| 44 0 obj <> endobj j"-4^Q` 5oz*g. Paper brochures can be ordered by mail here. {.p7fj8oXx1~z6#f". Fees can neither be refunded in full nor in part. Schedule of benefits Preferred provider organization (PPO) dental expense insurance plan . Just schedule a one-on-one appointment with one of our team . The fees for the Studierendenwerk consist of the basic fee and the additional fee for the semester ticket. bw34 ha NC0epwa`=@z 4d3Hcl=m Q!I&d_0^o %I3``$3 I %Nb8!HaM0d`eI*|89(c`8A 49p6Gx:8j$t5$)Z44@z*7t.0u>D' the Aetna PPO network. endstream endobj 3497 0 obj <>/Metadata 144 0 R/Names<>/Outlines 3535 0 R/PageLabels 3486 0 R/PageMode/UseOutlines/Pages 3489 0 R/StructTreeRoot 164 0 R/Type/Catalog/ViewerPreferences 3518 0 R>> endobj 3498 0 obj <>/MediaBox[0 0 612 792]/Parent 3490 0 R/Resources<>/Font<>/ProcSet[/PDF/Text/ImageC/ImageI]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 3499 0 obj <>stream 2022 . xVn8yt5Hh]]!Ek`;CEIlKAUh!g gY 5@'4%IB bQ^Ji, | You will receive further information about the payment details at the time of your registration. Dw`aG A1(Ch7a-z1~)< g ox1$eC"@LsG`1S^GLszXr=#P6wc kvg Links to various non-Aetna sites are provided for your convenience only. Register now for Aetna's provider website on Availity, Applications and forms for dentists and their patients, Authorized Representative Request Complaint and Appeal Request, California Dispute Resolution California Language Capability Ohio EFT Refusal Washington Substitute Providers. {Q}z 0w2yHseR`5BS\L9H%9FrhR#U.mA\_%pz}]u+qUKj#&yS)sKy~>pmo~>uv)OERWGd)8jlA1,,\pi=do01bXv,LuNyBM UL`}V. bo~q) -hfZ:\jB C$,ZeI*SY9$_@nP_@. Box 14611 Lexington, KY 40512-4611 CompBenefits claims office P.O. PDF 2020 Aetna Federal Plans ]{tFeI5p[;Q?GFz%mLIhm~RM9=C0O9WJ]-It&h[-X~%SF}Ae@G@gOC##WN3YI 5*&GA7+1LZBI5c,GHIs@re@\hRbK2y<4O2J!.8~?7*a_ N#p&RKK!y+D_EO(>&$: tZYtMKOS39. Provider participation may change without notice. Speaker 1: Please note. Fees and tuition fees - LMU Munich 1544 0 obj <> endobj However, in certain cases they will need to apply to the Office of the University Registrar (Studentenkanzlei) or the Foundation for University Admission (Stiftung fr Hochschulzulassung). ]+ i/w*+CoXe?Zy-n=7_oh\znfrDgY? Applications for admission - LMU Munich 6HQ$5+^G0Y3'b-W! 1-800-554-2042. N9uJ*4^f|DXn!GmWBp JaxX;OoX~9q Under this plan, you may choose at the time of service either a PPO participating dentist or any nonparticipating dentist. PDF Enjoy the benefits - Aetna Dental Gifted students who register as visiting students at LMU Munich are exempt from paying any fees as well. Start by selecting your state, followed by the method you wish to apply; selection (s) varies by state. hj1_eYit`J/^\l^pfwv:|Zr,#AU5VM7Rr\-un#yLj7aw|vQ4[EZv0 CS-g][o#&Y5cn~|Ga)C#2~v{=m?mb-(>G(o&qq;2{\v1#Ht8GHEhl +QjlQ`: Group policy effective date: January 1, 2022 Plan name: PPO Dental Plan Plan effective date: January 1, 2022 Plan issue date: December 28, 2021 Underwritten by Aetna Life Insurance Company in the state of California. In this context please also note the current information on the continuation of registration. Get your work done in peace, sit comfortably and arrive more relaxed. Dentist Resources - Delta Dental Mass PDF A Nationwide Dental PPO Plan *ClaimConnect is a registered trademeark of EHG (EDI Health Group, Inc.) and its subsidiaries. %PDF-1.5 % Application form Application for admission for international applicants (PDF, 443 KB). You can find more information in the infosheet (PDF, 245 KB). Services that Aetna defines as not necessary for the diagnosis, care or treatment of the condition involved. Dental Hygienists: Beate GATERMANN, RDH Praxis fr Dentalhygiene Veit-Pogner-Strasse 23 81927 Munich Phone: (089) 912-442 Email: b.gatermann@dentalhygienepraxis.de Website: www.dentalhygienepraxis.de English language spoken: Fluent Aram Agdhaie, RDH BS - children's dental hygiene c/o Dr. Marcus REGENSBURGER Effnerstrasse 39a 81925 