Aetna Medicare Optional Supplemental Benefits

Affordable Optional Dental Coverage which may include Eyewear and Hearing Aid Reimbursement

Many Aetna Medicare Advantage Plans allow you to select our optional supplemental dental coverage benefit for an additional plan premium. The optional dental plans allow you to receive covered dental services when you select a participating primary care dentist. Some plans may also include an eyewear reimbursement, while others may include eyewear and hearing aid reimbursement. Below is a list of the benefits you can receive.

	Aetna Medicare Preventive Dental Plan	Aetna Medicare Advantage Dental Plan
Covered services (partial list)	Oral and emergency exams Cleanings Oral hygiene consultation	Oral and emergency exams Cleanings Oral hygiene consultation X-rays Restorative care: retention pins, fillings, minor denture adjustments Periodontic care: scaling and root planing
Covered services received out of network	Not covered when you are a medical HMO member 50% coinsurance coverage when you are a medical PPO member*	Not covered when you are a medical HMO member 50% coinsurance coverage when you are a medical PPO member*
* Any out-of-network covered dental services can only be provided by a general dentist that does not participate in the Preventive or Advantage Dental Plans.
Reduced-fee services (partial list)**	X-rays Restorative care: fillings and minor denture adjustments Oral surgery Crowns, bridges and dentures	Crowns, bridges and dentures Root canals Oral surgery, including non-surgical extractions Periodontic care: maintenance and surgeries
** Reduced-fee services must be provided by your selected primary care dentist and are not eligible for out of network benefits.

	Aetna Medicare Preventive Dental Plan + Eyewear + Hearing Aids	Aetna Medicare Advantage Dental Plan + Eyewear + Hearing Aids
Covered services (partial list)	Oral and emergency exams Cleanings Oral hygiene consultation	Oral and emergency exams Cleanings Oral hygiene consultation X-rays Restorative care: retention pins, fillings, minor denture adjustments Periodontic care: scaling and root planing
Covered services received out of network	Not covered when you are a medical HMO member 50% coinsurance coverage when you are a medical PPO member*	Not covered when you are a medical HMO member 50% coinsurance coverage when you are a medical PPO member*
* Any out-of-network covered dental services can only be provided by a general dentist that does not participate in the Preventive or Advantage Dental Plans.
Reduced-fee services (partial list)**	X-rays Restorative care: fillings and minor denture adjustments Oral surgery Crowns, bridges and dentures	Crowns, bridges and dentures Root canals Oral surgery, including non-surgical extractions Periodontic care: maintenance and surgeries
** Reduced-fee services must be provided by your selected primary care dentist and are not eligible for out of network benefits.
Eyewear Reimbursement Hearing aid Reimbursement	Up to $125 per year Up to $300 per year	Up to $125 per year Up to $300 per year

	Aetna Medicare Advantage Dental Plan + Eyewear
Covered services (partial list)	Oral and emergency exams Cleanings Oral hygiene consultation X-rays Restorative care: retention pins, fillings, minor denture adjustments Periodontic care: scaling and root planing
Covered services received out of network	Not covered when you are a medical HMO member 50% coinsurance coverage when you are a medical PPO member*
Reduced-fee services (partial list)**	Crowns, bridges and dentures Root canals Oral surgery, including non-surgical extractions Periodontic care: maintenance and surgeries

Note: There may be a per-visit dental copay for covered services.

Select the DMO network in DocFind.

The benefit information provided herein is a brief summary, not a comprehensive description of benefits. For more information contact the plan.

Aetna Medicare Optional Supplemental Benefits

Affordable Optional Dental Coverage which may include Eyewear and Hearing Aid Reimbursement

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