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2013 Biweekly rates

Aetna Dental PPO Self Only Self + 1 Self & Family





Benefit Highlights

Dental Plan Details Payment details

Yearly deductible


Yearly benefit maximum
per member
In network: $3,000
Out of network: $2,000
Class A (preventive) services
Like cleanings and X-rays
Plan pays 100%*
Class B (minor) services
Like fillings and simple extractions
Plan pays 60%*
Class C (major) services
Like crowns, root canals, dentures
Plan pays 40%*
Lifetime maximum per member**
Plan pays 30%*

*If you use an out-of-network dentist, you are responsible for the difference between our plan allowance and the dentist's charges.
**Covered after continuous enrollment in plan for 24 months. Available for children up to age 19.


Dental benefits are offered, underwritten and/or administered by Aetna Life Insurance Company (Aetna).

This material is for information purposes only. Not all dental services are covered. See FEDVIP brochure for a complete description of benefits, exclusions, limitations and conditions of coverage. Discount programs provide access to discounted prices and are NOT insured benefits. The member is responsible for the full cost of the discounted services. Information is believed to be accurate as of the production date; however, it is subject to change.

Why choose
Aetna Dental PPO?

  • Great rates
  • $3,000/$2,000 yearly maximum
  • No deductible to meet
  • Your choice of any licensed dentist, anywhere

Perks included! Access to discounts on prescription eyewear, gyms, massages, weight-loss programs and more.

  • Member Perks
  • DocFind®
  • Aetna Navigator®