Munich If the International Office is responsible for processing your application, you have to apply to them for admission to the University. H10$cV/ 5T Office of the University Registrar Mr. Tyroller, Room E 112Monday - Wednesday 8:30 a.m. 11:00 a.m. A separate fee is charged for a number of special graduate and professional degrees and certificates; the amount varies according to the type of program offered. Franais | We invite you to join the Aetna Dental preferred provider organization (PPO)* network, one of the largest dental PPO networks, with millions of members nationwide. >}aO0l_r@ctyxL0T$G 1c"0elr_|J6ADd cn^Np!V' 5oI!mse\,[KlV~Eut. endstream endobj startxref Aetna does not provide care or guarantee access to health services. endstream endobj 49 0 obj <>stream For the Master's programs Allgemeine und vergleichende Literaturwissenschaft, Art History, Biochemistry, Bioinformatics, Buchwissenschaft, Chemistry, Germanistische Linguistik, Germanistische Literaturwissenschaft, History, Informatics, Mathematics, Media informatics, Mensch-Computer-Interaktion, Slavistik, Statistics & Data Scienceplease use the online portal. 0 Healthier smiles happen together. The member is responsible for the full cost of the discounted services. g/]E*"e[NG|UeTD4Iyejcc /#Q3S Find your dentist now in Aetna's large nationwide network. \aByg_v9Yyg5-\BZZ -8PwOP-eA 6BSI,Xzprmd +*2eOAC4XN6e:|vS,"c5So A`":qJe0!soqgA/ ), If you have any questions, please do not hesitate to contact us: International Admissions opening hours. Dental Benefits Summary - Prince George's County, Maryland The information, tools, and resources you need to support the day-to-day needs of your office 0 SS Up to five people travel on regional transport for a whole day within one federal state, from EUR 22. 2021, through midnight EST December 13, 2021; You do not need to re-enroll each Open . Treating patients As a participating dentist, you'll be able to see all Aetna Dental Medicare Advantage members, with Find out how you go about applying to study at LMU Munich as an international degree student. 9jEy(B@ITQ *EeUJTQ ZQjF-hZZQZe-G+JVh Zn~ h]vhF#hFchM=h/hD:-ry*};I%}I4B? Ny+X& LI@R 9(/9AYqo .BO! (We regret that applications cannot currently be submitted by email. Tagalog | 2022 A Nationwide Dental PPO Plan IMPORTANT Rates: Back Cover Changes for 2022: Page 4 Summary of Benefits: Page 43 Who may enroll in this plan: All Federal employees, annuitants, and . Please be aware that your payments will only be shown in your account up to 3-5 days after bank transfer. 0 ue6++k Log onto your secure member website at www.aetna.com. Find your dentist now in Aetnas large nationwide network. Aetna Inc. and its subsidiary companies do not endorse any of the products or services available through EHG. (b) Aetna application - fill out our . Box 14283 Lexington, KY 40512-4283 Electronic payer IDs 70K yO Aetna Inc. and its subsidiary companies assume no responsibility for any circumstances arising out of the use, misuse, interpretation or application of any information or other material provided by EDI Health Group (EHG). HOc`5V kl[OC3 endstream endobj 48 0 obj <>stream From our competitive fee schedule to prompt payments and benefits to enhance your practice, there are so many ways to brighten your smile. hbbd``b`@ $$ $+DlqX%@BAHU\@bB&F@#i fH4 y_(G'h,:d"ueII^ QI|( 71 of the Bayerisches Hochschulgesetz (Bavarian Higher Education Act) dated 23 May 2006, tuition fees were charged in Bavaria from the summer semester 2007 up to and including the summer semester 2013. PDF Emergency Numbers 1573 0 obj <>stream Aetna Dental www.aetnafeds.com . Ready to apply at LMU Munich? Read the most frequently asked questions about this plan. 3496 0 obj <> endobj PDF Dental Benefits Summary Active PPO - Aetna This Aetna Dental Preferred Provider Organization (PPO) benefits summary is provided by Aetna Life Insurance Company for some of the more frequently