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aetna dental ppo fee schedule 2021 pdf

Start by selecting your state, followed by the method you wish to apply; selection (s) varies by state. %PDF-1.6 % As of the winter semester 2013/14, no tuition fees are charged. Find your dentist now in Aetna's large nationwide network. Call Member Services at 1-877-238-6200. g{?M_I?vH'}2lx|+_JO?5X=SXoXQ=a{/Z ;}Nt/hCh^Y]}A|8|w!BI? Providers are independent contractors and are not agents of Aetna. Aetna Inc. and its subsidiary companies do not endorse any of the products or services available through EHG. The information, tools, and resources you need to support the day-to-day needs of your office There are no fee reductions or fee waivers available. See FEDVIP brochure (PDF) for a complete description of benefits, exclusions, limitations and conditions of coverage. As far as questions on still outstanding student loans are concerned, we continue to be available at the times stated below. Effective Date: 01-01-2021 (a) a non-occupational disease; or (b) a non-occupational injury. Travel safely and contactless with digital tickets in the app. 6HQ$5+^G0Y3'b-W! xVn8yt5Hh]]!Ek`;CEIlKAUh!g gY 5@'4%IB bQ^Ji, | ]ZLgClht`%d'lA{b0"6q buR-Jg0#&HV Under this plan, you may choose at the time of service either a PPO participating dentist or any nonparticipating dentist. 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. PDF A Nationwide Dental PPO Plan - opm.gov 15 Mar 2021 Get Started. 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. If the International Office is responsible for processing your application, you have to apply to them for admission to the University. 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 If customs duties are incurred, we cannot accept the documents. Not all dental services are covered. Find your dentist now in Aetnas large nationwide network. The University both charges these fees for and then transfers them to the Studierendenwerk, in accordance with Art. 2021, through midnight EST December 13, 2021; You do not need to re-enroll each Open . For foreign payments this can take up to one week. Welcome Federal Employees | Aetna Dental PPO plan for - Aetna Feds Visit AetnaFeds.com/dental to learn more and connect live. Aetna Fee Schedule Lookup Children up to the age of 14 travel free of charge. Top 3 reasons to choose Aetna Dental ]WT?*O Y@ $IOV#]-$v@q[HM$YiSR^H7IN " t3 You are now leaving the Aetna Dental Web site and linking to ClaimConnect*. bahn.com - travel and mobility portal: information, train tickets, online tickets, regional day tickets, affordable offers for rail travel and city breaks. A Nationwide Dental PPO Plan Who may enroll in this plan: All Federal employees, annuitants, and certain TRICARE beneficiaries in the United States and overseas who . {Q}z 0w2yHseR`5BS\L9H%9FrhR#U.mA\_%pz}]u+qUKj#&yS)sKy~>pmo~>uv)OERWGd)8jlA1,,\pi=do01bXv,LuNyBM UL`}V. bo~q) -hfZ:\jB C$,ZeI*SY9$_@nP_@. Please submit your application by post. Italiano | Language Assistance: | 2021, through midnight EST December 13, 2021; You do not need to re-enroll each Open . endstream endobj startxref H10$cV/ 5T %PDF-1.7 % Cigna for Health Care Professionals Fees and tuition fees - LMU Munich the Aetna PPO network. 51 0 obj <>/Filter/FlateDecode/ID[<6DE8A9C8A0591F4EBA0B91D10B73D60E><18E5BE937467C34E81B0A9306F1F522F>]/Index[44 15]/Info 43 0 R/Length 57/Prev 87095/Root 45 0 R/Size 59/Type/XRef/W[1 2 1]>>stream 2020 Aetna HDHP benefits (available nationwide) Key . 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 Let us help you get smart about your retirement plan options. *If you use an out-of-network dentist, you are responsible for the difference between our plan allowance and the dentist's charges. Dental Forms | Aetna Dental 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. We're committed to listening to you and making it easy to work with us. Some documents must be attached as officially certified copies (not original certificates). 