Enrolled in more than one dental plan – How does Aetna coordinate benefits?
Coordination of Benefits applies when you have more than one dental plan. Aetna will coordinate benefits with other dental plans. There is a verification process to confirm who has primary responsibility for claim payment. Once this is confirmed, Aetna will consider claims accordingly and either pays as the primary payer or the secondary payer. For example: Your spouse is offered coverage through his/her employer and is covered by both your Aetna plan and his/her employer plan. According to most plans’ Coordination of Benefits rules, your spouse’s employer’s coverage would be considered primary for him/her. As a result, your Aetna plan would be considered the secondary payer for your spouse. Please note that there are several types of coordination of benefits provisions that may differ by plan. Please contact customer service for more information regarding your plan.
Related Questions
- What if I have limited dental benefits available through my Federal Employee Health Benefit (FEHB) Plan? How does this affect my MetLife dental claims?
- How does the Aetna Public Employees Plan coordinate benefits for members who have other insurance that is primary (like Medicare, for example)?
- What dental benefits are available in the Aetna Open Access HMO Plan?
