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City of Virginia Beach and Virginia Beach City Public Schools 0 Before you provide certain services, you will need to submit authorization request forms. hbbd```b`` Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept". WebYour primary care dentist will provide all of your routine dental care and any copayment or discounted charges will be paid at the time of service If you need a specialty dentist, you may receive a 25 percent discount by using one of the participating specialty dentists from 0000001836 00000 n We encourage you to select a primary dentist at the time of enrollment. Aetna Inc. and itsaffiliated companies are not responsible or liable for the content, accuracy, or privacy practices of linked sites, or for products or services described on these sites. TmEg=boq1c8-,4%n (x@q U?eVzfK@X^=|?UOeq}:C |zYlK$"91q''o%$D?('N.. HMo0?v:JzXc/Y~ 4$8#27t9hkG~NMf]n+tAk Wh._AkJ~Mm1.O]f.ixk% (ABT iE%Jz,3X6#N]W_Q.v(>2(0CH*vy!f( Yes. You may still elect to receive services from a non DMO plans require a surgical periodontal history. The responsibility for the content of Aetna Precertification Code Search Tool is with Aetna and no endorsement by the AMA is intended or should be implied. Treating providers are solely responsible for medical advice and treatment of members. Periodontal maintenance is for patients whove previously had periodontal treatment. If you need more information, contact Member Services. The secondary plan acts like a supplement to the primary plan. Members should discuss any matters related to their coverage or condition with their treating provider. Aetna expressly reserves the right to revise these conclusions as clinical information changes, and welcomes further relevant information including correction of any factual error. 4828 0 obj <>stream Please note also that Clinical Policy Bulletins (CPBs) are regularly updated and are therefore subject to change. This page contains billing guides, fee schedules, and additional billing materials to help you submit: Coronavirus (COVID-19) information. Fax the request to: 866-668-1214. Enter the street name or intersection instead of address numbers (24th and Broadway instead of 2432 Broadway). hbba`b``30 Ga WebOral surgery. Our clients of insurance companies, third-party administrators and various groups lease the DenteMax PPO network for use in their dental benefit plans in order to service their more than 20 million members nationwide. Verify the spelling of the street name or city. %PDF-1.7 % 'u s1 ^ Visit our Document submission cover sheets page to find the barcode cover sheets required with additional documentation. hb```, cb.0800(_^Xf5VtUm]81JRtsFGIGcSPaf@Z F y'f??XtO?T)c10 i pg*00Ok D & endstream endobj 4793 0 obj <>/Metadata 104 0 R/Names 4814 0 R/Pages 4786 0 R/Perms/Filter<>/PubSec<>>>/Reference[<>/Type/SigRef>>]/SubFilter/adbe.pkcs7.detached/Type/Sig>>>>/StructTreeRoot 113 0 R/Type/Catalog>> endobj 4794 0 obj <>stream Aetna makes no representations and accepts no liability with respect to the content of any external information cited or relied upon in the Clinical Policy Bulletins (CPBs).
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metlife dental fee schedule 2020 for providers