aetna dental ppo fee schedule 2021 pdf

0"I1B8`qCi"8L[,Y.pd{m7(=6 endstream endobj 48 0 obj <>stream %PDF-1.6 % # 2y0Qb4G,g = ]{tFeI5p[;Q?GFz%mLIhm~RM9=C0O9WJ]-It&h[-X~%SF}Ae@G@gOC##WN3YI 5*&GA7+1LZBI5c,GHIs@re@\hRbK2y<4O2J!.8~?7*a_ N#p&RKK!y+D_EO(>&$: tZYtMKOS39. To receive maximum benefits, members must choose a participating primary care dentist to coordinate their care with in-network providers. PDF PPO Dental Schedule of benefits - infineum.com {|eNFbb^\5{y;L.OL#96w%_\-i^.J@~-f//~_QKb{an~+Y|Nvyl3f?f?.(_~g,r6pYd{N |err^Y4]K5Pu1`P]YB~BkFF4yhahn`P g{?M_I?vH'}2lx|+_JO?5X=SXoXQ=a{/Z ;}Nt/hCh^Y]}A|8|w!BI? PDF Dental Benefits Summary Active PPO - Aetna For details on eligibility and more information on FEDVIP, please visit Working with you to help your patients. Treating patients As a participating dentist, you'll be able to see all Aetna Dental Medicare Advantage members, with Aetna Dental works with ClaimConnectTM offered by EDI Health Group (EHG) to provide easy access to check patient eligibility, file a claim, check claim status, view patient rosters and Electronic Remittance Advice. You are now leaving the Aetna Dental Web site and linking to ClaimConnect*. 1-800-554-2042. PDF Schedule of benefits Preferred provider organization (PPO) dental Your choice of any licensed dentist, in or out of network, worldwide, including virtual providers, Orthodontia coverage for all ages, including at-home products, Discounts on services like gym memberships, massages, weight-loss programs and more, Unlimited annual benefit maximum for members in network, Your choice of any licensed dentist, anywhere, Discounts on gym memberships, massages, weight-loss programs and more are included in your plan. Visit AetnaFeds.com/dental to learn more and connect live. Paper brochures can be ordered by mail here. You can find more information in the infosheet (PDF, 245 KB). bw34 ha NC0epwa`=@z 4d3Hcl=m Q!I&d_0^o %I3``$3 I %Nb8!HaM0d`eI*|89(c`8A 49p6Gx:8j$t5$)Z44@z*7t.0u>D' Under the current circumstances, there are many factors that affect your journey. Healthier smiles happen together. endstream endobj startxref Providers are independent contractors and are not agents of Aetna. Find out how you go about applying to study at LMU Munich as an international degree student. Tw'JoRKBy/uV Q/MP-B 4J]P:tq=S*I~ 6B9&Em`r Y4% )N_Nt;%(D6*6*\gF6%0uHzuxNSdq [d"Hn@A8(B_;ynNIkh68@v1GW* -l&-v 7hn=i o@zUf wm m2%zm*jzzW)i:(#QRYAz*;*Pk'MyfP 5_S3+e!Vc*mI:!~73f.!`s$H[/Hn=_;=imOvr[E~*oK,4f_~W5=IV'\[>:LZF+2C`Xj1o? The address for our administrative office is: Aetna Dental Federal Plans PO Box 550 Blue Bell, PA 19422-0550 1-800-537-9384 www.aetnafeds.com This brochure is the official statement of benefits. n2$o d Aetna does not provide care or guarantee access to health services. | Aetna Inc. and its subsidiary companies are not responsible or liable for the content, accuracy, or privacy practices of linked sites, or for products or services described on these sites. Links to ClaimConnect and its content are provided for your convenience. Dw`aG A1(Ch7a-z1~)< g ox1$eC"@LsG`1S^GLszXr=#P6wc kvg "JQ So, please first find out where you need to apply! 2022 A Nationwide Dental PPO Plan IMPORTANT Rates: Back Cover Changes for 2022: Page 4 Summary of Benefits: Page 43 Who may enroll in this plan: All Federal employees, annuitants, and . Aetna Inc. and its subsidiary companies assume no responsibility for any circumstances arising out of the use, misuse, interpretation or application of any information or other material provided by EDI Health Group (EHG). Let us help you get smart about your retirement plan options. y_(G'h,:d"ueII^ QI|( Watch videos, read articles and more , Looking for more specifics about health plans available in your area? hb```"qrAX#X\2Ogbj2yqzG4p&&`^dkh`h " :$::%:\mfb.s230+_rb `)Y`!