Medicare Blog

how to claim dental benefits aetna medicare

by Mr. Heber Hodkiewicz Published 2 years ago Updated 1 year ago
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Claim Form for Dental Treatment Reimbursements For the quickest way of submitting your claim, log into Health Hub at www.aetnainternational.com and submit your claim online. How to complete this form

Full Answer

Where do I Send my Aetna claim?

We may ask you to submit clinical records before we pay a claim if the claim includes:

  • A code appended with Modifier 22 (unusual procedural service). For example, we may request an operative report for surgical procedures or office notes for non• surgical procedures.
  • An "unlisted code" as defined in the Index of CPT Codes under "unlisted services and procedures."
  • A code from our list of non-specific codes.

What are the benefits of Aetna Insurance?

• 60% of base monthly earnings, as defined by Aetna, to a maximum benefit of $5,000 per month • 180-day elimination period • 6-month waiting period before you’re eligible for this benefit, based on start work date San Francisco Superior Court: Superior Court Reporters Superior Court Local 1021 Superior Court Unrepresented Clerical Workers

Is Aetna a commercial insurance?

aetna inc. ( / ˈɛtnə /) is an american managed health care company that sells traditional and consumer directed health care insurance and related services, such as medical, pharmaceutical, dental, behavioral health, long-term care, and disability plans, primarily through employer-paid (fully or partly) insurance and benefit programs, and through …

How to find Aetna Medicare providers?

  • Your plan may pay less toward your care. ...
  • The fees for health services may be higher. ...
  • Any amount you pay might not contribute to your plan deductible, if you have one.
  • You may need preauthorization for any services you receive in order for any coverage to apply.

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Electronic solutions for easy claim submission

Want to get paid faster? Submit your claims electronically! You should:

Explanation of Benefits (EOB)

EOBs have detailed claim payment information. Our sample EOB and key make them easy to understand.

Policies that affect payments

We recommend pretreatment estimates for some services. They explain how much we will pay based on a member's benefits.

What dental services are covered by Aetna?

What dental services may be covered by an Aetna Medicare plan? If you enroll in an Aetna Medicare Advantage plan that includes dental coverage, some of the services that may be covered include: Teeth cleaning, scaling and polishing. Office visits for oral examinations. Non-surgical extractions. Fillings.

How to contact Medicare 2021?

If you'd like to speak with an agent right away, we're standing by for that as well. Give us a call! 1-877-890-1409 TTY 711, 24/7 LICENSED AGENTS AVAILABLE NOW.

What is EOC dental?

Check your plan’s Explanation of Coverage (EOC) to see exactly what dental coverage benefits may be offered by your plan. If your Aetna Medicare Advantage plan offers dental benefits, the costs for your covered dental services may be included in the plan’s premium or as an Optional Supplemental Benefit, which means you would need ...

Does Aetna Medicare cover dental?

Medicare Part A will pay for certain dental services when you’re in the hospital. It doesn’t cover routine dental care. Aetna Medicare Advantage plans offer the same coverage as Original Medicare, and some plans may offer additional benefits that cover routine dental ...

Verify benefits eligibility information electronically

Electronic eligibility and benefits information is available at any time, for all our dental plans.

What do I need to submit an inquiry?

The information you’ll need depends on the method you use to submit an inquiry.

What if I get an error response?

Your message will explain the cause of the error. Depending on the error, you may have to re-enter your data or contact your vendor for help.

Does Medicare cover dental insurance?

Does original Medicare provide dental coverage? Original Medicare does not provide coverage for routine dental care like oral exams and dental cleanings. Medicare Part A will offer benefits to cover specific dental procedures. If you need dental care due to an injury or illness, original Medicare may pay for it.

Does Aetna cover dental services?

dentures or partials. Along with these benefits, Aetna Medicare dental coverage is the same as original Medicare, which includes dental services provided in a hospital, such as after a facial injury or due to oral cancer.

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