DENTAL
CARE
Highlights
- Members save 15% to 50%* on everything from general dentistry and cleanings
to root canals, crowns and orthodontia.
- Over 71,000 ** dental practice
locations.
- Save on routine dental services such as x-rays and fillings.
- Save on specialty care such as orthodontics and periodontics where available.
- Dentists are credentialed and recredentialed on an ongoing basis.
Before
scheduling an appointment, the member will call the number on the back
of their card to speak with a Patient Advocacy representative. The
representative will contact providers in the network to ensure the dental
office understands the Dental Care discount card and is accepting new patients.
The
representative will then contact the member to provide several different dental
care locations so the member may select the provider that most meets their specific
needs and book an appointment.
Dental
benefit is not available to VT residents.
*Actual
costs and savings vary by provider and geographical area.
**
According to the Aetna Enterprise
Provider Database as of November 1, 2006.
Savings
Examples Dental FAQ Dental
Statistics
SAVINGS EXAMPLES
| Product/Service | Select Regional
Average
Cost* | Average Cost with
Aetna Dental
Access® | Total Savings |
| Adult Cleaning | $82 | $52 | $30 |
| Child Cleaning | $49 | $37 | $12 |
| Routine Checkup | $39 | $27 | $12 |
| Four Bitewing X-rays | $51 | $31 |
$20 |
| Composite (White) Filling | $131 | $76 |
$55 |
| Crown (porcelain
fused to noble metal) | $843 | $584 | $259 |
| Complete Upper Denture | $940 | $763 | $177 |
| Molar Root Canal | $826 | $581 |
$245 |
| Extraction (single tooth) | $119 | $70 |
$49 |
*The
select regional average fee represents the average fees for the procedures listed
above in Los Angeles, Orlando, Chicago and New York City, as displayed in the
Estimate the Cost of Care tool as of January, 2005.
|
DENTAL Frequently
Asked Questions
Q. How does the dental
plan work?
A. Participating dental providers are listed in
the membership fulfillment kit; members may also call the toll-free number
located on the back of the membership card Monday through Friday, 7
a.m. to 7 p.m. and Saturday, 8
a.m. to 5 p.m. Central Time. When calling to schedule an appointment the
member should identify him/herself as a member of the Aetna Dental Access
program. To receive the discount the member must present the membership card and
pay the total bill at the time of service.
Q. Is
there a limit to the number of times the card may be used?
A. No.
Members and their families may take advantage of the savings any time throughout
the year. Members may also change dentists within the network whenever they choose.
Q. May
this discount be combined with dental insurance?
A. In many cases,
members may use both. Simply visit a participating dental provider,
pay the bill and submit it to the insurance company. The net out-of-pocket
cost will be lower because the insurance company should reimburse the member their
plan allotted percentage of the reduced bill.
Q.
Is there someone that can answer questions about the card and services offered?
A.
Yes. Simply call the toll-free number located on the back of the membership
card Monday through Friday, between 8 a.m.
and 6 p.m. Central and Saturday
between 9 a.m. and 1
p.m. Central. A member services representative is standing by
to answer any questions.
Q. What if a member's dentist
is not a participating provider?
A. Simply call the toll-free number
on the membership card and give the member services representative the doctor's
name, address, phone number and specialty. We then contact the doctor about
becoming a provider
STATISTICS
"A
study by the Centers for Disease Control and Prevention found 42 percent of kids
aged 6 to 19 had had a cavity or filling in their permanent teeth when examined
between 1999 and 2002…"
Medline Plus -August
25, 2005
"Although
dental caries (tooth decay) is largely preventable, it remains the most common
chronic disease of children aged 5 to 17 years - 5 times more common than asthma
(59% versus 11%)."
CDC – 2005
"Poor
children have nearly 12 times more restricted-activity days because of dental-related
illness than children from higher-income families. Pain and suffering due to untreated
tooth decay can lead to problems in eating, speaking, and attending to learning."
CDC
– 2005
"An estimated 75% of Americans reportedly
have some form of periodontal disease."
The American Dental Hygienists'
Association - 4/2002
"Dental caries (tooth decay) is
the single most chronic childhood disease - 5 times more common than asthma and
7 times more common than hay fever."
Oral Health in America:
A Report of the Surgeon General - 4/2002
"Over 108
million children and adults lack dental insurance, which is over 2.5 times the
number who lack medical insurance."
Oral Health in America:
A Report of the Surgeon General - 5/2001
*Actual
costs and savings vary by provider and geographical area.
**
According to the AetnaEnterprise
Provider Database as of November 1, 2006.
Contact
Information:
Telephone: 1-800-456-0440
Locate a Provider: 1-800-800-7616
Have
your NBA membership number available to receive your benefit.
Benefits
are subject to change without notice.
Payment must be made
at the time of service in order to receive a discount.
THIS
IS NOT INSURANCE, NOR IS IT INTENDED TO REPLACE INSURANCE