performed dental procedures. Switch to German / Zur deutschen Sprachversion, In addition if you have studied at university before, In addition if you are applying to change your program or university, In addition if you are married or have changed your name, Application for admission for international applicants (PDF, 586 KB), Application information sheet for non-EU/EEA citizens (PDF, 161 KB), Application information sheet for EU/EEA citizens (PDF, 152 KB), Important dates and addresses (PDF, 77 KB), Help with filling out the form (PDF, 729 KB), FAQs - General questions on studying at LMU, FAQs - Application status and registration, Application for admission for international applicants (PDF, 443 KB), data protection policy from YouTube / Google, Health insurance regulations for international applicants, Visa regulations for international applicants, Residency regulations for international applicants, Information for refugees and asylum-seekers. For details on eligibility and more information on FEDVIP, please visit | For further information regarding these fees and their purpose, please refer to the websites of the Studierendenwerk Mnchen Oberbayern. Sign up at BeneFeds.com or call 1-877-888-3337. PDF A Nationwide Dental PPO Plan - opm.gov As of the winter semester 2013/14, no tuition fees are charged. the original confirmation issued by the relevant examination office documenting that the student concerned graduated in the top 10 percent of his or her graduating class (other than the teacher education program, veterinary medicine, and law). Under the current circumstances, there are many factors that affect your journey. Please submit your application by post. ]ZLgClht`%d'lA{b0"6q buR-Jg0#&HV Aetna Dental works with ClaimConnectTM offered by EDI Health Group (EHG) to provide easy access to check patient eligibility, file a claim, check claim status, view patient rosters and Electronic Remittance Advice. The address for our administrative office is: Aetna Dental Federal Plans PO Box 550 Blue Bell, PA 19422-0550 1-800-537-9384 www.aetnafeds.com This brochure is the official statement of benefits. endstream endobj 1545 0 obj <. 2021, through midnight EST December 13, 2021; You do not need to re-enroll each Open . 6688 0 obj <>stream This Aetna Dental Preferred Provider Organization (PPO) benefits summary is provided by Aetna Life Insurance Company for some of the more frequently performed dental procedures. If customs duties are incurred, we cannot accept the documents. LMU, International Office. %PDF-1.6 % 289 0 obj <>stream You will then see Remittance Inquiry (Humana) under Additional Remittance Tools. /uA"b0aM+*(;nh)Oo&j0TNU3'jX((MlIE SjAv\,yN_}^ez%)EJCDrCLt&tx~%ta2$$*n KX2Z(BBI,F%&{h.| {XC",EiWxR:Z HpMOM wpX})mQ> gREI[G]^'nY^L?Yr kvYk&c8D/njO? Travel conveniently throughout Germany with just one ticket from for just 49 euros per month. In some cases, you will also need to submit an officially certified translation. Under the Dental Preferred Provider Organization (PPO) plan, you may choose at the time of service either a PPO participating dentist or any nonparticipating dentist. For questions, please contact Sub-Unit 4 - Fees, Doctoral Students and other registered individuals . 6655 0 obj <> endobj 2021 Health Plan List and Fee Schedule PO 71717 PHOENIX, AZ 85050 TEL 877.311.3338 FAX 602.485.3100 WWW.HNA-NET.COM 3 THREE RIVERS PROVIDER NETWORK (TRPN) - PPO Fee Schedule: 125% of the existing Medicare fee schedule as total reimbursement for covered services less applicable co-payments, co-insurance or deductibles. How to contact us for help We are here to answer your questions. @iPe*(KQ0TAIZ<4d* (HQr*SFy9(rE90(EcT0(AC!PsDli%Xce4R(f[>h _x'h\U'T-5t)lS`4 641!P>aIfDB/'w$l`1pubIY9WaY&D2KSl`}f0)H H Top 3 reasons to choose Aetna Dental endstream endobj 45 0 obj <> endobj 46 0 obj <>/MediaBox[0 0 612 792]/Parent 42 0 R/Resources<>>>/Rotate 0/Type/Page>> endobj 47 0 obj <>stream 8sXY``$V@k7 Yq|:;.fwiLry6|&&Hwe@0P &n{ e`F W$g`VbL:@Zu\$fVY XJ Apply for Participation - Aetna Dental endstream endobj startxref There are no fee reductions or fee waivers available. Please specify when sending documents: "Documents only", Amount 0 . x}y|vUg}ifz4I#-um|IeKd[dIp1 $@ea&5d $B%\|ouu$Yyz:ZB!dDGVX,y1Oouq{'?2k]n@H#m;lm~!