. All plans cover treatment and vaccines for COVID-19. If you've gone to a dentist to get your teeth cleaned, then you've received Preventive services before. What kind of extra features are you looking for in your plan? Our provider network is pretty large. You, your employees and agents are authorized to use CPT only as contained in Aetna Clinical Policy Bulletins (CPBs) solely for your own personal use in directly participating in healthcare programs administered by Aetna, Inc. You acknowledge that AMA holds all copyright, trademark and other rights in CPT. Please review your policy for coverage details. Administrative offices are located in North Richland Hills, TX. No Waiting Period All Rights Reserved. Once you enroll, well also send you details on how to get special coupons and discounts on your member website. In addition, some services are specifically limited or excluded. In the event that a member disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision. Being part of the Aetna Vision Plan truly allows myself to plan around my busy schedule, around my busy family schedule. The AMA disclaims responsibility for any consequences or liability attributable or related to any use, nonuse or interpretation of information contained in Aetna Clinical Policy Bulletins (CPBs). Nationwide Investment Services Corporation, member FINRA. LensCrafters var dteNow = new Date();var intYear = dteNow.getFullYear();document.write(intYear); Careington International Corporation. Including bridges, crowns, full dentures or partials, implants, full mouth extractions and more! Access to 100,000 +quality dentists all over the country. They serve more than 39 million people. MAJOR SERVICES These companies meet all the state and federal requirements for health plans, plus additional standards set by Covered California. $0 or $100 Deductible To ensure the best experience, please confirm that your dentist is participating in the Equitable Dental Network and/or your vision professional is participating in the VSPVision Care network when you make your appointment. Discounted fees to help your dental benefits go further. Benefits at a Glance 100% coverage for many preventive services like cleanings, X-rays and oral exams. You get it all, from no referrals to broad networks to competitive discounts and more. All beneficiaries are eligible for a routine eye exam which checks the health of the eyes and tests for an . Do you want to continue? Some plans exclude coverage for services or supplies that Aetna considers medically necessary. 2004-2023 Healthline Media UK Ltd, Brighton, UK, a Red Ventures Company. Unlisted, unspecified and nonspecific codes should be avoided. Reprinted with permission. The availability of any particular provider cannot be guaranteed, and provider participation is subject to change. Members and their providers will need to consult the member's benefit plan to determine if there are any exclusions or other benefit limitations applicable to this service or supply. We work with some of the best-known carriers and products in the marketplace. *Hearing benefits are not available to New Mexico policy holders. To increase provider availability and accessibility, insureds may nominate a nonparticipating provider who will then be contacted with details regarding plan participation. Hearing aid low price guarantee: If you should find the same product at a lower price, bring us the local quote and we'll not only match it, we'll beat it by 5%! In Conversation: Is the ketogenic diet right for autoimmune conditions? They may also cover eye exams, eyeglasses, frames, and contact lenses. Illness, Our . Please call (866)998-3944 with any questions. Call us Monday to Friday, 7am to 7pm Central time. Round out your existing health care plan with solid dental and vision coverage bundled in one convenient package. The member's benefit plan determines coverage. Learn more in this article. SureBridge dental plans, underwritten by The Chesapeake Life Insurance Company, provides you access to the Maximum Care Dental PPO Network. It is only a partial, general description of plan or program benefits and does not constitute a contract. With this plan, you get benefits for Preventive, Basic and Major services. For individuals, couples and families (covers children under 18) Choose $1,000, $1,500, $2,000, $2,500 or $3,000 maximum benefit per policy year that covers dental, vision and hearing per person Plan deductible = $100 per policy year per person Freedom to choose both in or out of network providers The 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) for a particular member. While the Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. endstream endobj 168 0 obj <>>> endobj 169 0 obj <> endobj 170 0 obj <. Disclaimer of Warranties and Liabilities. If you have an account with us, your user ID and password will not change. If you do not intend to leave our site, close this message. Access to 100,000 +quality dentists all over the country. who specialize in the comprehensive care of the eyes and visual system in the prevention of eye disease and injury. 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 Brand-Name Insurance. CPT is a registered trademark of the American Medical Association. Insureds who choose to visit out-of-network providers may receive reduced plan benefit levels and may also be responsible for the difference between the billed charge and the amount paid. Vision services or supplies which do not meet professionally accepted standards. No waiting period SAVE WITH FAMILY RATES Aetna defines a service as "never effective" when it is not recognized according to professional standards of safety and effectiveness in the United States for diagnosis, care or treatment. All insurance products referenced on this Contact an Aetna rep Please log in to your secure account to get what you need. Purple vegetables and tubers may have superior anti-diabetic properties. 12 Month Waiting Period. CPT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to the implied warranties of merchantability and fitness for a particular purpose. People can find more detailed plan information in the companys Evidence of Coverage. Regular eye exams are important to maintaining healthy vision and can often detect major medical problems in the early stages of development, such as high blood pressure and diabetes. See why one member thinks its the best choice for them. All health insurance policies and health benefit plans contain exclusions and limitations. Affordable premiums that do not increase as you get older. The availability of any particular provider cannot be guaranteed, and provider participation is subject to change. OneCare (HMO D-SNP) is a Medicare Advantage Special Needs Plan for low-income seniors and people with disabilities who qualify for both Medicare and Medi-Cal. that insure or administer group HMO, dental HMO, and other products or services in your state). Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. This material is for information only. All plans cover treatment and vaccines for COVID-19. Policy forms issued in Oklahoma include: GR-9N, GR-29N. This is the first article in a three-part blog series about voluntary benefits. To fully understand the coverage provided under your dental insurance plan, you should read your Policy carefully. Contracted providers cannot discriminate against the hearing impaired, developmentally challenged and/or physically challenged. Get your sight in focus with Aetna Dental Direct plus Aetna Vision Preferred. Some plans limit coverage to materials only. * Regular part-time and temporary employees (less than 0.75 FTE or work less than an average of 30 hours per week in a 12-month measurement period), who are not eligible for the UK credit toward the costs of coverage, pay this rate. Nearly 65 million American adults have some form of periodontal disease.3, People with periodontal disease are twice as likely to develop heart disease.3, More than $45 billion in productivity is lost in the U.S. to unplanned, emergency dental care each year.2. If there is a discrepancy between this policy and a member's plan of benefits, the benefits plan will govern. Save even more with discounts andexclusive special offers. Theres a lot to consider when choosing a vision insurance plan for you and your family, like how it fits your budget and your life. Privacy Certain claims administration services are provided by First American Administrators, Inc. and certain network administration services are provided through EyeMed Vision Care (EyeMed), LLC. If you're looking for diagnostic and preventative services only, our Advantage Plus plan pays 80% toward cleanings and oral exams (up to $300 per calendar year). In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members. 2Plan deductibles, coinsurance, copays, frequency limitations, allowances, and options may apply. Producer Access account detail and history to serve your clients. Contact may be made by the companies listedor one of our agents. Dental plan features Aetna Vision Preferred plan Simply add vision to your dental plan to get plenty of convenient eye care choices. Medicares four parts cover different aspects of healthcare and services: Medicare Advantage plans may include various types of plan, offering different levels of coverage and availability. This excerpt is provided for use in connection with the review of a claim for benefits and may not be reproduced or used for any other purpose. In-network: $3,750/year; In- and out-of-network: $6,700/year . The country benefits and does not constitute a contract read your policy carefully nonparticipating provider who will then be with. Frequency limitations, allowances, and contact lenses benefits go further superior anti-diabetic properties provider availability and accessibility insureds., frames, and options may apply maximum care ppo vision providers, you get lots of cost-friendly features to keep mouth! 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