About the plan
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FEDVIP is administered by the U.S. Office of Personnel Management. It is a voluntary, enrollee-pay-all dental and vision program. It’s available to eligible Federal Employees and annuitants, certain retired uniformed service members, and active duty family members and their eligible family members.
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No.
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No, this is a separate stand-alone plan under FEDVIP.
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Aetna Dental PPO has two plan options — standard and high. Both of our plans provide the following coverage at different levels.
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Preventive/basic services
- Cleanings, X-rays, sealants, space maintainer and fluoride
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Intermediate services
- Fillings, therapeutic pulpotomy, uncomplicated extractions, periodontal scaling, denture adjustment and repair
- Major services
- Inlays, onlays, crowns, root canal, full and partial dentures, pontics, general anesthesia/intravenous sedation
- Orthodontic services
Details about your out-of-pocket costs for each plan can be found in the plan details.
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Preventive/basic services
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*FOR OUT-OF-NETWORK MAXIMUM: Applies to preventive, intermediate and major services.Maximum Dental Benefit Plan In-network benefit maximum* Out-of-network benefit maximum* Orthodontia High option $0 $2,000 $2,000 Standard option $1,500 $1,000 $2,000 -
There are no waiting periods on our FEDVIP dental plans.
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Yes. Orthodontia is covered for all members; however, there is a $2,000 lifetime maximum per member.
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Invisalign braces are considered upgrades. You would pay the normal coinsurance for the standard braces, plus the difference between the fee for the standard braces and the dentist’s fee for the Invisalign braces. Please refer to the FEDVIP Dental plan brochure for further information on how this works.
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Implants and implant crowns are covered under the major services category. The tooth being replaced must be extracted while covered under a participating FEDVIP plan.
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Yes. Dentures, bridges or other prosthetic services are covered if the natural tooth being replaced was extracted while you were covered under a participating FEDVIP or Tricare Retiree Dental Plan (TRDP).
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Federal employees and annuitants in the U.S. and overseas are eligible to enroll in our Aetna Dental PPO under FEDVIP. If you receive covered dental services while overseas, you will need to submit your claims to Aetna. Upon receipt of the claim, we will translate the claim and process it. We use the rate of exchange in effect at the time we process the claim. Claims are paid in U.S. currency. See Section 6 of our federal brochure for more information.
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Claims should be submitted to your medical carrier for consideration first. Your FEDVIP plan will then coordinate benefit payments.
We may request that you verify/identify your health insurance plan(s) annually or at time of service.
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You have several options:
- Review the FEDVIP plan brochure and the dental page on this website
- Connect with us live by scheduling a one-on-one appointment or chat with a representative at AetnaFedsLive.com
- Call Aetna at 1-877-459-6604 (TTY: 711)
Doctors and network
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No. You can visit any licensed dentist, anywhere. We have a dental network with more than 130,000 providers at 400,000 locations nationwide. Your out-of-pocket costs may be lower if you use a dentist in the Aetna Dental PPO network. You can find network dentists by using our provider search.
What will I pay?
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Please visit our plan page. Type in your ZIP code and your rates will show on the screen.
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First you must enroll in the Aetna Dental plan PPO through the BeneFeds website. Once you enroll in the dental plan, premiums are withheld from your paycheck. Premiums are paid on a pre-tax basis (premium conversion) if you are an active employee and your salary is sufficient to make the premium withholding. Pre-tax premiums are not available to annuitants or survivor annuitants. Learn more about annuitant and survivor payment options.
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Deductible Details Plan In-network deductible Out-of-network deductible High option $0 $0 Standard option $50/self
$100 self plus one and family$100/self
$200 self plus one and family -
Members can find cost estimates for common procedures on our member website. If you cannot find the information you’re looking for, please call us at 1-877-459-6604 (TTY: 711).
Perks and resources
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Yes. Enrolling in the Aetna Dental PPO plan also gives you access to our Aetna Vision℠ Discount program that includes discounts on frames, lenses and Lasik laser eye surgery at participating locations. You also get great discounts on gyms, weight loss programs, chiropractic, acupuncture, massage, vitamins, electric toothbrushes, gum, mints and more! Log in to our member website to learn more.
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Our member website is packed with health and benefits information. When you register, you can print temporary ID cards, check eligibility or claim status, email Member Services and much more. Here are just a few of the highlights:
- Provider search — Helps you find providers that accept your plan. Using in-network providers will help you save money. The provider search tool also includes important provider credentials like education, board certification and languages spoken.
- Cost estimator tools — Provides personalized cost information. You can estimate how much you’ll pay out of pocket for office visits and procedures ahead of time.
- Aetna HealthSM app — Puts our online features at your fingertips. The app is available on the App Store® and the Google Play™ store. Just type Aetna.com into your mobile web browser.
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Once you are enrolled, we will provide extensive live agent support Monday through Saturday 7:30 AM to 11:00 PM ET and Sunday 11 AM to 8 PM ET. And with our state-of-the-art IVR system and self-service website, we are able to serve you around the clock, offering automated features 24 hours a day, 7 days a week, 365 days a year. You can reach the Aetna Dental PPO plan at 1-888-290-9064 (TTY: 711).
Enrollment
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Enroll with BeneFeds during Open Season, November 14 through December 12, 2022, or after a qualifying life event that permits enrollment outside of Open Season. New employees will have 60 days from when they start working to enroll.
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Coverage and 2023 benefit changes begins on January 1, 2023. Coverage for Aetna members joining during Open Season becomes effective on the first day of the first pay period in January 2023.
If you enroll as a newly hired federal employee, you have 60 days to enroll in a Federal Employees Health Benefits (FEHB) plan. Your enrollment will become effective the beginning of the pay period after your enrollment is received.
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No. You will receive a welcome letter after you enroll. It will include your member ID number and information on how to register for the member website, where you'll have the ability to print an ID card. After you register, simply select "Get an ID card" and follow the instructions.
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If you do not receive your welcome letter by your effective date, you may use a copy of your electronic enrollment confirmation from BeneFeds. You may register on our member website, where you can print an ID card. After you register, simply select "Get an ID card" and follow the instructions.
DISCLAIMERS
Dental policies and plans are insured and/or administered by Aetna Life Insurance Company (Aetna).
All trademarks and logos are the intellectual property of their respective owners.
External websites links are provided for your information and convenience only and do not imply or mean that Aetna endorses the content of such linked websites or third-party services. Aetna has no control over the content or materials contained therein. Aetna therefore makes no warranties or representations, express or implied, about such linked websites, the third parties they are owned and operated by, and the information and/or the suitability or quality of the products contained on them.
Estimated costs are not available in all markets or for all services. We provide an estimate for the amount you would owe for a particular service based on your plan at that very point in time. It is not a guarantee. Actual costs may differ from an estimate for various reasons including claims processing times for other services, providers joining or leaving our network or changes to your plan.
DISCOUNT OFFERS ARE NOT INSURANCE. They are not benefits under your insurance plan. You get access to discounts off the regular charge on products and services offered by third party vendors and providers. Aetna makes no payment to the third parties — you are responsible for the full cost. Check any insurance plan benefits you have before using these discount offers, as those benefits may give you lower costs than these discounts.
Discount vendors and providers are not agents of Aetna and are solely responsible for the products and services they provide. Discount offers are not guaranteed and may be ended at any time. Aetna may get a fee when you buy these discounted products and services.
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