>7xB}"W"_?.l5?">dB[]}G 4 8kP GG'>t3B{pG {8)FyLY # 2y0Qb4G,g = Please mail your request with the required documents to the following address: Ludwig-Maximilians-Universitt MnchenStudentenkanzlei, SG 4 Beitrge, Promotions- und GaststudierendeGeschwisterSchollPlatz 180539 Mnchen. As an Aetna dentist, you'll be part of a strong national network with access to millions of members. These links will help you find what you need, fast. Application for admission for international applicants (PDF, 586 KB) The following progressive fees apply to visiting students in the study program for senior citizens based on the number of hours per week per semester: Please also note our information at: Visiting students in the study program for senior citizens. | Dental, vision and pharmacy coverage are built in. endstream endobj 6660 0 obj <>stream | Experience the comfort of 1st class. * Fees displayed are based on contracted amounts negotiated for specified treatments. This Aetna Dental Preferred Provider Organization (PPO) benefits summary is provided by Aetna Life Insurance Company for some of the more frequently performed dental procedures. Aetna Dental PPO Plan More reasons to smile Worldwide dental coverage and plans with no deductible New Hires have 60 days to choose benefits. %PDF-1.6 % Please also note our information at: Visiting students. 3516 0 obj <>/Filter/FlateDecode/ID[<9E2648067D4BC54A81250CF4442DA344>]/Index[3496 397]/Info 3495 0 R/Length 121/Prev 213153/Root 3497 0 R/Size 3893/Type/XRef/W[1 2 1]>>stream dw>[yk>TGm)x85P5XWTL Watch videos, read articles and more , Looking for more specifics about health plans available in your area? PDF Dental Benefits Summary See FEDVIP brochure (PDF) for a complete description of benefits, exclusions, limitations and conditions of coverage. 58 0 obj <>stream No need to get a referral to see a specialist. "|N0~\O+Mi 10 ~ EHG independently develops and maintains its own privacy policies and practices. PDF Aetna 2021 PPO Dental Benefit Summary You are now leaving the Aetna Dental Web site and linking to ClaimConnect*. Language Assistance: Cheap Train Tickets | Timetables for Germany & Europe - Deutsche Bahn LMU has no influence over how any such data is transmitted or indeed over its further usage. Deutsch | This concerns already exmatriculated students only: If your fee account still shows a credit, you can ask for a repayment by completing this form for the repayment (null, -0 KB).. For questions, please contact Sub-Unit 4 - Fees, Doctoral . In this context we would like to point out that the Bavarian student loans were discontinued as of the Winter Semester 2013/14. n6{Ye5MQ_Z9}[F;PY' TD?M?WB$)U~(6qey*t9s* o/&W2qTZSUQEUp BFXY*WsVUIQd0:|EI#q1Mes"_Q q xH]O |aAa>|R8HHc'RK;y}{5Out/`hl.A1`]w|< 8Q>:i4.t~H{j[AOSt`/Q^vhp"O Welcome Federal Employees | Aetna Dental PPO plan for - Aetna Feds For questions about Continuation of Registration please call Study Information Service: +49 89 2180-9000. Call Member Services at 1-877-238-6200. The University both charges these fees for and then transfers them to the Studierendenwerk, in accordance with Art. Travel safely and contactless with digital tickets in the app. Your choice of any licensed dentist, in or out of network, worldwide, including virtual providers, Orthodontia coverage for all ages, including at-home products, Discounts on services like gym memberships, massages, weight-loss programs and more, Unlimited annual benefit maximum for members in network, Your choice of any licensed dentist, anywhere, Discounts on gym memberships, massages, weight-loss programs and more are included in your plan. 3. So, please first find out where you need to apply! Further information will be provided by the respective faculty. Germany. Discount programs provide access to discounted prices and are NOT insured benefits. {8:2I)k%KHQr^+n:}%Y[m"5:rkSnz|vn2oRo#XZPz\P y!DTO PPp&j$ This material is for information purposes only. cbs6jQx pk)1.