Aetna Dental Plan


  • On June 25th, 2010, we renewed our dental insurance with Aetna.  As expected, rates will increase.  The exact percentage was by 2% for a one year contract.   The plan payment schedules are as follows:

    Payment Schedule for Out Of Network Procedures

    Benefit
    DMO In Network Out-of-Network
    Office Visit Copay
    $0
    N/A
    N/A
     
    Deductible        
    Individual
    N/A
    $100
    $150
    Family
    N/A
    $300
    $450
    Waived-Type A
    N/A
    Yes
    Yes
    Yearly Max
    N/A
    $2,000
    $2,000
    Coinsurance
    Type A-Preventative
    100%
    100%
    90%
    Type B- Basic
    100%
    90%
    60%
    Type C- Major
    60%
    60%
    50%
    Orthodonture
    N/A
    N/A
    N/A
    UCR Reimbursement
    N/A
    N/A
    90th

    Rates Effective July 1, 2010

     
    Coverrage
    Current Monthly
    New Monthly
     xxxxxxxxxxxxxxxxxxx Single
    $51.42
    $52.45
     xxxxxxxxxxxxxxxxxxxx
    Single + 1
    $101.36
    $103.39
    Family
    $152.49
    $155.54

    In addition, Aetna offers a DMO plan with significantly reduced copayments and charges for procedures.  Uniquely, Aetna allows participants to switch between the PPO and the DMO on a monthly basis.

    Important
    EVERYONES RATES WILL BE LOWER WITH A LARGE PARTICIPATION IN THE DMO!

    FACULTY ARE STRONGLY URGED, WHERE PRATICAL, TO MIGRATE TO THE DMO!

    If you wish to enroll in the dental plan for the first time, or switch to the DMO, please print out the enrollment form, available through the link on the upper tool-bar, and return it to :

    Edward Donahue
    Chemistry Department


    Family Coverage.

    As in the past year, anyone on "Single +1" or "Family" coverage will be billed biannually for the difference between the single coverage rate (which is included in dues) and the enhanced coverage.  Since we will have enhanced coverage for a full year, these payments will be due every six months.  Notifications will be sent through the mail.

    PAYMENTS DUE FOR SINGLE + 1 and FAMILY COVERAGES

    Plan
    6 Month Bill
    Payment Due Date
    LIUFF member + 1
    $305.64
    9/1/10 & 2/15/11
    Family (3 or more)
    $618.54
    9/1/10 & 2/15/11

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