Plan features
Both plans provide comprehensive coverage and preventive services at no cost to you.
Dental PPO: With both in- and out-of-network coverage, this plan gives you the freedom to receive covered care from any dental provider. It comes with a higher per-paycheck contribution, and you may also pay more out of pocket for services.
DMO: To enroll in this plan, you must live within the DMO service area. The plan offers in-network coverage only, and you must choose a primary care dentist. Even if your dentist leaves the network or you select a dentist who is not accepting new patients, you are required to stay in the plan until the next Annual Enrollment or you experience a qualifying life event.
Dental plan coverage
Here’s what you’ll pay for services with each plan.
| PPO | DMO | |
|---|---|---|
| Annual deductible (applies to basic and major services only) | $50 individual, $100 family | None |
| Annual benefit maximum | $2,000 per individual | None |
| Preventive services | $0 | $0 |
| Basic services | 20% after deductible | $0 |
| Major services | 50% after deductible | 40% |
| Orthodontia services (child and adult) | 50% after deductible | 50% |
| Lifetime orthodontia maximum | $2,500 per individual | 24 months of comprehensive orthodontic treatment, plus 24 months of retention per individual |
Contacts
Aetna
Keep smiling with your choice of two Aetna dental plans.