Dental and Vision Plans
Review of employee medical and dental payroll contribution rates
Aetna will continue to be our dental plan carrier in 2019. The Premium Dental Plan features an increased member annual maximum reimbursement from the $1,000 offered under the existing Standard Plan to $1,500. The Premium Dental Plan also offers a separate $2,000 lifetime reimbursement per member for orthodontia coverage (available for both adults and children).
Note you will not receive an Aetna Dental ID card for either plan through the mail. You may print one off of your Aetna Navigator Account or simply identify to your dentist that you now have Aetna as your dental carrier and give them your name, date of birth and either your Aetna member ID number (same as your medical ID number) or your social security number.
If your dentists office does not already have Aetna Dental’s claim office information it is:
PO Box 14094
Lexington KY 40512-4094
Dental Plan Information
Premium Dental Plan Summary
Overview of what is covered under the new Premium Dental Plan.
Standard Dental Plan Summary
Overview of what is covered under the existing Standard Dental Plan.
Note that most dentists offices will file a dental claim with Aetna on your behalf. If not, use this Aetna Dental Claim Form to submit your claim to Aetna.
Aetna Dental Network. You may visit any dentist in the area and receive reimbursement for eligible expenses. The Aetna Dental Network is is the “Dental PPO/PDN with PPO II Network”. If you do go to an Aetna network dentist you will be able to take advantage of the rates that Aetna has negotiated and your annual maximum may go further.
Aetna Vision Plan-view a short video (3 minutes) on the vision plan (Note it is dated 2017 but nothing has changed for 2019).
This is a voluntary plan that will assist with the cost of frames, lenses or contact lenses. A preventative annual vision visit will still be covered under the medical plan at 100 percent. To get the highest level of benefit under the vision plan you will want to get your glasses or contact lenses from a participating network provider. There are both national chains and local providers in the network. To find a network provider near you please visit www.aetnavision.com or call Aetna Vision at 1-877-973-3238.
In the event you do purchase your glasses or contacts from a non-participating provider you would need to submit a vision claim form to Aetna for reimbursement. The claim can be submitted to the address on the back of your medical ID card or to the following:
Attn: OON Claims
PO Box 8504
Mason, OH 45040-7111