Is Aetna dental a PPO?

Asked by: Brayan Mante  |  Last update: July 6, 2025
Score: 4.8/5 (2 votes)

Dental policies and plans are insured and/or administered by Aetna Life Insurance Company (Aetna). This is a brief description of the features of the Aetna Dental PPO plan. Before making a decision, please read the plan's applicable federal brochure(s).

Is Aetna a PPO dental insurance?

This Aetna Dental® Preferred Provider Organization (PPO) benefits summary is provided by Aetna Life Insurance Company for some of the more frequently performed dental procedures. Under this plan, you may choose at the time of service either a PPO participating dentist or any nonparticipating dentist.

What dental insurance is PPO?

What is a dental preferred provider organization (PPO) plan? A PPO plan is a regular indemnity plan combined with a network of dentists under contract to the insurance company to deliver specified services for discounted fees in accordance with provisions in the signed agreement.

Is Aetna a PPO?

With the Aetna Open Choice ® PPO plan, members can visit any provider, in network or out, without a referral. But when they stay in network, we'll handle the claims and offer lower, contracted rates.

What's the difference between DMO and PPO for dental?

Most DHMOs will only cover out-of-network services in an emergency or where required by law. In comparison, a dental PPO will permit you to see any licensed dentist you want, in- or out-of-network, but you will pay less if you choose to see a dentist from the plan's network.

🔥 Aetna Dental Direct Preferred PPO Review: Pros and Cons

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How do I know if I have PPO or HMO?

However, if you've already got a health plan and don't know which plan type you have, you can check your insurance card or contact your insurance provider directly. If you have an online account through your provider that allows you to access plan details, you can also start there.

What is the best insurance to have for dental?

Best Dental Insurance Companies for January 2025
  • Best Overall and Best for Braces, Implants, and Older Adults: Delta Dental.
  • Best Overall Cost-to-Value: Physicians Mutual.
  • Best for No Annual Maximum: MetLife.
  • Best for No Waiting Period: Anthem Blue Cross Blue Shield.
  • Best for Customer Satisfaction: DentaQuest.

Which is better, Aetna or Blue Cross?

Our research found that Aetna Medicare Advantage plans performed better on average versus BCBS Medicare plans. Aetna's plans had better overall customer satisfaction, according to average NCQA ratings. Aetna also has much lower average premiums and drug deductibles.

Is Blue Cross Blue Shield a PPO?

Preferred Provider Organization (PPO)

However, BCBS still pays more to in-network providers than out-of-network providers. People who are part of a PPO do not need a physician's referral to consult with a specialist. PPOs also usually offer drug coverage. Learn about Medicare referrals.

Is it worth getting dental PPO?

Overall Benefits of Using PPO for Dental Care

If you need to see a specialist, you don't need a referral and can choose whomever you want within the network. Besides having flexibility and more control of your dental care, you may save more on a PPO plan depending on the care you need.

Does dental PPO cover crowns?

Dental insurance does cover crowns, but only when they are medically necessary. The coverage for a crown is usually 50% of the cost of the procedure, with the patient liable for the rest. Waiting periods of a few months to a year or more after you have purchased dental insurance can apply to its coverage of crowns.

Is Blue Cross Blue Shield good for dental?

We can help you and your family smile with confidence. That's the Benefit of Blue®. Both our high-option and standard-option plans offer the comprehensive dental benefits you and your family need, including: in-network covered preventive care paid in full, including up to three cleanings a year.

Is Aetna Medicare a PPO or HMO?

Aetna® shines in Star Ratings with 88% of Medicare Advantage members in 4 out of 5-star plans or higher for 2025. Aetna Medicare is an HMO, PPO plan with a Medicare contract.

What group is Aetna?

Aetna® group of companies. Aetna is proud to be a part of the CVS Health® family of companies.

Is Aetna dental Direct legit?

As a CVS Health® company, we have 60+ years of experience providing excellent dental care to more than nine million members. With Aetna Dental Direct, you'll get the coverage you need to keep your teeth healthy.

Does Aetna have PPO?

The Aetna UN PPO Plan also has a deductible for care outside of the PPO network. Coinsurance – Your share of the cost (after your deductible) for covered services.

Why is Aetna so expensive?

Factors influencing Aetna insurance monthly costs

Plans with broader coverage and extensive benefits, such as lower deductibles, co-pays, and comprehensive services like dental and vision care, often come with higher monthly costs.

Does Aetna deny a lot of claims?

In the same year, Medicare denied 6.85% of its claims. One year later, AMA reported that all the surveyed insurers were denying fewer claims: Aetna's denial rate was down to 1.81%, Anthem BCBS reduced its rate to 4.34%, and private insurers overall were down to 2.79%, while Medicare denied only 4% of claims.

How to know if dental insurance is PPO?

A PPO dental plan will typically have a larger network of dental providers, and you'll be able to switch dentists or see a specialist without a referral from a primary care dentist. In fact, you aren't required to designate a primary care dentist when enrolling in a PPO dental plan.

Does Aetna have dental insurance?

With Aetna Dental, you get: Affordable plans. Plan options start at $20. And your dental checkups, cleanings and X-rays are 100% covered.

How do I know if my insurance is PPO?

Your Summary and Benefits should have information about the plan near the top, detailing whether your plan is a PPO or another type of insurance. If you still cannot find the answer, give the customer service number on the back of your insurance card a call and ask if your plan is a PPO plan.

Why are dentists no longer taking insurance?

The rates of reimbursement by many insurance carriers are less than the cost of providing the treatment, forcing dentists who are in these plans to find ways to cut corners and cut costs that are not in the best interest of the patient.

How can I fix my teeth if I don't have money?

Free Dental Clinics
  1. Nonprofit clinics. Some cities have dental clinics that specifically serve people with low incomes, no insurance, or who otherwise can't afford care.
  2. Donated services. Some state or national charities use donated labor and materials to give free care. ...
  3. Private dentists.

Which type of dental plan is the most common?

Preferred Provider Organization (PPO) dental insurance is the most common and versatile choice for many individuals and families. Its blend of provider flexibility, cost-sharing mechanisms, and coverage options makes it a well-rounded option for those seeking comprehensive dental care.