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Below explanation is for Arizona, Illinois and Pennsylvania only

Aetna Dental Insurance logo  Aetna Dental Insurance 
(877)566-5454 Toll Free
AETNA INDIVIDUAL DENTAL PPO HIGHLIGHTS
 
Aetna PPO Plus
Plan pays*
Aetna PPO
Plan pays*
Waiting Period
Diagnostic and preventive 100% 80% None
Periodontal maintenance cleanings 80% 50% 6 months
Denture repair, rebase and relining 80% 50% 6 months
Basic restorative (fillings) 50% 50% 6 months
Oral surgery 50% 50% 6 months
Endodontics 50% 50% 6 months
Additional coverage
Periodontics 50% 50% 18 months
Crown and cast restorations 50% 50% 18 months
Prosthodontics 50% 50% 18 months
Temporomandibular joint
(TMJ) dysfunction		 Not covered Not covered Not covered
Deductibles and maximums per member enrolled
Deductible (calendar year) $50 $100  
Maximum benefit (calendar year) $1,200 $1,000  
>
Note: Above list of covered services is representative.
* Out-of-network coverage is limited to a maximum of the plan’s payment, which is based on the negotiated, contract rate for in-network providers in a particular geographic area.

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Or you can fill in this form to have your Aetna Dental Insurance brochure with pricing & application mailed to you. Further information on our plans is shown below. Or just call us Toll-free at 877-Look4Life (877-566-5454).
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Barricks Insurance Services
13900 NW Passage #302, Marina Del Rey, CA 90292
Phone:   (310) 827-7286    |   Fax:   (310) 827-0256
Toll-Free 1-877-Look4Life  (1-877-566-5454)

©1995  Barricks Insurance Services. CA License #0383850
Licensed in AL, AR, AZ, CA, CO, CT, FL, GA, IA, IL, IN, KS, KY,
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