Page 19 - Franklin Madison 2021 Benefits Guide
P. 19
Dental Plan Options
The Company ofers two Aetna Dental plan options Coverage Levels
from which to choose and pays most of the cost for Coverage levels are available for:
the dental coverage you elect. The Plans ofered
are: y Employee Only y Employee + Spouse
y Aetna DPPO y Employee + y Employee + Family
y Aetna DHMO Child(ren)
You must choose the same dental option for
Aetna Dental Health Plan (DHMO) both yourself and your dependents. For detailed
The DHMO Plan requires a primary care dentist coverage information, review the Summary Plan
from the Aetna DHMO network to coordinate your Descriptions located on the online Beneits Portal at
dental care. If you enroll for family coverage, each www.paylocity.com.
member of your family can choose his/her own
primary care dentist. If you need treatment by a Decline Coverage
specialist, your DHMO primary care dentist will If you decline dental coverage when you irst
arrange a referral, but most of your dental care will become eligible, you will have to wait until the
be handled by your primary care dentist. next annual enrollment to elect it, unless you have
a qualiied life status change during the year, as
Aetna Dental Preferred Provider explained on page 6.
Organization (DPPO)
With this Plan, you can choose any dentist you Three Easy Ways to Find a Network
wish without a referral each time you need dental Dentist
care. In-network providers cost you less, since they 1. Call the dentist and ask if they are part of
agree to provide services at discounted fees. You your plan’s network
also have a lower annual deductible. (No deductible 2. Call 800.451.7715 and ask for a network
applies for preventive and diagnostic services.) dentist in your area
3. Log on to www.aetna.com and view the
Make sure you ind a dentist in your area who provider directory
is accepting new patients before selecting your
dental plan.
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The Company ofers two Aetna Dental plan options Coverage Levels
from which to choose and pays most of the cost for Coverage levels are available for:
the dental coverage you elect. The Plans ofered
are: y Employee Only y Employee + Spouse
y Aetna DPPO y Employee + y Employee + Family
y Aetna DHMO Child(ren)
You must choose the same dental option for
Aetna Dental Health Plan (DHMO) both yourself and your dependents. For detailed
The DHMO Plan requires a primary care dentist coverage information, review the Summary Plan
from the Aetna DHMO network to coordinate your Descriptions located on the online Beneits Portal at
dental care. If you enroll for family coverage, each www.paylocity.com.
member of your family can choose his/her own
primary care dentist. If you need treatment by a Decline Coverage
specialist, your DHMO primary care dentist will If you decline dental coverage when you irst
arrange a referral, but most of your dental care will become eligible, you will have to wait until the
be handled by your primary care dentist. next annual enrollment to elect it, unless you have
a qualiied life status change during the year, as
Aetna Dental Preferred Provider explained on page 6.
Organization (DPPO)
With this Plan, you can choose any dentist you Three Easy Ways to Find a Network
wish without a referral each time you need dental Dentist
care. In-network providers cost you less, since they 1. Call the dentist and ask if they are part of
agree to provide services at discounted fees. You your plan’s network
also have a lower annual deductible. (No deductible 2. Call 800.451.7715 and ask for a network
applies for preventive and diagnostic services.) dentist in your area
3. Log on to www.aetna.com and view the
Make sure you ind a dentist in your area who provider directory
is accepting new patients before selecting your
dental plan.
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