This schedule is only to be used as a guide to
determine approximate prices for dental services in the geographic area
noted. The fee schedule amount reflects average fee information currently
available on our systems. Individual dentist fee schedules may differ.
Aetna makes no guarantee as to the accuracy of any particular fee amount.
In order to determine the specific rates for a dental provider, you should
contact the dental provider directly.
Please review the plans
disclosure information before
purchasing this dental plan. These dental plans are offered, underwritten or
administered by: Aetna Health Inc., Aetna Health of California Inc., Aetna
Health of the Carolinas Inc., Aetna Health of Illinois Inc., Aetna Health
Insurance Company of New York, Corporate Health Insurance Company, Aetna
Life Insurance Company, Aetna Dental Inc., and/or Aetna Dental of California
Inc. There are no benefits payable to you, nor does Aetna compensate
dentists for services they may render to you. Aetna is not an insurer,
guarantor or underwriter of any services provided under the program or of
any payments to you.
The Vital Savings by Aetna program provides you access to a network of
participating dentists called “Aetna Dental Access.” This network of
dentists is comprised of dentists who are independent practicing dentists.
The availability of any particular provider cannot be guaranteed, and
provider network composition is subject to change. Notice of the change
shall be provided in accordance with applicable state law. Aetna does not
provide medical or dental care/treatment and is not responsible for
outcomes. All dental care is the responsibility of the treating dentist, in
consultation with you. Selection of a dentist is also the responsibility of
you and is not based on any representations by Aetna.
Dentists participating in the program network have agreed to make certain
dental services and supplies available to you on a “discounted service”
basis. The term “discounted service” means a dental service that is
available to you at a reduced cost from fees normally charged by the dental
provider and for which you are solely financially responsible. All payments
to dental providers are due and payable at the time of service, unless
another payment arrangement is mutually agreed upon between you and the
treating dental provider. You shall be subject to the treating dental
provider’s late payment and other office policies.
THE PROGRAM IS NOT AN INSURANCE PLAN. There
are no benefits payable to you, nor does Aetna
compensate dentists for services they may render to
you.
Aetna is not an insurer, guarantor or underwriter of any
services provided under the program or of any payments
to you. You arrange for needed dental care directly with
the network dentist. Payment for dental care is also
arranged between you and the network dentist. You are
responsible for paying the discounted fee directly to the
provider at the time you receive services.
Aetna shall in no
event be liable for any payment to a provider accessed
under the program or for the refusal of a provider to
accept the discounted service rates.
In order to access discounted services, you must present
your ID card to the network dentist’s office at the time of
the appointment. Your participation in the program may
be terminated immediately in the event that you provide
access to your ID card (or otherwise provides unauthorized
access to the program) to any ineligible individual.
Colorado residents have the right to cancel membership in
the Vital Savings program within 30 days of participation.
All paid membership fees paid for participation in this
discount plan will be refunded to you. To cancel
membership, please contact your employer’s benefits
office.
Aetna may, from time to time, and in its sole discretion,
provide you with access to additional programs free of
charge, that offer access to non-dental services at
discounted or special rates. Any such programs are offered
by independently contracted vendors/providers who are
not employees or agents of Aetna or its affiliates.
Aetna
does not endorse any such products or services and the
vendors/providers of such products/services are solely
responsible for the products/services they provide.
Vendors/providers included in such programs are not
reviewed or credentialed by Aetna.
The Vital Savings by Aetna program is not
insurance and is offered by Aetna Life Insurance Company. The program may not now, or in the
future, be available in all states and Aetna reserves the
right to terminate the program in its entirety or in any state(s) or other geographic location(s) without prior
notice
to you.
Vital Savings by Aetna
the
program you selected is the Aetna Dental Access Plan.
