Xerox supports you by offering a choice of comprehensive dental coverage through Aetna to help you maintain a healthy smile. You have the flexibility to choose the best option for you.
Basic Plan* | Enhanced Plan* | DMO Plan (Available in some locations)** |
|
---|---|---|---|
In-network | |||
Annual Deductible | $75 per person (3 per family) | $50 per person (3 per family) | None |
Diagnostic/Preventive Care (Limited to 2 preventive visits per calendar year) | Plan pays 100%, no deductible | Plan pays 100%, no deductible | Plan pays 100% |
Basic Care | Plan pays 60% after deductible | Plan pays 80% after deductible | Plan pays 100% of negotiated fees after $5 copay |
Major Care | Plan pays 50% after deductible | Plan pays 50% after deductible | Plan pays 60% of negotiated fees after $5 copay |
Maximum Annual Benefit | $1,000 per person | $1,500 per person | None |
Orthodontia | Plan pays 50% (no deductible) for children only (must be “banded” before age 20) | Plan pays 50% (no deductible) for adults and children | Plan pays 100% after $2,400 copay for adults and children |
Maximum Lifetime Orthodontic Benefit | $1,000 per person | $1,500 per person | 24 months of treatment plus 24 months of retention |
*Out-of-network: Out-of-network services are based on reasonable and customary (R&C) charges.
**This plan only covers care received from providers in the DMO network. If you’re considering the DMO Plan option, be sure to check that your dentist is in the network before enrolling.
For cost and coverage details, visit BenefitsWeb.
Using a participating dentist in the plan network will ensure you receive the highest benefits from your plan. To find a provider, go to the Aetna website. If you enroll in the DMO Plan, you and each covered dependent will need to select a primary dentist from the DMO network (you may each select a different dentist).
You can review Explanation of Benefits (EOB) statements, check if claims have been paid, and more.
You’ll generally pay less when you use an in-network dentist. To find an in-network provider near you:
Visit the Aetna dental health site to discover tips for maintaining your optimal oral health and learn about the connection between oral health and overall well-being. You can also explore a wide range of dental care articles and gain insight into effective oral hygiene practices, preventive measures, and the latest advancements in dental treatments.