&ag @a|bs@IuR!CCh1NaeS&Uqmj hb```b``7g`2$@Y8 hWmOH+ *IJV(-Q>KlhwqB;Dk #ZA8K$*T4Q9KwJFBepPLD$U4MAJ.wt|;86-O\Uz1>W 8NzR ~j9 :"6z}@Rr\*a)h~#{n?i7``_NY?-{CjWlhYj99s`H?.[H4cS4sX9bRckTR?|!%N gir|T4~; !FPcx[fP7GvdrSc-,/Na0 \]+Q]Ww?Y`]yo>!XcDT*c{w}5gSJQs'+(G%Y(U"5 E}d/oR1,CoI#gM>Y*X, Tr>8q0q.kZm" Customs duties payable by the sender. UM^]%cJ#;%}y&y`?9/q _@of9:S*sa'Ez HVRV}Wj!SSe`p@I&yDO+kx(lsOo:%ezyY3SB (/R`9\2H0S*ReU(G+Uw/ PDF Treating members with Aetna Dental Medicare Advantage dental plans Espaol | A crown, bridge, or cast or processed restoration if a tooth was prepared for it before the person became a coveredperson; Root canal therapy if the pulp chamber for it was opened before the person became a covered person. (a) CAQH application - upload a copy of your CAQH application. Legal notices Aetna is the brand name used for products and services provided by one or more of the Aetna group of subsidiary companies, including Aetna Life Insurance Company and its affiliates (Aetna). Benefeds.com. (WZti:'j'1B(}1Y]o$%9Pndwi55[asZ.Uy\tQ}Xby5Wpt}#giblg+}"L7MHl %,|Z%l. Interrail: Discover Europe by train: 33 countries, 1 ticket, 40,000 European destinations to choose from. g{?M_I?vH'}2lx|+_JO?5X=SXoXQ=a{/Z ;}Nt/hCh^Y]}A|8|w!BI? Under the Dental Preferred Provider Organization (PPO) plan, you You may also drop off your request at the University mailbox located at the main entrance, Geschwister-Scholl-Platz 1. |+yjVsV2grXYUAu/OB(+v7r^Rwn^J3$CUNFhD!v9g 0XJ ye}o`U| n-xy4tj>@BDb_RavqsshO,]wux ]WT?*O Y@ $IOV#]-$v@q[HM$YiSR^H7IN " t3 PDF HEALTH PLAN LIST AND FEE SCHEDULE - Healthcare Networks of America | Italiano | Try our zip code search now , The Aetna federal team answers your questions. All covered benefits are subject to a Calendar Year deductible and payment percentage unless otherwise noted in the schedule of benefits below. Further information on regional day tickets, Explore the country's most beautiful regions, Travelling during the coronavirus pandemic, Saver and flexible fares for long-distance travel, Regional offerings such as the regional day ticket for Bavaria and day ticket for Germany, Long-distance trains such as ICE, IC and EC. Please check the list of subjects to see if you want to choose such a subject. Aetna Fee Schedule Lookup. 15 Mar 2021 PDF Schedule of benefits Preferred provider organization (PPO) dental MKkuc\KV`1-v1M]Bt]'3=C3iB-7W\*OZHiN8k!jA^.wU='Z!6Qg[9Q!0*k18PuIS{P_{?c#0q More information available here: LMU data protection policy, data protection policy from YouTube / Google, 3 min Get Started. 0"I1B8`qCi"8L[,Y.pd{m7(=6 As far as questions on still outstanding student loans are concerned, we continue to be available at the times stated below. t C`9D#ta ?$z+]>- -fheS. (Ls|I^HlM6g T{o.+ ?pE3? Not all dental services are covered. Dental Forms | Aetna Dental %PDF-1.6 % Working with you to help your patients. To receive maximum benefits, members must choose a participating primary care dentist to coordinate their care with in-network providers. CN iGVWyZM> ;N( X07]U,&5E>h|f>l.]|p!c c0g@L/peBNn)`iNhD0KDiXqhHE_\9m9 I|*Y'1d`F!\*Ij@v1rJaQH;CV)Pc=g$czLSs65=/2f:A7_PlJMxzn}QN|C9y?}0 < | But your out-of-pocket costs will be higher. hbbd```b``>"9{9-d bs7H80H2D02HU20 {A 2020 Aetna HDHP benefits (available nationwide) Key . AL HSOB-PPODental 04 2 CA GE-04 . Aetna Fee Schedule Lookup *Actual costs and savings vary by provider, service and geographical area. Aetna Dental works with ClaimConnect TM offered by EDI Health Group (EHG) to provide easy access to check patient eligibility, file a claim, check claim status, view patient rosters and Electronic Remittance Advice. %PDF-1.7 % 517 0 obj <>stream 6670 0 obj <>/Filter/FlateDecode/ID[]/Index[6655 34]/Info 6654 0 R/Length 89/Prev 440028/Root 6656 0 R/Size 6689/Type/XRef/W[1 3 1]>>stream International applicants (without German nationality) who wish to study at LMU will generally need to submit their application to the International Office. 