Dental Plans
(January 1, 2024 鈥 December 31, 2024)
FOR ALL HEALTH PLANS: annual deductibles, plan maximums, etc., are based upon a calendar year.
To contact Aetna Dental call 1 (877) 238-6200.
Implant coverage is included to the Aetna DPPO and Aetna DMO plans. Please review the 2024 plan summaries carefully, including the section on 鈥淩ules,鈥 as certain restrictions apply.
Dependent coverage eligibility under the dental plans mirrors coverage under the medical/vision plan. A dependent will be covered under the dental plans until the end of the calendar year in which they turn age 26. When dependents age off the plan at age 26, they can be offered the opportunity to continue dental coverage on COBRA.
91视频 offers two dental plan options through Aetna Dental
Aetna Dental DMO
The Aetna Dental DMO plan offers in-network only coverage.
Enrollment in the plan requires the election of a Primary Care Dentist within the Aetna Network. Referrals must be obtained from your Primary Care Dentist in order to see a specialist.
ID cards, for the Aetna Dental DMO plan are virtual and can be accessed by logging into your account at or via the Aetna Health Mobile App (PDF).
Please visit or contact Aetna Concierge Services, 1 (833) 691-1359 (available from 8:00 a.m.鈥6:00 p.m. in all U.S. Time Zones) to find an in-network provider.
If you wish to change your Primary Care Dentist, you must contact Aetna prior to visiting another dentist, even if he/she participates in the Aetna Dental DMO network.
Please Note: Annual deductibles, plan maximums, etc. are based upon a calendar year.
Current Premiums for Dental DMO
Effective January 1, 2024 through December 31, 2024:
Semi-Monthly Dental Plan Rates (Per Paycheck):
Dental Plan: Aetna Dental DMO
- Individual: $2.91
- Individual + 1: $7.48
- Family: $15.00
Aetna Dental PPO
The Aetna Dental PPO plan offers both in- and out-of-network coverage. Preventive services are covered at 100%. There is a digital ID card available for this plan, which can be accessed via the Aetna Health Mobile App (PDF) or by .
The Aetna Dental PPO plan offers an in-network annual (calendar year) maximum benefit of $2,000 per person and an out-of-network annual (calendar year) benefit maximum of $1,500 per person, once the annual deductible ($50 for an individual, $150 for a family) has been satisfied.
Claim forms, for out-of-network services, are available on the Human Resources web page under Forms - Aetna Dental PPO Claim Form (PDF).
Please visit , or contact Aetna Concierge Services, 1 (833) 691-1359 (available from 8:00 a.m.鈥6:00 p.m. in all U.S. Time Zones), to find an in-network provider.
- Aetna Dental PPO Plan Summary (PDF)
- Aetna Dental PPO Plan Summary (Texas Residents)
Please Note: Annual deductibles, plan maximums, etc. are based upon a calendar year.
Current Premiums for Dental PPO
Effective January 1, 2024 through December 31, 2024:
Semi-Monthly Dental Plan Rates (Per Paycheck):
Dental Plan: Aetna Dental PPO
- Individual: $12.39
- Individual + 1: $41.15
- Family: $66.82
Please Note: Annual deductibles, plan maximums, etc. are based upon a calendar year.
Benefits Disclaimer
The HR/Benefits website is intended only to provide information for the guidance of 91视频 employees. The writers of the content have exercised their best efforts to ensure accuracy of the information, but accuracy is not guaranteed. If there are any discrepancies between the information on the website, verbal representations and the Plan documents, the Plan documents will always govern. The information is subject to change from time to time, and the University reserves the right to change or terminate these Plans at any time. The information contained on the website is not intended to replace the plan documents, nor is the information in any way intended to imply a contract.