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Dental

Overview
Plan Comparison
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Overview

SCAN provides you with the choice between two dental plans with Aetna: a dental HMO (DMO) or a dental PPO. If you choose the DMO, you are required to select a primary care dentist. The PPO provides you with the flexibility to see a dentist of your choice. However, if you see a dentist outside the PPO network, you will be responsible for balance billing.

You may review the list of network dentists here: https://www.aetnaresource.com/m/SCAN

DMO vs DPPO

Aetna DMO: This free plan available to you and your eligible dependents that provides comprehensive dental coverage, including orthodontia. All care must be rendered through your dental group. During your enrollment, you will be required to assign you and your enrollment dependents a primary care dentist. 

Aetna DPPO: Pay a contribution to have access to comprehensive dental coverage, including orthodontia. This plan allows you freedom of choice to see any dental provider of your choosing. You will receive the highest benefit by seeing a dental provider that is part of the plan network.  

Plan Comparison

Below is a high-level overview of the plan options available to you. Only in-network benefits shown. Please refer to the carrier documents for details on benefits, exclusions, restrictions, and allowances.

Dental PPO (DPPO)
Dental HMO
(DMO)
Dental Highlights
Deductible
Individual
Family
$50
$150
$0
$0
Annual Maximum
Most Aetna will pay in a calendar year
$1,500 per covered member
Unlimited
Out-of-Network Coverage
Yes
No
Dental Services
Preventive Care
0%, no deductible
See Fee Schedule
Basic Care
20%
See Fee Schedule
Major Care
40%
See Fee Schedule
Orthodontia
50% to $2,000
$1,500

documents