Overview
Dental benefits are provided through the Aetna Dental Select PPO plan.
Eligibility
SelectTime employees. Seasonal employees are included in a 12-month measurement period to determine health care benefit eligibility.
How it works
How to enroll
Learn how and when to enroll in your benefits.
How to get started
The plan covers a comprehensive range of dental treatments, including 100% of preventive care,* 80% of in-network basic-level dental services, and 50% of in-network major and orthodontic care services.
* Out-of-network services are subject to reasonable and customary charges.
Summary of Benefits
| Plan Feature | Aetna Dental Select PPO In-Network |
Aetna Dental Select PPO Out-of-Network** |
|---|---|---|
| Plan-Year Deductible (August 1–July 31) |
$50 individual $150 family |
$100 individual |
|
Plan-Year Maximum |
$1,500 | $1,000 |
| Preventive Care | Plan pays 100%, no deductible | Plan pays 100%, no deductible |
| Basic Care | Plan pays 80% after deductible | Plan pays 70% after deductible |
| Major Care | Plan pays 50% after deductible | Plan pays 40% after deductible |
| Orthodontic Care | Plan pays 50%, no deductible | Plan pays 40%, no deductible |
| Orthodontic Lifetime Maximum | $1,500 | $1,000 |
** Out-of-network plan payments are based on the 90th percentile of prevailing charges for the geographic area.
ID cards
Aetna does not issue dental ID cards. You can print an ID card by logging onto the Aetna website. Your provider will verify your eligibility directly with Aetna.
Paycheck deductions
| Coverage Level | Per-Paycheck Cost |
|---|---|
| Employee Only | $8.88 |
| Employee + Spouse/Domestic Partner | $22.89 |
| Employee + Children | $18.22 |
| Employee + Family | $27.56 |
Common questions
How do I find a dental provider?
How do I enroll?
How do I file claims? To access dental claim forms, visit Aetna's website. You will need to log in to access the forms.
Resources
My Benefits
800-381-8881
Visit website
Where to get help
Aetna PPO Dental Plan
Plan/Group Number: 620236
1-888-696-5791
Visit website