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Aetna Advantage plans provide dental benefits through either the Aetna network or direct member reimbursement (DMR). This online tool can help a person find providers that accept their Advantage plan.
Aetna Inc. (/ ˈ ɛ t n ə / ET-nə) is an American managed health care company that sells traditional and consumer directed health care insurance and related services, such as medical, pharmaceutical, dental, behavioral health, long-term care, and disability plans, primarily through employer-paid (fully or partly) insurance and benefit programs, and through Medicare.
A survey issued in 2009 by America's Health Insurance Plans found that patients going to out-of-network providers are sometimes charged extremely high fees. [117] [118] Network-based plans may be either closed or open. With a closed network, enrollees' expenses are generally only covered when they go to network providers.
As of July 2012, the company was one of the largest providers of dental services in the Dallas-Fort Worth area and has about 60,000 Medicaid patients. [4] As of September 2012, the company has about 20 clinics in the State of Texas. [8] In August 2013, South Texas Dental bought the company. [9]
Examples included litigation between Aetna and a group of surgical centers over an out-of-network overbilling scheme and kickbacks for referrals, where Aetna was ultimately awarded $37 million. [25] While Aetna has led the initiative, other health insurance companies have engaged in similar efforts.
American Society for Dental Aesthetics; American Society of Dental Anesthesiologists; American Society of Forensic Odontology; American Society for Geriatric Dentistry; American Student Dental Association; American Veterinary Dental Society; Arizona State University Pre-Dental Organization; Association of Managed Care Providers; Certified ...
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