Dental Direct Referral Dental The discussion, analysis, conclusions and positions reflected in the Clinical Policy Bulletins (CPBs), including any reference to a specific provider, product, process or service by name, trademark, manufacturer, constitute Aetna's opinion and are made without any intent to defame. 0000035971 00000 n It sets what they can charge for covered services. 779 0 obj <> endobj Stay up-to-date with rate andbilling changes, and ProviderOne system changes. The information you will be accessing is provided by another organization or vendor. 0000000016 00000 n P|!(}!h}qsPq!F#($FikLuJs?nSG^w;jp*B3&x!W x}k}l~'W)+~KZnsN1MVqy G8O,'"Gg Q Do you need a PA form? Log in to find a dentist who accepts your coverage. You can find a network dentist with our online directory. Since Clinical Policy Bulletins (CPBs) can be highly technical and are designed to be used by our professional staff in making clinical determinations in connection with coverage decisions, members should review these Bulletins with their providers so they may fully understand our policies. WebLike most group benefits programs, benefit programs offered by MetLife and its affiliates contain certain exclusions, exceptions, waiting periods, reductions of benefits, limitations endstream endobj 4799 0 obj <>stream The conclusion that a particular service or supply is medically necessary does not constitute a representation or warranty that this service or supply is covered (i.e., will be paid for by Aetna) for a particular member. Dental insurance WebJuly 1, 2022 to present Mobile anesthesia for dental services billing guide; Fee schedules. Find a dentist near However, applicable state mandates will take precedence with respect to fully insured plans and self-funded non-ERISA (e.g., government, school boards, church) plans. Who can enroll in the plan? 0000037280 00000 n Please see your plan documents. You may still elect to receive services from a non It is only a partial, general description of plan or program benefits and does not constitute a contract. [Company Name] Plan Benefits (For example, a change made on April 16 will take effect June 1.). Rates | MetLife State of Florida Employees | MetLife Hn@})R$R(8I1$o0Z?IT @m$,RRW$_yV?