Dental coverage, offered through Aetna, is designed to promote good dental health for you and your eligible dependents. You automatically receive dental coverage if you are enrolled in medical coverage.
As a represented employee, you are eligible for coverage on your date of hire. Review the Dental Expense Plan Summary Plan Description (SPD) for details.
If you are eligible for coverage under more than one dental plan — for example, if your spouse can cover you under his or her employer’s plan — it may not mean that you will receive more benefits. Most plans coordinate benefits, meaning your total benefit is limited to what you would receive under the plan with the highest coverage level. For more information on how coordination of benefits works, review the Dental Expense Plan SPD or contact the carrier.
Understanding Your Dental Plan Options
Depending on your home ZIP code, you may have the following dental plan options:
* You will see only the Traditional option on the Your Benefits Resources (YBR) website; the DMO option will not appear as a coverage option on the YBR website, even if you are currently enrolled. To enroll in the DMO option, you must first enroll in the Traditional option (if you are eligible) and then call Aetna to enroll in the DMO option (if available in your home ZIP code).
The options vary by:
If you need dental work costing over $200, you should determine, before treatment begins, what is covered and how much your dental plan option will pay. Please see “Predetermination of Benefits” in the Dental Expense Plan SPD, or contact the carrier.
Note: You will not receive an Aetna member ID card and you do not need one to receive care. However, if you would like to have a member ID card, you can print one out from the Aetna website.
To find a dentist in the DMO network:
Note: It is always a good idea to confirm with your dentist that he or she participates in your dental plan option before scheduling an appointment.
Changing Your Dental Plan Option
Once you are enrolled in the Traditional option, you may switch to the DMO (if it is available to you). You may switch back and forth between the Traditional option and DMO option at any time, but not more than once a month. To switch, call Aetna directly at:
If you call by the 15th of the month, your change will become effective on the 1st of the following month.
The cost of dental coverage is included in the cost of your medical coverage. For your specific costs, visit the YBR website.