@ _, cbs6jQx pk)1.&ag @a|bs@IuR!CCh1NaeS&Uqmj the Aetna PPO network. In some cases, you will also need to submit an officially certified translation. PDF Emergency Numbers This material is for information purposes only. Benefeds.com. hbbd``b`2@i%y $xWnq % W ,F@f;Hl/9 A)Z@"d * Fees displayed are based on contracted amounts negotiated for specified treatments. endstream endobj startxref endstream endobj 6656 0 obj <>/Metadata 212 0 R/Names<>/OpenAction 6657 0 R/Outlines 534 0 R/Pages 6646 0 R/StructTreeRoot 563 0 R/Type/Catalog/ViewerPreferences<>>> endobj 6657 0 obj <> endobj 6658 0 obj <>/MediaBox[0 0 612 792]/Parent 6647 0 R/Resources<>/Font<>/ProcSet[/PDF/Text/ImageC/ImageI]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 6659 0 obj <>stream More information available here: LMU data protection policy, data protection policy from YouTube / Google, 3 min g/]E*"e[NG|UeTD4Iyejcc /#Q3S For questions, please contact Sub-Unit 4 - Fees, Doctoral Students and other registered individuals . See FEDVIP brochure (PDF) for a complete description of benefits, exclusions, limitations and conditions of coverage. Dental Benefits Summary - Prince George's County, Maryland As part of your continuation of registration or re-registration, please transfer the fee due referencing the intended purpose (the deadline for the summer semester 2022 is: 31 March 2022, at the latest). hbbd``b`$U Hp 3@b.#n,#V? D No fees are charged to students attending other universities if according to a legal regulation or an agreement between the universities - they register as visiting students for the purpose of completing those parts of their degree program at LMU Munich that are offered here. Aetna Dental | Solutions and Resources for Dentists hbbd```b``>"9{9-d bs7H80H2D02HU20 {A 2021, through midnight EST December 13, 2021; You do not need to re-enroll each Open . Application for admission for international applicants (PDF, 586 KB) This Aetna Dental Preferred Provider Organization (PPO) benefits summary is provided by Aetna Life Insurance Company for some of the more frequently performed dental procedures. Basic and major restorative services are payable by the patient at 100% of the Delta Dental PPO Contract Fee Schedule for your region and specialty. You'll benefit from convenient tools, discounts, continuing education and other valuable resources. Read the most frequently asked questions about this plan. PDF Treating members with Aetna Dental Medicare Advantage dental plans This concerns already exmatriculated students only:If your fee account still shows a credit, you can ask for a repayment by completing this form for the repayment (null, -0 KB). %PDF-1.6 % A crown, bridge, or cast or processed restoration if a tooth was prepared for it before the person became a coveredperson; Root canal therapy if the pulp chamber for it was opened before the person became a covered person. Aetna Dental works with ClaimConnect TM offered by EDI Health Group (EHG) to provide easy access to check patient eligibility, file a claim, check claim status, view patient rosters and Electronic Remittance Advice. endstream endobj 1545 0 obj <. 