Insurance guide

Aetna dental insurance

Soleil Dental Mesquite is an in-network provider for Aetna dental PPO plans. Send us your plan details and we'll check your benefits with Aetna before you come in, so you know what's covered and what you'll owe before any treatment.

Book a visit Call (972) 288-3200

At a glance

Network status: In network; Aetna dental PPO plans.
Benefits check: Before your first visit
What we need: Name, date of birth, member ID
Other Aetna plan types: Call to confirm
Estimate: In writing before treatment

Your card

Reading your Aetna card

Aetna dental coverage usually comes through an employer, and the card is often combined with medical. These are the details the front desk will ask for:

Member ID, and the subscriber's name if the plan is through a spouse or parent
Group number, which tells us which employer plan you're on
The plan or network name printed on the card, such as a dental PPO
The phone number on the back, which we may call to verify benefits

Plan types

PPO and DMO plans are not the same

Aetna offers different kinds of dental plans. Dental PPO plans let you see any dentist and pay less when that dentist is in network, which we are. Aetna's managed care plans, often called DMO plans, work differently: they usually ask you to choose a primary dentist from their list and can have different rules.

If your card says DMO, or you're not sure what kind of plan you have, call us before booking. We'll check how your plan works with our office and tell you plainly.

Coverage

Getting the most from an Aetna PPO plan

Most dental PPO plans cover preventive care, like exams, cleanings and routine x-rays, at a high level, and cover fillings and major work at lower percentages after a deductible. Your plan also has a yearly maximum, the most it will pay in a benefit year.

If you need several treatments, timing can matter. We can show you how the work could be split across benefit years so more of it falls under your coverage, and we'll put each step's expected cost in writing.

Coverage details are typical examples, not a guarantee. Your plan documents and our verification are what count.

How we verify

What happens after you send your details

We contact Aetna (or check its provider portal) to confirm your plan is active and in network with us.
We note your coverage levels, deductible, what's left of your yearly maximum, and any waiting periods.
The front desk calls you back with what your first visit should cost.
If you need treatment, you get a written estimate before anything starts.

Using your benefits

Where Aetna members often start

Questions

Aetna questions

Other insurance guides

Is Soleil Dental Mesquite in network with Aetna?

Yes, we're in network with Aetna dental PPO plans. If you have a different type of Aetna plan, such as a DMO, call us and we'll check how it works with our office.

Will Aetna cover my first visit?

Most Aetna PPO plans cover exams and routine x-rays as preventive care. We verify your specific benefits before the visit and tell you if anything won't be covered.

What if I have Aetna medical but not dental?

Medical coverage usually doesn't pay for routine dental care. Check whether you have a separate dental plan, or ask us about the Sunshine Membership.

Next step

Have Aetna? Let's check your plan.

Call (972) 288-3200 with your card handy, or request a visit and include your insurance.