How the DMO Option Works
If you decide to enroll in the DMO Option for the first time or add new dependents for coverage under this option, you must select a primary care dentist in order to receive care. Please Note: You can choose a different DMO dentist for yourself and each covered dependent. Changes to your primary care dentist must be made by the 15th of the month in order to be effective the first of the following month.
If you're interested in enrolling in the DMO, you should consult the participating provider directory. The directory lists the dentists who are members of the network. You can view an online provider directory by visiting the Benefits Web Center on My Health. Once enrolled, you can view an online provider directory by accessing www.aetna.com. You can also call Aetna at (800) 843-3661 if you need help finding a provider. You should check with the dentist before scheduling an appointment or receiving services to confirm that he or she is participating in the network.
- Preventive care is covered at 100%.
- Adult and child orthodontia is covered.
- There are no annual deductibles.
- There are no claim forms to file for in-network care. In limited circumstances, out-of-network care is permitted; you are responsible for filing a claim form to receive reimbursement for DMO out-of-network services.
- There are no lifetime limits on benefits (except orthodontia and sealants).
- You only receive benefits if you use a DMO dentist; however, you can change your DMO dentist during the year. Please Note: Requests to change your DMO dentist must be received by the 15th of the month in order to take effect the first of the next month.
- You and your dependents can each have different DMO dentists.
- You and your dependents will receive a DMO ID card following your enrollment.