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Aetna Dental Insurance – Spring Lake, NJ

Flexible Coverage Options to Meet Your Needs

dental insurance claim form

At Dooley Dental, we understand how important it is to maintain excellent oral health. Therefore, we make every attempt to accommodate your needs by processing and filing dental insurance claims so you can receive the maximum coverage available. Additionally, we provide patients the convenience of in-network dental coverage for several of the major PPO plans. We’re happy to announce that we’ve now partnered with Aetna insurance, so if you have Aetna Dental and you want to verify that it can be used to cover your dental care, then don’t hesitate to reach out to one of our friendly staff members, either by phone or by scheduling an in-office visit at our state-of-the-art Spring Lake dentistry practice. Meanwhile, we’ll answer some commonly-asked questions as you continue reading.

How Does Aetna Dental Insurance Work?

As is customary with most PPO plans, with Aetna dental insurance you’ll pay a monthly premium that is applied toward the cost of any necessary dental care throughout the year, and you can expect an annual maximum of between $1,000 and $1,500.

Here are three notable traits of Aetna dental insurance:

  • Members can visit any licensed dentist without a referral.
  • The plan provides coverage for preventive, basic and major services.
  • You can typically expect lower rates by working with an in-network dentist.

Do I Have to Visit an In-Network Dentist?

Currently, over 130,000 dentists are in-network with Aetna dental insurance, which includes Dooley Dental. That means you can count on us to provide a host of services that have been agreed upon with Aetna. Therefore, you don’t have to guess about what will or won’t be covered by your dental insurance.

The primary difference between working with an out-of-network specialist and an in-network Aetna dentist in Spring Lake is the cost. You can typically expect lower rates when remaining in-network, something that Aetna dental insured can now experience when visiting Dr. Dooley for dental care.

What Treatments are Covered?

For the specifics of your coverage, you’ll need to review your plan. Thus, you can have a better idea of what benefits are available, depending on the care you need. In general, you’ll find the greatest return on your investment with preventive care, which involves semi-annual visits for cleanings and examinations. Dental insurers are advocates of these appointments, evidenced by the fact that they often cover up to 100% of the cost. As the complexity of care increases, you can expect the benefits to adjust accordingly. For a basic procedure like a filling or crown placement, the available coverage is usually less. Then, for major dental care like root canal therapy, your out-of-pocket cost will generally be higher. To be sure of the percentage of coverage available for an upcoming procedure, reach out to your provider for the necessary details.

Are Dental Implants Covered by Aetna Dental Insurance Plans?

Typically, the placement of dental implants is not covered by dental insurance. However, there may be some coverage available for any restorative care needed prior to the procedure and the placement of a final prosthetic.

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