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Aetna Dental
Aetna, Inc. (www.aetna.com) is a diversified health-care benefits
company that provides a variety of traditional and consumer directed
health care insurance products and related services. The company’s
products and services include medical, pharmacy, dental, behavioral
health, group life, long-term care, and disability plans, and medical
management capabilities. Founded in 1850, it is registered with
the NYSE and now employs more than 27,000 people. In 1996, Aetna
sold its property-casualty division to Travelers and also decided
to merge with U.S. Healthcare. The company subsequently changed
its name from Aetna Life & Casualty to Aetna Inc. Aetna had
earned an excellent 100% score on the Human Rights Campaign Corporate
Equality Index in 2002, and retained this rating in 2003 and 2004
as well.
Aetna covers health care, dental, pharmacy, group life, disability,
and long-term care insurance and employee benefits. Aetna’s
revenue, operating income and net income were $22.491 billion, $2.670
billion and $1.634 billion respectively in 2005. The company can
boast of about 15.4 million medical members, 13.3 million dental
members, 10.1 million pharmacy members and 13.0 million group insurance
members. It has a nationwide network of over 735,000 health care
professionals, including more than 437,000 primary care and specialist
doctors and 4,373 hospitals. Aetna benefits can be had through employers
in all 50 states, with products and services designed specifically
for small, mid-sized and large multi-site national employers. Aetna
also serves individuals and Medicare beneficiaries in certain markets.
Aetna’s dental plans cater to the needs of millions of customers
with a wide range of products and plans. The range of products is
different in different states, but in most states there are plans
available which allow customers to see any licensed dentist, regardless
of whether or they belong to a provider list or not.
Some plans, the Dental Maintenance Organization (DMO®) being
one of them, are designed to maximize benefits and services available
to the customer and require him/her to choose a primary care dentist
from Aetna’s provider list. Armed with such a freedom of choice
with PPO plan, a customer is able to switch between a DMO plan,
where they see only a primary care dentist, to a PPO, where the
customer can choose any dentist from their provider list in the
event of a special need. Another primary Aetna dental product is
their Dental Access product. Aetna Dental Access® is a discount
or reduced-fee dental program designed for consumers who are keen
on maintaining their oral health and minimizing their dental care
expenses.
Aetna offers a number of products only through an employer. However,
Aetna offers one particular product directly to individuals and
families, which is called Vital Savings. Vital savings is not an
insurance plan; it is more like a discount card allowing the customer
to receive discounted rates on services and prescriptions. Since
it is not an insurance plan, it carries fewer membership conditions,
such as pre-existing condition exclusions or referrals to see specialists.
With the Aetna Advantage Dental Plan, you have to pay office visit
co-pay when you visit your participating primary care dentist for
most preventative and diagnostic services. You get other services
such as crowns, root canals and orthodontics at a reduced cost.
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