TmEg=boq1c8-,4%n (x@q U?eVzfK@X^=|?UOeq}:C |zYlK$"91q''o%$D?('N.. general dentist or specialist who meets MetLifes strict credentialing Therefore, it is crucial to verify benefits and eligibility with the Payor. n[F$6_KZi4k Refer to the current Physician-related/professional services for information regarding blood, blood products, and related services. 0000043626 00000 n Please contact Member Services. 0000036485 00000 n L0621014064[exp0622][All States]. *Illinois members: State laws vary with regard to out-of-network benefits. Dental Ah{sX+AN=SPajl}la3)GfZC^T The information you will be accessing is provided by another organization or vendor. 0000016734 00000 n Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. If there is a discrepancy between this policy and a member's plan of benefits, the benefits plan will govern. Aetna Dental members dont need a member ID card to get dental care. WebYour primary care dentist will provide all of your routine dental care and any copayment or discounted charges will be paid at the time of service If you need a specialty dentist, you may receive a 25 percent discount by using one of the participating specialty dentists from WebCritical access information for providers MHCP Fee Schedule (MHCP Fee Schedule (dental codes begin on page 55 of the PDF) Fraud, Waste, and Abuse: Combating Medicare Parts C and D Fraud, Waste and Abuse Training Web Based Training Course 2022 Fraud, Waste and Abuse Attestation Fraud, Waste and Abuse Training Log Additional Resources While the Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. endstream endobj 4805 0 obj <>stream startxref For telehealth policies and FAQs, see Telehealth on this page. Why? To find out, just call Member Services. How do I notify SEBB that my loved one has passed away? Aetna Inc. and itsaffiliated companies are not responsible or liable for the content, accuracy, or privacy practices of linked sites, or for products or services described on these sites. Aetna Inc. and its affiliated companies are not responsible or liable for the content, accuracy, or privacy practices of linked sites, or for products or services described on these sites. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. 825 0 obj <>stream What you pay will be based on a percentage of those charges (coinsurance). O . 0000072473 00000 n Aetna Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits and do not constitute dental advice. 0000016556 00000 n 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. Or call Member Services for coverage details. Do you need a PA form? 0000021213 00000 n All Rights Reserved. If you are a participating provider with one or more dental benefit plans, you may want to negotiate with those This is called an extension of benefits provision. 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. !f"UF =,T).ts 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. endstream endobj 4795 0 obj <>stream 0000136999 00000 n You must contact us. Signing up is simple and free. CPT is developed by the AMA as a listing of descriptive terms and five character identifying codes and modifiers for reporting medical services and procedures performed by physicians. Aetna makes no representations and accepts no liability with respect to the content of any external information cited or relied upon in the Clinical Policy Bulletins (CPBs). 0 MetLife Dental Comparison Chart 4828 0 obj <>stream The PCD has primary responsibility for managing your dental care. Find a Dentist - providers.online.metlife.com Check your plan documents or call Member Services for details. For other specialists, a referral may be necessary. Find a Vision Provider - mymetlifevision.com Dental Insurance Plans: Healthy Smiles Ahead | MetLife It sets what they can charge for covered services. Choose a category below to see questions and answers about Dental Maintenance Organization (DMO) coverage.