This valuable dental, vision and hearing insurance coverage can help you and your family smile bigger and brighter, protect healthy vision to see clearer and hear the world just that much better. When you choose our insurance coverage, you have our unwavering commitment to be there when you need us most.
With our dental, vision and hearing insurance plans, you have the freedom to choose any provider and still enjoy your benefits. By selecting an in-network provider, you will enjoy the greatest savings.
Selecting an in-network provider for your dental, vision and hearing care has many advantages. The providers who participate in our network have agreed to offer services at a negotiated rate, which means you'll pay a discounted rate at the time of service. The examples below illustrate the savings of an in-network dentist for dental treatment.
Joanne has had her policy for 13 months and has selected an in-network dentist for her dental work. Her dental provider agreed to a discounted rate for services as an in-network dentist, which means she paid $647.40 for her dental treatment (including $100 deductible).
| Service | Billed** | In-Network Discount | Allowed*** | Paid % | Plan Pays | Deductible | Patient Pays* |
|---|---|---|---|---|---|---|---|
| Filling | $250.00 | $152.00 | $98.00 | 70% | $68.60 | $0.00 | $29.40 |
| Crown* | $1,200.00 | $487.00 | $713.00 | 60% | $367.80 | $100.00 | $345.20 |
| Root Canal | $800.00 | $118.00 | $682.00 | 60% | $409.20 | $0.00 | $272.80 |
| TOTAL | $2,250.00 | $757.00 | $1,493.00 | $845.60 | $100.00 | $647.40 |
*Including $100 deductible as outlined in your policy.
**Billed amounts are based on actual claims and will vary by dentist.
*** The In-Network Allowed amount is based on the Maximum Care PPO CI-5 fee schedule and will vary by area.
Joanne has had her policy for 13 months and has selected an out-of-network dentist for her dental work. She paid $1,404.40 (including $100 deductible) for her dental treatment.
| Service | Billed** | Allowed*** | Paid % | Plan Pays | Deductible | Patient Pays* |
|---|---|---|---|---|---|---|
| Filling | $250.00 | $98.00 | 70% | $68.60 | $0.00 | $181.40 |
| Crown* | $1,200.00 | $713.00 | 60% | $367.80 | $100.00 | $832.20 |
| Root Canal | $800.00 | $682.00 | 60% | $409.20 | $0.00 | $390.80 |
| TOTAL | $2,250.00 | $1,493.00 | $845.60 | $100.00 | $1,404.40 |
*Including $100 deductible as outlined in your policy.
**Billed amounts are based on actual claims and will vary by dentist.
*** The Out-of-Network Allowed amount is based on the Maximum Care PPO CI-5 fee schedule and will vary by area.
This website is owned and operated by Core V Solutions, Inc. dba Careington Benefits Solutions, which is a Third Party Administrator for the Dental, Vision and Hearing Insurance Plans. Dental, Vision and Hearing Insurance plans are offered and/or underwritten by Continental Life Insurance Company of Brentwood, Tennessee, an Aetna Company (Aetna).
This is a solicitation for insurance and a licensed insurance agent or insurance company may contact you.
This material is for information only. Information is believed to be accurate as of the production date; however, it is subject to change.
Dental, Vision and Hearing Insurance Plans contain exclusions and limitations. Coverage may not be available in all states and benefits, rates and riders may vary by state. See plan documents for a complete description of benefits, exclusions, limitations and conditions of coverage. Dental providers are independent contractors and are not agents of Continental Life Insurance Company of Brentwood, Tennessee or Aetna. Provider participation may change without notice. Continental Life Insurance Company of Brentwood, Tennessee does not provide care or guarantee access to health services.
THIS IS A LIMITED BENEFIT POLICY. It may not cover all your medical or health care expenses. It does not provide comprehensive health (major medical) insurance or satisfy the federal government's requirements for minimum essential coverage.
All trademarks, service marks, trade names, logos, domain names, URLs and icons ("Marks") appearing on this website, registered or not, are the property of Aetna. Nothing on this website grants you any right or license to use any of the Marks on this website without the express written permission of Aetna or the third party owners of the Marks. Unauthorized use may violate trademark and other laws.
Discount Plan DISCLOSURE
THIS PLAN IS NOT INSURANCE and is not intended to replace health insurance. This plan does not meet the minimum creditable coverage requirements under M.G.L. c.111M and 956 CMR 5.00. This plan is not a Qualified Health Plan under the Affordable Care Act. The range of discounts will vary depending on the type of provider and service. The plan does not pay providers directly. Plan members must pay for all services but will receive a discount from participating providers. The list of participating providers is at www.aetnaseniorproducts.com. A written list of participating providers is available upon request. Discount Plan Organization and administrator: Careington International Corporation, 7400 Gaylord Parkway, Frisco, TX 75034; phone 800-441-0380.
