Page 15 - IPsoft 2018 Benefits Guide
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AETNA DENTAL DMO
BENEFIT HIGHLIGHTS
Annual Deductible
Basic Dental Services
Orthodontia Services (Dependent children under age 19)
Annual Maximum
None
Covered 100%
$1,500 copay
None
15
HEALTH
Aetna offers a less expensive DMO option which provides in-network only dental bene ts. This option does not include a deductible and has an unlimited annual maximum. The DMO also includes Adult and Children Orthodontia.
Note: Employees/Dependents must elect a primary care Dentist under the DMO dental plan.
Dental Emergency Maximum
In-Network Only
See copay schedule
Preventive Dental Services
Covered 100%
Major Dental Services
40% coinsurance
Orthodontia Lifetime Maximum
24 months of comprehensive orthodontic treatment plus 24 months of retention
To nd in-network providers, search Aetna’s websites (www.aetna.com) or call 1-800-962-6842.
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