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Individual Aetna Dental PPO Plans
Get the Aetna Dental Application Form for Delaware
Get the Aetna Dental Application Form for Delaware
Aetna Individual Advantage
Dental PPO Plus Plan
Aetna Individual Advantage
Dental PPO Plan

Delaware Zip Codes

Ages

Single

Two People*

Family*

Single

Two People*

Family*

19701 - 19899

Less than 50

$31.49

$64.10

$106.91

$26.30

$53.67

$89.63

50 and over

$41.52

$78.90

$119.53

$35.31

$67.09

$101.16

19901 - 19999

Less than 50

$32.28

$65.74

$109.59

$26.92

$54.96

$91.73

50 and over

$42.65

$81.03

$122.63

$36.23

$68.84

$103.65

*Two People and Family contracts are rated based on the age of the oldest spouse.
Aetna Advantage Plans for individuals, families and the self-employed are underwritten by
Aetna Life Insurance Company (Aetna) directly and/or through an out of state blanket trust.
In some states, individuals may qualify as a business group of one and may be eligible for
guaranteed issue, small group health plans.
Dental Plan Benefits Below

Dental services covered and amount paid by plan - In-Network Coverage*

Print Application Form

Aetna PPO Plus pays
Get the Aetna Dental Application Form for Delaware

Aetna PPO pays
Get the Aetna Dental Application Form for Delaware

Diagnostic and preventive

100% not subject to deductible

80% not subject to deductible

Periodontal maintenance cleanings

80%

50%

Denture repair, rebase and relining

80%

50%

Basic restorative (fillings)

50%

50%

Oral surgery

50%

50%

Endodontics (root canals)

50%

50%

Additional coverage

 

 

Periodontics

50%

50%

Crown and cast restorations

50%

50%

Prosthodontics (dentures)

50%

50%

Temporomandibular joint (TMJ) dysfunction

Not covered

Not covered

Dental accident

N/C

N/C

Lifetime maximum - dental accident

N/A

N/A

Deductibles and maximums per member enrolled

 

 

Deductible (calendar year)

$50

$100

Maximum benefi t (calendar year)

$1,200

$1,000

Waiting period

 

 

Basic

6 months

6 months

Major

18 months

18 months

 * Nonpreferred (Out-of-Network) Coverage is limited to a maximum of the Plan's payment, which is based on the contracted maximum fee for participating providers in the particular geographic area. Above list of covered services is representative. Not all services are covered. See plan documents for a full list of exclusions and limitations.

Aetna Advantage Plans for individuals, families and the self-employed are underwritten by Aetna Life Insurance Company ( Aetna ) directly and/or through an out of state blanket trust. In some states, individuals may qualify as a business group of one and may be eligible for guaranteed issue, small group health plans.

     
     
     
 
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