Aetna is the carrier for the County’s Dental Maintenance Organization (DMO) plan. This is a pre-paid dental plan with private practice general dentists and specialists who participate with the plan.
If you enroll in the Aetna DMO plan you must select a Primary Care Dentist (PCD) to use your coverage. The PCD has primary responsibility for managing your dental care. Each DMO member must select a PCD. You can switch your selection as frequently as once per month. To designate your PCD, visit www.aetna.com and click “login”, call Member Services at 1-877-238-6200, or complete a PCD Election Form. If you choose a new PCD on or before the 15th of the month, the change will go into effect on the first day of the following month. For example, if you change your PCD on April 15, the change will take effect May 1, and if you change your PCD on April 16, the change will take effect on June 1.
Aetna administers the County’sdental Preferred Provider Organization (PPO) plan. The PPO plan allows employees to use a participating dentist (in-network) and provides the flexibility of utilizing a non-participating dentist (out-of-network).
When using a participating dentist, preventive and basic services are covered at 100% and major services are covered at 60%.
When using a non-participating dentist, there is a $25 deductible.
Preventive and basic services are covered at 100% of the usual and customary rate and major services are covered at 50% of the usual and customary rate.
No need to choose a primary care dentist.
Choose any Dentist, find a network Dentist by using the Aetna online directory at www.aetna.com