6655 0 obj <> endobj (We regret that applications cannot currently be submitted by email. Schedule of benefits Preferred provider organization (PPO) dental expense insurance plan . *ClaimConnect is a registered trademeark of EHG (EDI Health Group, Inc.) and its subsidiaries. Some documents must be attached as officially certified copies (not original certificates). Dentist Resources - Delta Dental Mass Submission of an application does not guarantee participation. CN iGVWyZM> ;N( X07]U,&5E>h|f>l.]|p!c c0g@L/peBNn)`iNhD0KDiXqhHE_\9m9 I|*Y'1d`F!\*Ij@v1rJaQH;CV)Pc=g$czLSs65=/2f:A7_PlJMxzn}QN|C9y?}0 < Box 14283 Lexington, KY 40512-4283 Electronic payer IDs Under this plan, you may choose at the time of service either a PPO participating dentist or any nonparticipating dentist. This Aetna Dental Preferred Provider Organization (PPO) benefits summary is provided by Aetna Life Insurance Company for some of the more frequently performed dental procedures. You can also use any doctor outside Aetna's network. As of the winter semester 2013/14, no tuition fees are charged. In this context we would like to point out that the Bavarian student loans were discontinued as of the Winter Semester 2013/14. 9jEy(B@ITQ *EeUJTQ ZQjF-hZZQZe-G+JVh Zn~ h]vhF#hFchM=h/hD:-ry*};I%}I4B? The University both charges these fees for and then transfers them to the Studierendenwerk, in accordance with Art. Aetna Fee Schedule Lookup. n6{Ye5MQ_Z9}[F;PY' TD?M?WB$)U~(6qey*t9s* o/&W2qTZSUQEUp BFXY*WsVUIQd0:|EI#q1Mes"_Q q xH]O |aAa>|R8HHc'RK;y}{5Out/`hl.A1`]w|< 8Q>:i4.t~H{j[AOSt`/Q^vhp"O 9(/9AYqo .BO! 2021, through midnight EST December 13, 2021; You do not need to re-enroll each Open . | Just schedule a one-on-one appointment with one of our team . View upcoming webinars , Worldwide dental coverage and plans with no deductible. +-FjcP(FB@`~-S{$G&Y{5ytxPD$T80A3$xo6Q#65 :K9ufrx-7E_GLK 7Qm`^?YM}{-+]/*?YFMNuZe@'F}~WS>r J:^{V(f8 Sign up at BeneFeds.com or call 1-877-888-3337. Aetna Dental PPO Plan More reasons to smile Worldwide dental coverage and plans with no deductible New Hires have 60 days to choose benefits. %PDF-1.7 % Top 3 reasons to choose Aetna Dental Other languages Take a test run by using federal3 for the username and password. Please mail your request with the required documents to the following address: Ludwig-Maximilians-Universitt MnchenStudentenkanzlei, SG 4 Beitrge, Promotions- und GaststudierendeGeschwisterSchollPlatz 180539 Mnchen. As far as questions on still outstanding student loans are concerned, we continue to be available at the times stated below. %PDF-1.5 % Q8la-WrDmm9C ?^ Provider participation may change without notice. %%EOF Interrail: Discover Europe by train: 33 countries, 1 ticket, 40,000 European destinations to choose from. 1573 0 obj <>stream Travel conveniently throughout Germany with just one ticket from for just 49 euros per month. hb```l\@Y8L89`@7` g uRd7^yEd3n3PxVgq2s;lX A4`1/r r`F"X&;&1 t C`9D#ta ?$z+]>- -fheS. (Ls|I^HlM6g T{o.+ ?pE3? or visit Cigna for Health Care Professionals How To Search: Enter the Procedure Code and the Provider's Fee Schedule ID (FSID). @iPe*(KQ0TAIZ<4d* (HQr*SFy9(rE90(EcT0(AC!PsDli%Xce4R(f[>h _x'h\U'T-5t)lS`4 641!P>aIfDB/'w$l`1pubIY9WaY&D2KSl`}f0)H H xVn8yt5Hh]]!Ek`;CEIlKAUh!g gY 5@'4%IB bQ^Ji, | Discount programs provide access to discounted prices and are NOT insured benefits. In this context please also note the current information on the continuation of registration. Deutsch | H10$cV/ 5T Apply for Participation - Aetna Dental Not all dental services are covered. endstream endobj startxref More information about Google data transfer in LMU's Privacy Policy. Children up to the age of 14 travel free of charge. Application form Application for admission for international applicants (PDF, 443 KB). Start by selecting your state, followed by the method you wish to apply; selection (s) varies by state. ]+ i/w*+CoXe?Zy-n=7_oh\znfrDgY? Contracted physicians can access fee schedules online on our secure provider website. 