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. Germany. {.p7fj8oXx1~z6#f". hb```b``a`211 P9* To receive maximum benefits, members must choose a participating primary care dentist to coordinate their care with in-network providers. PDF A Nationwide Dental PPO Plan PDF PPO Dental Schedule of benefits - infineum.com UM^]%cJ#;%}y&y`?9/q _@of9:S*sa'Ez You will then see Remittance Inquiry (Humana) under Additional Remittance Tools. Interrail: Discover Europe by train: 33 countries, 1 ticket, 40,000 European destinations to choose from. As of the winter semester 2013/14, no tuition fees are charged. HVRV}Wj!SSe`p@I&yDO+kx(lsOo:%ezyY3SB (/R`9\2H0S*ReU(G+Uw/ (b) Aetna application - fill out our . Dentist Resources - Delta Dental Mass or visit | hWmOH+ *IJV(-Q>KlhwqB;Dk #ZA8K$*T4Q9KwJFBepPLD$U4MAJ.wt|;86-O\Uz1>W 8NzR ~j9 For questions, please contact Sub-Unit 4 - Fees, Doctoral Students and other registered individuals . # 2y0Qb4G,g = Working with you to help your patients. So, please first find out where you need to apply! 121 section 5 sentence 1 of the Bayerisches Hochschulinnovationsgesetz. | Polski | 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. Q8la-WrDmm9C ?^ Under the current circumstances, there are many factors that affect your journey. N9uJ*4^f|DXn!GmWBp JaxX;OoX~9q Experience the comfort of 1st class. 9jEy(B@ITQ *EeUJTQ ZQjF-hZZQZe-G+JVh Zn~ h]vhF#hFchM=h/hD:-ry*};I%}I4B? | %%EOF International applicants (without German nationality) who wish to study at LMU will generally need to submit their application to the International Office. %%EOF endstream endobj 48 0 obj <>stream 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. endstream endobj startxref %PDF-1.6 % 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). According to Art. Select the Claims & Payments menu and choose Remittance Viewer. 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. For questions regarding the exemption from tuition fees, our team members of SU 4 Fees, Doctoral and Visiting Students at the Office of the University Registrar are available in person during our opening hours. endstream endobj 1545 0 obj <. In order to request the retroactive exemption from tuition fees, please only use the respective, Request form for the retroactive exemption from tuition fees (PDF, 79 KB). 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. n6{Ye5MQ_Z9}[F;PY' TD?M?WB$)U~(6qey*t9s* o/&W2qTZSUQEUp BFXY*WsVUIQd0:|EI#q1Mes"_Q q xH]O |aAa>|R8HHc'RK;y}{5Out/`hl.A1`]w|< 8Q>:i4.t~H{j[AOSt`/Q^vhp"O Aetna Inc. and its subsidiary companies are not responsible or liable for the content, accuracy, or privacy practices of linked sites, or for products or services described on these sites. Basic and major restorative services are payable by the patient at 100% of the Delta Dental PPO Contract Fee Schedule for your region and specialty. {|eNFbb^\5{y;L.OL#96w%_\-i^.J@~-f//~_QKb{an~+Y|Nvyl3f?f?.(_~g,r6pYd{N |err^Y4]K5Pu1`P]YB~BkFF4yhahn`P | | Sign up at BeneFeds.com or call 1-877-888-3337. hbbd``b`$U Hp 3@b.#n,#V? D %PDF-1.7 % View upcoming webinars , Worldwide dental coverage and plans with no deductible. Aetna Dental Medicare Advantage members covered under a dental exclusive provider organization (EPO) or a preferred provider organization (PPO) plan are supported by the Aetna Dental PPO network. These links will help you find what you need, fast. Due to data protection we are not allowed to answer the emails regarding such questions! 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). LMU has no influence over how any such data is transmitted or indeed over its further usage. A retroactive exemption from all tuition fees paid at LMU Munich is only available for: Students registered at LMU Munich who completed their studies within the standard length of study plus one additional semester and also graduated in the top 10 percent of their graduating class in their degree program. For questions about Continuation of Registration please call Study Information Service: +49 89 2180-9000. Franais | You can find more information in the infosheet (PDF, 245 KB). Ting Vit | 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. 