Dental
You have two dental plans to choose from: the Dental Preferred Provider Organization (DPPO) Plan or the Dental Maintenance Organization (DMO) Plan. Both are administered by Aetna, and both are available as stand-alone plans, meaning you don’t have to enroll in other AMC Global Media health care plans to join.
Dental Plan Highlights
Both plans cover:
- 100% of the costs of in-network preventive care, like exams, cleanings, and x-rays, regardless of whether you have met the annual maximum or not.
- Orthodontia for adults and children, up to certain limits.
Dental Preferred Provider Organization (DPPO) Plan
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- Annual deductible: You must meet the deductible for non-preventive services before the plan starts paying. Once you meet the deductible, the plan pays a percentage of the cost for services until the annual maximum is met.
- Annual maximum: This is the most the plan will pay for dental expenses in one calendar year. Once the annual maximum is met, the plan does not pay benefits for the rest of the year with the exception of qualifying preventive care services.
- In- and out-of-network coverage: Includes in-network and out-of-network coverage, but you will generally pay less when you choose an in-network dentist.
- No referrals or Primary Care Dentists (PCD) designation: You don’t need a referral to see any in-network dentist, and you don’t need to select a PCD.
Find In-Network Providers
Out-of-network coverage in the DPPO Plan
If you visit an out-of-network provider, the plan will pay benefits based upon a reduced fee schedule after you meet your deductible. You should review this fee schedule before receiving services from an out-of-network provider. You’re responsible for any provider charges not covered by the plan.
Dental Maintenance Organization (DMO) Plan
- No annual deductible or annual maximum: There is no annual deductible to meet before the plan starts paying, and there’s no limit to how much the plan will pay for non-orthodontia dental expenses each calendar year.
- In-network only coverage: The plan only covers dental expenses from in-network providers.
Required referrals and designated PCD: You must designate a DMO PCD, and referrals from your PCD are required to see a specialist. If you do not use your PCD or receive a referral from your PCD, you will pay 100% of the costs. You can select the same or different PCDs for each covered family member.
Compare Dental Plans
View the chart below to compare in-network costs. To compare per pay period contributions, visit Employee Contributions.
Some dental services may require pre-certification. To find out which services require pre-certification, view the Summary Plan Description or call Aetna at 1-877-238-6200.
Individual
Employee +1
Employee +2 or more dependents
Exams, cleanings, fluoride, and emergency treatment for dental pain
Fillings, stainless steel crowns, root canals**, scaling and root planning, extractions, and denture repairs
Root canals, inlays, onlays, and bridges, crowns, dentures, implants***, surgical removal of impacted teeth**
Adults and children
$100
$150
None
*Frequency and age limitation apply to these services. Please contact Aetna Member Services directly for description of coverage.
**Covered as a major service under the DMO. Dental PPO covers root canal therapy for molar teeth, osseous surgery and the surgical removal of a partial or full bony impact tooth as a basic service.
***Dental PPO plan only.
Ready to Enroll?
Visit Workday, our benefits portal, to view your benefits options and make your elections.