The Power of ChoiceDental Maintenance Organization (DMO®)Affordable, easy-to-use dental benefits

UNITEDAIR-0020 DENTAL BRO. 4PGS 4C PROCESS + PMS 306CP 5.5W X 8.5”H V2

Quality health plans & benefitsHealthier livingFinancial well-beingIntelligent solutions

This material is for information only and is not an offer or invitation to contract. An application must be completed to obtain coverage. Rates and benefits vary by location. Not all services are covered. See plan documents for a complete description of benefits, exclusions, limitations and conditions of coverage. Plan features and availability may vary by location and/or group size and are subject to change. Providers are independent contractors and are not agents of Aetna. Provider participation may change without notice. Aetna does not provide care or guarantee access to health services. Information is believed to be accurate as of the production date; however, it is subject to change. For more information about Aetna plans, refer to www.aetna.com.

CCG UNITEDAIR-0020 (9/15) ©2015 Aetna Inc.

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Online extrasWhen you’re an Aetna member, you get tools and resources to help you manage your dental health and benefits.

Aetna offers you:

Your plan information and cost-savings tools on your secure member website at www.aetna.com/united

Articles and information about dental conditions and treatments as well as the latest dental news at www.simplestepsdental.com

The most popular online features at your fingertips with the Aetna Mobile app at www.aetna.com/mobile

The DMO Plan features• Lower premiums

• Orthodontia coverage for children and adults

• No plan maximums

How the DMO Plan works• Choose a primary care dentist (PCD) to provide

your dental care

• Receive referrals from your PCD for specialty care

• No deductible

• No annual maximum

• No lifetime maximums

• No claim forms to file

Is your dentist in the network?Find Aetna DMO PCDs in your area at www.aetna.com/united.

With over 90,500 DMO locations,* your dentist might already be in the network.

*Aetna provider data. November 2014.

Benefits at a glanceThe chart below highlights the Aetna DMO Plan.

Aetna DMO

Annual deductible

Employee onlyNone

Family

Annual maximum benefit Unlimited

Lifetime maximum benefit Unlimited

What you pay for covered services

Preventive 0%

Basic restorative 20%

Major restorative 40%

Orthodontics

Child and Adult 40%

Lifetime maximum benefit Unlimited

Aetna is the brand name for products and services provided by one or more of the Aetna group of subsidiary companies (Aetna). Dental benefits and dental insurance plans are underwritten by Aetna Dental Inc., Aetna Dental of California Inc., Aetna Health Inc. and/or Aetna Life Insurance Company. In Texas by Aetna Dental Inc. and in Virginia, the DMO plan is known as the Dental Network Only plan (DNO). DNO in Virginia is not an HMO. To receive maximum benefits, members must choose a participating primary care dentist to coordinate their care with network providers. Each insurer has sole responsibility for its products.