517 0 obj <>stream UM^]%cJ#;%}y&y`?9/q _@of9:S*sa'Ez Students can view their current fee account balance via the online self-service functions and if necessary print a copy of the confirmation of fees paid. 6670 0 obj <>/Filter/FlateDecode/ID[]/Index[6655 34]/Info 6654 0 R/Length 89/Prev 440028/Root 6656 0 R/Size 6689/Type/XRef/W[1 3 1]>>stream 80539 Mnchen. * Payment is made to you for diagnostic and preventative services at 80% of your Delta Dental Premier contract fees. hbbd``b`@ $$ $+DlqX%@BAHU\@bB&F@#i fH4 2020 Aetna HDHP benefits (available nationwide) Key . %%EOF In order to request the retroactive exemption from tuition fees, please only use the respective, Request form for the retroactive exemption from tuition fees (PDF, 79 KB). Application form. 0 Polski | These links will help you find what you need, fast. | Up to five people travel on regional transport for a whole day within one federal state, from EUR 22. 44 0 obj <> endobj Group policy effective date: January 1, 2022 Plan name: PPO Dental Plan Plan effective date: January 1, 2022 Plan issue date: December 28, 2021 Underwritten by Aetna Life Insurance Company in the state of California. Aetna Inc. and its subsidiary companies do not endorse any of the products or services available through EHG. 1561 0 obj <>/Filter/FlateDecode/ID[<4EF0F5917FD2A34DA18EB7BE9499DFC0>]/Index[1544 30]/Info 1543 0 R/Length 87/Prev 572074/Root 1545 0 R/Size 1574/Type/XRef/W[1 2 1]>>stream If you want to study a subject for which you have to go through an aptitude assessment, you will be required to apply additionally in time via the respective institute. Aetna Dental Medicare Advantage members covered under a dental exclusive provider organization (EPO) or a preferred provider organization (PPO) plan are supported by the Aetna Dental PPO network. Log onto your secure member website at www.aetna.com. Effective Date: 01-01-2021 (a) a non-occupational disease; or (b) a non-occupational injury. Select the Claims & Payments menu and choose Remittance Viewer. 8sXY``$V@k7 Yq|:;.fwiLry6|&&Hwe@0P &n{ e`F W$g`VbL:@Zu\$fVY XJ N9uJ*4^f|DXn!GmWBp JaxX;OoX~9q | Students can view their current fee account balance via the online self-service functions and if necessary print a copy of the confirmation of fees paid.. hb```b``a`211 P9* This concerns already exmatriculated students only: If your fee account still shows a credit, you can ask for a repayment by completing this form for the repayment (null, -0 KB).. For questions, please contact Sub-Unit 4 - Fees, Doctoral . Office of the University Registrar Mr. Tyroller, Room E 112Monday - Wednesday 8:30 a.m. 11:00 a.m. A separate fee is charged for a number of special graduate and professional degrees and certificates; the amount varies according to the type of program offered. Germany. 15 Mar 2021 Please also note our information at: Visiting students. MKkuc\KV`1-v1M]Bt]'3=C3iB-7W\*OZHiN8k!jA^.wU='Z!6Qg[9Q!0*k18PuIS{P_{?c#0q 6688 0 obj <>stream 51 0 obj <>/Filter/FlateDecode/ID[<6DE8A9C8A0591F4EBA0B91D10B73D60E><18E5BE937467C34E81B0A9306F1F522F>]/Index[44 15]/Info 43 0 R/Length 57/Prev 87095/Root 45 0 R/Size 59/Type/XRef/W[1 2 1]>>stream 3516 0 obj <>/Filter/FlateDecode/ID[<9E2648067D4BC54A81250CF4442DA344>]/Index[3496 397]/Info 3495 0 R/Length 121/Prev 213153/Root 3497 0 R/Size 3893/Type/XRef/W[1 2 1]>>stream Language Assistance: The fee amount is determined by the statutes of the Studierendenwerk Mnchen Oberbayern (Munich Student Union). endstream endobj 3497 0 obj <>/Metadata 144 0 R/Names<>/Outlines 3535 0 R/PageLabels 3486 0 R/PageMode/UseOutlines/Pages 3489 0 R/StructTreeRoot 164 0 R/Type/Catalog/ViewerPreferences 3518 0 R>> endobj 3498 0 obj <>/MediaBox[0 0 612 792]/Parent 3490 0 R/Resources<>/Font<>/ProcSet[/PDF/Text/ImageC/ImageI]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 3499 0 obj <>stream PDF 2020 Aetna Federal Plans =%>=iR_bgbHG&_ 0"} }~ '%d7[U{{%e}[?M>#7Y\R S AL HSOB-PPODental 04 2 CA GE-04 . Get your work done in peace, sit comfortably and arrive more relaxed. No need to get a referral to see a specialist. Please submit your application by post. 7. Switch to German / Zur deutschen Sprachversion, In addition if you have studied at university before, In addition if you are applying to change your program or university, In addition if you are married or have changed your name, Application for admission for international applicants (PDF, 586 KB), Application information sheet for non-EU/EEA citizens (PDF, 161 KB), Application information sheet for EU/EEA citizens (PDF, 152 KB), Important dates and addresses (PDF, 77 KB), Help with filling out the form (PDF, 729 KB), FAQs - General questions on studying at LMU, FAQs - Application status and registration, Application for admission for international applicants (PDF, 443 KB), data protection policy from YouTube / Google, Health insurance regulations for international applicants, Visa regulations for international applicants, Residency regulations for international applicants, Information for refugees and asylum-seekers. Dental Maintenance Organization (DMO) Coverage FAQs | Aetna Fee Schedule: Fees displayed are sample, please call the :DP AtYourServiceTeam to access fees by dentist or region. According to Art. Under the Dental Preferred Provider Organization (PPO) plan, you may choose at the time of service either a PPO participating dentist or any nonparticipating dentist. No oral statement can modify or otherwise affect the benefits, limitations, and exclusions of this brochure. Ny+X& LI@R Dental Tools and Resources for Providers - Humana How to contact us for help We are here to answer your questions. If customs duties are incurred, we cannot accept the documents. Kreyl | We're committed to listening to you and making it easy to work with us. 0 Find your dentist now in Aetna's large nationwide network. The request for an exemption must be submitted, at the latest, one year after passing the final examination. For questions about Continuation of Registration please call Study Information Service: +49 89 2180-9000. We invite you to join the Aetna Dental preferred provider organization (PPO)* network, one of the largest dental PPO networks, with millions of members nationwide. Portugus | With the application checklist (PDF, 408 KB) you can make sure you have all the required documents. Travel safely and contactless with digital tickets in the app. If you click to view this video your personal data will be transmitted to YouTube and cookies may also be stored on your device. Legal notices Aetna is the brand name used for products and services provided by one or more of the Aetna group of subsidiary companies, including Aetna Life Insurance Company and its affiliates (Aetna). endstream endobj 49 0 obj <>stream Ting Vit | /uA"b0aM+*(;nh)Oo&j0TNU3'jX((MlIE SjAv\,yN_}^ez%)EJCDrCLt&tx~%ta2$$*n KX2Z(BBI,F%&{h.| {XC",EiWxR:Z HpMOM wpX})mQ> gREI[G]^'nY^L?Yr kvYk&c8D/njO? Cost Estimator & Fee Schedules - Health Care Professionals | Aetna

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