Aetna Dental — Dental Coverage Guide
Aetna offers PPO, DMO (HMO-style), and Dental Discount programs. PPO plans have broader networks; DMOs require you to pick an in-network primary dentist.
Preventive
100%
Cleanings, exams, X-rays
Basic
80%
Fillings, extractions
Major
50%
Crowns, implants, root canals
Orthodontic
50%
Lifetime max $1,500
Annual maximum: $1,500
Deductible: $50/year
Waiting periods: None for preventive; 6 months for basic; 12 months for major
Network: In-network dentists agree to contracted rates. Out-of-network dentists cost more out-of-pocket.
Aetna Dental coverage by procedure
Estimates use the national median cost for each procedure. Actual coverage depends on your specific plan tier and remaining annual max.
| Procedure | Nat'l median | Plan pays | You pay |
|---|---|---|---|
| Dental Exam | $65 | $15 | $50 |
| Dental Cleaning | $105 | $55 | $50 |
| Dental Crown | $1,150 | $525 | $625 |
| Root Canal (Molar) | $1,050 | $790 | $260 |
| Tooth Filling | $210 | $55 | $155 |
| Tooth Extraction | $350 | $230 | $120 |
| Dental Implant | $2,400 | $1,150 | $1,250 |
| Dental Veneer | $1,200 | $0 | $1,200 |
| Teeth Whitening | $500 | $0 | $500 |
| Full Dentures (Upper) | $1,800 | $850 | $950 |
| Partial Denture | $1,500 | $700 | $800 |
| Dental Bridge | $3,500 | $1,500 | $2,000 |
| Braces (Full Treatment) | $5,500 | $1,500 | $4,000 |
| Deep Cleaning | $275 | $88 | $187 |
| Dental X-Ray | $35 | $0 | $35 |
| Panoramic X-Ray | $130 | $80 | $50 |
| Wisdom Tooth Removal | $400 | $270 | $130 |
| Night Guard | $450 | $400 | $50 |
| Dental Bonding | $180 | $0 | $180 |
| Dental Sealant | $50 | $0 | $50 |
| Invisalign | $4,200 | $1,500 | $2,700 |