How does the Aetna DMO plan work?
“Choose a primary care dentist (PCD) who’s part of our network. Each covered family member can choose their own PCD.”
Questions & answers
I didn’t get an ID card. How will my dentist know I have coverage through Aetna Dental®?
“Aetna Dental members don’t need a member ID card to get dental care. When you go to or call the dentist, tell the office staff that you have Aetna Dental DMO. They’ll be able to check your coverage.”
I'm enrolled in more than one dental plan. How does coverage work with two plans?
“Your plan may have a coordination of benefits provision. If so, we confirm which plan has primary responsibility for paying claims. If we do, we pay as the primary payor. If not, we pay as the secondary payor.”
Do I need to choose a primary care dentist (PCD)?
“Yes. Every enrolled family member may choose their own primary care dentist. We encourage you to choose a primary dentist at the time of enrollment.”
How do I find a dentist?
“You can find a network dentist with our online directory. Log in to your member website first to get personalized results. Search for a dentist by name, specialty, ZIP code or the number of miles you are willing to travel.”
What can I do if I feel my dentist is overcharging me?
“Call Member Services at the number on your ID card. We’re here to help.”
How do I know which plan (medical or dental ) covers oral surgery?
“Coverage depends upon the procedures involved and how your dental plan is set up. We suggest you get a pre-treatment estimate (predetermination) for any oral surgery procedure. We'll let you know if your plan covers the care suggested. For more information, call the Member Services number on your ID card.”
Do I have to get treatment from an oral surgeon, or can my general dentist perform the services I need?
“It depends upon your plan. First, find out if your treatment will be covered under your medical or dental benefits or insurance plan. You or your dentist can send a request for a pre-treatment estimate (predetermination). We'll let you know if and how your plan covers the care suggested.”
How will my oral surgery service be reimbursed if my oral surgeon is in your dental and medical networks?
“You will be reimbursed under the plan in which the oral surgery procedures are considered covered services.”
Can I go to a participating dental specialist even if my procedures are going to be payable under my medical plan?
“It depends on your medical plan. Call Member Services at the number listed on your ID card.”
Are surgical extractions, such as removal of impacted teeth, considered dental or medical in nature ?
“Surgical dental extractions are considered dental in nature. They are typically covered under an Aetna dental plan. There are exceptions, however. To verify whether your dental or medical plan may cover surgical extractions, call Member Services.”
Company details
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- Entity ID
- urn:readyscan:entity:aetna-q26049
- Material fingerprint
- fnv1a64:801f60dcd889c6e7
- Entity revision
- fnv1a64:2915e9b7c2b5d933
- Published
- 2026-10-27
- Modified
- 2026-10-27
- Source summary
- Aetna: American managed health care company. Website: https://www.aetna.com/
- Evidence record
- urn:readyscan:corpus:evidence:aetna-q26049
- Wikidata item
- Wikidata Q26049
- Source revision
- 2540635158, modified 2026-09-05T20:00:46.000Z