Aetna Dental PPO

Many Westchester dentists accept AETNA Dental.
Few of them do as much as we to save you money.
With us, you get maximum benefit from your insurance  – THIS IS HOW!

AETNA offers a wide variety dental insurance plans, and the type of plan you have depends on the contract your employer signed with them. Many of the plans follow similar structure – but yours may have specific conditions and exclusions not found in any other.

Annual Maximum Benefit – is what your AETNA insurance will pay in any given insurance year. For Aetna, it is typically between $1500 and $2500. Most Aetna Plans define INSURANCE YEAR from January 1 to December 31. Some plans, especially for school employees, may run on July 1-June 30 year. Check with your plan.

Annual Deductible – what your AETNA insurance plan wants you to pay before they cover anything. For AETNA, it is usually $50.

Coverage for Preventive procedures – what your AETNA insurance plan will pay for checkups, cleanings, X-rays, and sealants and fluoride for children. It is typically 100%, although some plans may pay less. Usually, the deductible does not apply.

Coverage for Cleanings and Checkups – there are three types of frequencies allowed, twice a year, twice every 12 months, or once every 6 months.  While they sound the same, they are actually very different.

Twice a year means twice every insurance year (typically January to December, but may be July to June, especially for school employees).   Within that year, your insurance company will pay for 2 cleanings and checkups.

Twice every 12 months means your insurance company will pay for 2 cleanings and checkups every consecutive 12 months.

Once every 6 months means your insurance company will pay for one cleaning and checkup every 6 months to the day.

Coverage for Basic procedures – what your AETNA insurance plan will pay for fillings, root canals, gum treatments, and extractions. Most AETNA plans will cover 60-80% of the procedure costs. Sometimes, even though the plan says they will cover 80% of the procedure, their fees are so low that the actual coverage may be less.

Coverage for Major Procedures – crowns, bridges, dentures. Typically, it is 50%, but it is subject to many provisions and restrictions, such as missing tooth clause, alternative minimum benefits, and others.

Coverage for Cosmetic Procedures – veneers, teeth whitening, cosmetic bonding, adult orthodontics. No AETNA plan we have seen provides any coverage for these procedures.

Coverage for Dental Implants – Aetna coverage varies greatly by the plan. Check with your carrier for specific information.

Please keep in mind that your plan may be completely different from the general guidelines we have provided here. We use a sophisticated computer system, Dentrix with Trojan Insurance Module, to help us get as much information as possible. Very often, we are able to tell you about your plan in great detail once we know who the employer is. Call us at 914 630 2833 for more information.

We know that when you look for an AETNA dentist in Harrison, Scarsdale, White Plains, Mamaroneck, or Rye, you have a wide selection.

We want you to know that when you select us for your dental care needs, you make the right choice!

Some of the companies and organizations in and around Westchester County who offer AETNA Dental to their employees and members are:

Charlie Brown’s
Town of Harrison
Schulte, Roth, and Zabel LLP
Maxx Properties
Mastercard International
Avon Products
New York Presbyterian
Bank of New York
Swiss Reinsurance
Abigail Kirsch
Mt Kisco Police Dept.
Inventiv Health
KPMG
Iona College
NEW YORK TRANSIT AUTHORITY
Cement Masons Local 79
White Plains Pba
Meritdirect, Llc””
Ford Foundation
Doherty Enterprises
Jackson Lewis
Murray Feiss Import LLC
Stanwich School
Jrd Management
P.M.A. Reinsurance
Jack Resnik
Bank Of America
Redac Inc.
PRUDENTIAL INVESTMENT MANGEMEN
Borders Group, Inc
Starbucks
Shoreline Pools
PMA Capital
Warburg Pincus LLC
Grubb And Ellis
Wear Me Apparrel
Broadview Network
Werner Tietjen
VOLT
Jones Apparel Group
Village Of Rye Brook
Merrill Lynch