Dental Coverage
Emory employees can choose from two types of dental plans: the Aetna Traditional Dental (PPO) or the Aetna Dental Maintenance Organization (DMO).
Aetna Traditional Dental (PPO) Plan
The Aetna Traditional Dental (PPO) Plan is a traditional dental plan where you pay for services through co-insurance. Co-insurance is the portion you must pay for services, in most cases, after meeting your deductible. The deductible is a set amount that typically you pay before co-insurance starts.
Features of this plan include:
- Flexibility to choose any provider. This plan has a large number of In-Network providers
- Reimbursements for most Out-of-Network claims
- Preventive services received by either In-Network or Out-of-Network providers are covered at 100% up to reasonable and customary levels. Some examples of routine preventive care include:
- Oral examinations
- Routine, deep cleanings and polishing
- Fluoride
- Sealants (permanent molars only)
- Bitewing X-rays
- Full Mouth Series X-Rays
- Space Maintainers
Dental Maintenance Organization (DMO) Plan
The Dental Maintenance Organization (DMO) Plan is a managed care plan that contracts with a list of providers at a set fee schedule. Participants pay co-pays and do not have to pay co-insurance.
This plan offers a limited network of dentists with low member contributions, no deductible and low out-of-pocket co-pays. Out-of-Network coverage is not available. A Primary Care Dentist (PCD) must be selected and a referral is required for specialist care.
Features of this plan include:
- No deductible
- Low out-of-pocket co-pays
Be sure to check with your dentist before enrolling to ensure he/she is participating in the plan and accepting new patients.
Eligibility
- Regular full-time or part-time employees scheduled to work 20 hours or more per week are eligible.
- Full-time temporary positions on a six-month or longer assignment are eligible.
- If you elect coverage, your eligible dependents are also eligible for coverage.
Coverage begins on an employee's date of hire. If you are benefits-eligible, you must enroll during your first 31 days of employment with Emory.
Cost
| Aetna PPO Plan | Aetna DMO Plan | |||
|---|---|---|---|---|
| Monthly | Biweekly | Monthly | Biweekly | |
| Employee Only | $27.00 | $13.50 | $19.00 | $9.50 |
| 2-Person | $60.00 | $30.00 | $38.00 | $19.00 |
| Family | $98.00 | $49.00 | $62.00 | $31.00 |
| Aetna PPO Plan | Aetna DMO Plan | |||
|---|---|---|---|---|
| Monthly | Biweekly | Monthly | Biweekly | |
| Employee Only | $33.76 | $16.88 | $20.94 | $10.47 |
| 2-Person | $72.00 | $36.00 | $43.32 | $21.66 |
| Family | $121.00 | $60.50 | $68.42 | $34.21 |
How to Enroll
New Hires
Eligible employees can enroll through Self-Service anytime during the first 31 days of employment. View Step-by-Step Enrollment Instructions.
If you do not enroll during your first 31 days of employment, you will not receive coverage. Your next opportunity to enroll will be during annual enrollment.
Current Employees
Employees are provided an opportunity to make changes to their benefits each year during annual enrollment (held in the fall).