80539 Mnchen. hb```"qrAX#X\2Ogbj2yqzG4p&&`^dkh`h " :$::%:\mfb.s230+_rb `)Y`!@ _, Portugus | View upcoming webinars , Worldwide dental coverage and plans with no deductible. The details, especially with regard to the amount, charge and application of the tuition fees, the University determined by the statute Satzung ber die Erhebung von Studienbeitrgen an der Ludwig-Maximilians-Universitt Mnchen dated 9 August 2006 and its amendment dated 24 July 2009. {R]1,.Ir|8|}R;mE62"8'!/5gCq6S0{^u#0N4v:`h^G ~u[7`pr:}n;`:PO:ge;\M;v[ Qw%M'Q:u JF`nuc1cqPdXIINhB[MWGtg]^~O=GjUZ?OwGwZRA^Kz1aY"iE"9-Y)qtvYOw LyNqxZ >\S $d6-_>]}k{{8 +-FjcP(FB@`~-S{$G&Y{5ytxPD$T80A3$xo6Q#65 :K9ufrx-7E_GLK 7Qm`^?YM}{-+]/*?YFMNuZe@'F}~WS>r J:^{V(f8 No fees are charged to students attending other universities if according to a legal regulation or an agreement between the universities - they register as visiting students for the purpose of completing those parts of their degree program at LMU Munich that are offered here. Visit AetnaFeds.com/dental to learn more and connect live. %PDF-1.7 % responsible for the content of this page: Office of the University Registrar, Switch to German / Zur deutschen Sprachversion, Fees concerning visiting students in the study program for senior citizens, Semester fees for the Munich Student Union, Sub-Unit 4 - Fees, Doctoral Students and other registered individuals, SU 4 Fees, Doctoral and Visiting Students at the Office of the University Registrar, Visiting students in the study program for senior citizens, Office of the University Registrar, Sub-Unit 4, a copy of the degree certificate confirming the passed final examination. hb```b``a`211 P9* Fee Schedule: Fees displayed are sample, please call the :DP AtYourServiceTeam to access fees by dentist or region. As of the winter semester 2013/14, no tuition fees are charged. Q8la-WrDmm9C ?^ "JQ You can also use any doctor outside Aetna's network. PDF PPO Dental Schedule of benefits - infineum.com Under the Dental Preferred Provider Organization (PPO) plan, you may choose at the time of service either a PPO participating dentist or any nonparticipating dentist. hZ]o7+`a $4n{7kAD-m}$GD#;Ep8$=:v^NkDi02;%a:Kv8&\gBMLER}}Yh]Lz')JuZ={2{_[|z}\Gut(trA3wx1-7Sv|FsZ^~|J35oumq3;[^y9Q":R?y}XmOgo'n?/?}xN6|S? Effective Date: 01-01-2021 (a) a non-occupational disease; or (b) a non-occupational injury. With the application checklist (PDF, 408 KB) you can make sure you have all the required documents. The fee amount is determined by the statutes of the Studierendenwerk Mnchen Oberbayern (Munich Student Union). Basic and major restorative services are payable by the patient at 100% of the Delta Dental PPO Contract Fee Schedule for your region and specialty. 0 * Payment is made to you for diagnostic and preventative services at 80% of your Delta Dental Premier contract fees. *If you use an out-of-network dentist, you are responsible for the difference between our plan allowance and the dentist's charges. Polski | Select the Claims & Payments menu and choose Remittance Viewer. Dental policies and plans are insured and/or administered by Aetna Life Insurance Company (Aetna). Children up to the age of 14 travel free of charge. Physician fee schedule tool This tool provides fee information for a sample scope of services that a doctor can provide. Submission of an application does not guarantee participation. Cigna for Health Care Professionals Let us help you get smart about your retirement plan options. hbbd``b`$U Hp 3@b.#n,#V? D Dental Tools and Resources for Providers - Humana