289 0 obj <>stream 2022 . More information about Google data transfer in LMU's Privacy Policy. Customs duties payable by the sender. Travel conveniently throughout Germany with just one ticket from for just 49 euros per month. 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). 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. Claims submissions Claims mailing addresses HumanaDental claims office P.O. 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. How to contact us for help We are here to answer your questions. Please mail your request with the required documents to the following address: Ludwig-Maximilians-Universitt MnchenStudentenkanzlei, SG 4 Beitrge, Promotions- und GaststudierendeGeschwisterSchollPlatz 180539 Mnchen. | You can also use any doctor outside Aetna's network. 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$czLSs65=/2f:A7_PlJMxzn}QN|C9y?}0 < 6655 0 obj <> endobj Paper brochures can be ordered by mail here. As part of your continuation of registration or re-registration, please transfer the fee due referencing the intended purpose (the deadline for the summer semester 2022 is: 31 March 2022, at the latest). %PDF-1.6 % Under the Dental Preferred Provider Organization (PPO) plan, you may choose at the time of service either a PPO participating dentist or any nonparticipating dentist. PDF 2020 Aetna Federal Plans Aetna Dental www.aetnafeds.com . Speaker 1: 70K yO Please check the list of subjects to see if you want to choose such a subject. y_(G'h,:d"ueII^ QI|( endstream endobj 6656 0 obj <>/Metadata 212 0 R/Names<>/OpenAction 6657 0 R/Outlines 534 0 R/Pages 6646 0 R/StructTreeRoot 563 0 R/Type/Catalog/ViewerPreferences<>>> endobj 6657 0 obj <> endobj 6658 0 obj <>/MediaBox[0 0 612 792]/Parent 6647 0 R/Resources<>/Font<>/ProcSet[/PDF/Text/ImageC/ImageI]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 6659 0 obj <>stream PDF Treating members with Aetna Dental Medicare Advantage dental plans Discount programs provide access to discounted prices and are NOT insured benefits. 2021 Health Plan List and Fee Schedule PO 71717 PHOENIX, AZ 85050 TEL 877.311.3338 FAX 602.485.3100 WWW.HNA-NET.COM 3 THREE RIVERS PROVIDER NETWORK (TRPN) - PPO Fee Schedule: 125% of the existing Medicare fee schedule as total reimbursement for covered services less applicable co-payments, co-insurance or deductibles. {8:2I)k%KHQr^+n:}%Y[m"5:rkSnz|vn2oRo#XZPz\P y!DTO PPp&j$ ), If you have any questions, please do not hesitate to contact us: International Admissions opening hours. No need to get a referral to see a specialist. Gifted students who register as visiting students at LMU Munich are exempt from paying any fees as well. PDF A Nationwide Dental PPO Plan 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. our TRICARE information page 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. 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 Dental Maintenance Organization (DMO) Coverage FAQs | Aetna The following progressive fees apply to visiting students based on the number of hours per week per semester: The fee is due at the time of registration and the amount corresponds to the total number of hours per week per semester of the courses you register for. PDF Aetna 2021 PPO Dental Benefit Summary Links to various non-Aetna sites are provided for your convenience only. To begin, complete the application for participation below. 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 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. Box 14283 Lexington, KY 40512-4283 Electronic payer IDs "|N0~\O+Mi 10 ~ Just schedule a one-on-one appointment with one of our team . Provider participation may change without notice. @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 Ny+X& LI@R 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. 