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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
|
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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.
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
|
|
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Family (3 or more) |
$618.54
|
9/1/10 & 2/15/11
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