Aetna sells Medicare Advantage (Part C) plans. Most Aetna Medicare Advantage plans include Aetna Medicare dental coverage.
Dentists recommend routine checkups and cleanings every 6 months so you can monitor and maintain your dental health. Aetna Medicare dental coverage, including regular checkups, is part of most Aetna Medicare Advantage plans.
Medicare Advantage plans may offer dental coverage along with vision and hearing services. These policies also provide basic medical and prescription drug coverage.
Aetna Medicare dental benefits depend on the plan. Most provide preventive dental care at little or no cost.
If you visit an in-network dentist, they will bill Aetna directly. When you access out-of-network care, you will pay upfront and submit a claim with reimbursement up to your plan’s yearly allowance for dental services.
Aetna Medicare dental coverage may include:
Along with these benefits, Aetna Medicare dental coverage is the same as Original Medicare (parts A and B), which includes dental services provided in a hospital, such as after a facial injury or due to oral cancer.
Aetna Medicare dental coverage varies depending on your plan, so read your plan’s evidence of coverage to find out exactly what dental services they offer and check the copays for these services.
If your policy doesn’t include dental coverage, you can add an optional supplemental benefit to get it.
Your costs for a Medicare Advantage plan vary based on your ZIP code and the individual plan you choose.
Here are examples of the costs for Aetna Medicare Advantage plans, including dental, in several cities.
| City | Plan name | Monthly premium | Out-of-pocket maximum |
|---|---|---|---|
| Richmond City, VA | Aetna Medicare Select Plan (HMO) | $0 | $6,400 in network |
| Richmond City, VA | Aetna Medicare SmartFit (HMO-POS) | $0 | $2,900 in network |
| Indianapolis, IN | Aetna Medicare Premier (HMO-POS) | $0 | $3,900 in network |
| Indianapolis, IN | Aetna Medicare Value (PPO) | $0 | • $8,500 in and out of network • $4,950 in network |
| Austin, TX | Aetna Medicare Premier Plan (HMO) | $0 | $3,850 in network |
| Austin, TX | Aetna Medicare Eagle II (PPO) | $0 | • $8,950 in and out of network • $5,000 in network |
| Boise, ID | Aetna Medicare Elite Plan (HMO) | $0 | $5,200 in network |
| Boise, ID | Aetna Medicare Choice Plan (PPO) | $0 | • $8,950 in and out of network • $5,500 in network |
To enroll in an Aetna Medicare Advantage plan, you need your Original Medicare number. You can sign up for Original Medicare during your initial enrollment period, which starts 3 months before your 65th birthday.
You may also be eligible for Medicare if you’re a younger adult with a chronic illness or a permanent disability. Original Medicare enrollment goes through Social Security. You can enroll in Original Medicare parts A and B by filling out a form online or visiting the nearest Social Security office.
Once you have your Original Medicare number, you can enroll in an Aetna Medicare Advantage plan. Plan availability changes by state.
To see which plans are available in your area, visit the Medicare plan finder tool and enter your ZIP code. Read more about each plan to find out what dental services they offer and to check yearly allowances, copays, and monthly premiums.
When you’re ready to enroll, fill out an application form online to join an Aetna Medicare Advantage plan. You can also register by phone at 855-335-1407, weekdays between 8:00 a.m. and 8:00 p.m. local time.
Original Medicare (parts A and B) does not cover routine dental care like oral exams and dental cleanings. Medicare Part A will offer benefits to cover specific dental procedures.
If you need dental care due to an injury or illness, Original Medicare may pay for it. They may also cover treatment for oral cancer or surgery to reconstruct a fractured jaw after an accident.
Aetna Medicare dental coverage is part of most Aetna Medicare Advantage plans. They include routine dental exams and cleanings every 6 months. Coverage options may vary between policies, so read the plan’s evidence of coverage before enrolling in a new plan.
Most Aetna Medicare Advantage plans include dental coverage. You can add an optional supplemental benefit if you need additional dental services. These additional policies offer primary preventive dental care or comprehensive services, such as orthodontics or dentures.
You can tack on these other benefits to your Advantage plan premium and pay for everything in one convenient bill.
Aetna offers dental plans as part of its Medicare Advantage plans. These plans usually cover both preventive and restorative dental care. If you qualify for Medicare Advantage, you qualify for dental coverage if they offer it.
The information on this website may assist you in making personal decisions about insurance, but it is not intended to provide advice regarding the purchase or use of any insurance or insurance products. Healthline Media does not transact the business of insurance in any manner and is not licensed as an insurance company or producer in any U.S. jurisdiction. Healthline Media does not recommend or endorse any third parties that may transact the business of insurance.
Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical journals and associations. We only use quality, credible sources to ensure content accuracy and integrity. You can learn more about how we ensure our content is accurate and current by reading our editorial policy.