58 0 obj <>stream 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. {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 $d6-_>]}k{{8 8sXY``$V@k7 Yq|:;.fwiLry6|&&Hwe@0P &n{ e`F W$g`VbL:@Zu\$fVY XJ EHG independently develops and maintains its own privacy policies and practices. Application for admission for international applicants (PDF, 586 KB) Contracted physicians can access fee schedules online on our secure provider website. Deutsch | 3. Application form Application for admission for international applicants (PDF, 443 KB). hb```"qrAX#X\2Ogbj2yqzG4p&&`^dkh`h " :$::%:\mfb.s230+_rb `)Y`!@ _, 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 Dental Benefits Summary Active PPO - Aetna (WZti:'j'1B(}1Y]o$%9Pndwi55[asZ.Uy\tQ}Xby5Wpt}#giblg+}"L7MHl %,|Z%l. %%EOF n2$o d The fee amount is determined by the statutes of the Studierendenwerk Mnchen Oberbayern (Munich Student Union). "JQ Sign up at BeneFeds.com or call 1-877-888-3337. Try our zip code search now , The Aetna federal team answers your questions. Up to five people travel on regional transport for a whole day within one federal state, from EUR 22. Dental policies and plans are insured and/or administered by Aetna Life Insurance Company (Aetna). t C`9D#ta ?$z+]>- -fheS. (Ls|I^HlM6g T{o.+ ?pE3? Dental Benefits Summary - Prince George's County, Maryland Kreyl | endstream endobj startxref PDF Enjoy the benefits - Aetna Dental hbbd``b`2@i%y $xWnq % W ,F@f;Hl/9 A)Z@"d Portugus | THIS IS NOT INSURANCE - the Aetna Dental Access plan allows you to save money and receive savings on dental care through a wide provider network. Applications for admission - LMU Munich 80539 Mnchen. * Fees displayed are based on contracted amounts negotiated for specified treatments. * Payment is made to you for diagnostic and preventative services at 80% of your Delta Dental Premier contract fees. MKkuc\KV`1-v1M]Bt]'3=C3iB-7W\*OZHiN8k!jA^.wU='Z!6Qg[9Q!0*k18PuIS{P_{?c#0q %%EOF 6688 0 obj <>stream The member is responsible for the full cost of the discounted services. Aetna does not provide care or guarantee access to health services. endstream endobj 49 0 obj <>stream With the application checklist (PDF, 408 KB) you can make sure you have all the required documents. 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). Submission of an application does not guarantee participation. 7. cbs6jQx pk)1.&ag @a|bs@IuR!CCh1NaeS&Uqmj /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? Schedule of benefits Preferred provider organization (PPO) dental expense insurance plan . Each semester all students must pay the fees for the Studierendenwerk (Munich Student Union) as part of their registration or continuation of registration, even in the case of a leave-of-absence semester. 0 hb```l\@Y8L89`@7` g uRd7^yEd3n3PxVgq2s;lX A4`1/r r`F"X&;&1 In some cases, you will also need to submit an officially certified translation. 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? 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 To do so, complete the form and submit it before the stipulated deadline together with all the documents required. 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. hbbd```b``>"9{9-d bs7H80H2D02HU20 {A 1544 0 obj <> endobj Healthier smiles happen together. Other languages Take a test run by using federal3 for the username and password. Links to ClaimConnect and its content are provided for your convenience. Fees can neither be refunded in full nor in part. PDF HEALTH PLAN LIST AND FEE SCHEDULE - Healthcare Networks of America ue6++k 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. 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 . Please also note our information at: Visiting students. PDF Emergency Numbers Aetna Dental Savings Plans & Dental Access | DentalPlans.com \aByg_v9Yyg5-\BZZ -8PwOP-eA 6BSI,Xzprmd +*2eOAC4XN6e:|vS,"c5So A`":qJe0!soqgA/ g/]E*"e[NG|UeTD4Iyejcc /#Q3S This material is for information purposes only.

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aetna dental ppo fee schedule 2021 pdf