Oral surgery aetna

It depends upon your plan. First, find out if your treatment will be covered under your medical or dental benefits or insurance plan. You or your dentist can 
Surgical dental extractions are considered dental in nature. They are typically covered under an Aetna dental plan. There are exceptions, however. To verify 

Does Aetna cover dental services?

Some Aetna medical plans provide coverage for some dental related services, and for certain "dental-in-nature" oral and maxillofacial surgery (OMS) services that are related to the jaw or facial bones.
Reduction of any facial bone fractures is covered under all Aetna medical plans.

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Does Aetna cover facial bone fractures?

Reduction of any facial bone fractures is covered under all Aetna medical plans.
Standard HMO and traditional plans cover the removal of tumors, treatment of dislocations, facial and oral wounds/lacerations, and removal of cysts or tumors of the jaws or facial bones, or other diseased tissues.

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Does Aetna offer a dental care rider?

The Preventive Dental Care Benefit (for members under 12 years of age) is a standard benefit in many Aetna HMO-based plans.
In addition, some HMO-based medical plans include:

  1. a dental services rider

Refer to the individual plan documents for a description of covered services; Surgical splints.
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How do I find oral surgeons who take Aetna Insurance?

Use Zocdoc to find oral surgeons near you who take Aetna insurance.
It’s simple, secure and free.
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Every provider that appears in search is open to new patients.
Dr.
McMichael grew up in Raleigh, North Carolina.

2004 United States Supreme Court case

Aetna Health Inc. v.
Davila
, 542 U.S. 200 (2004), was a United States Supreme Court case in which the Court limited the scope of the Texas Healthcare Liability Act (THCLA).
The effective result of this decision was that the THCLA, which held Case Management and Utilization Review decisions by Managed Care entities like CIGNA and Aetna to a legal duty of care according to the laws of The State of Texas could not be enforced in the case of Health Benefit plans provided through private employers, because the Texas statute allowed compensatory or punitive damages to redress losses or deter future transgressions, which were not available under ERISA § 1132.
The ruling still allows the State of Texas to enforce the THCLA in the case of Government-sponsored (Medicare, Medicaid, Federal, State, Municipal Employee, etc., Church-sponsored, or Individual Health Plan Policies, which are saved from preemption by ERISA.
The history that allows these Private and Self-Pay Insurance to be saved dates to the Interstate Commerce power that was given the federal Government by the Supreme Court.
ERISA, enacted in 1974, relied on the Interstate Commerce
rule to allow federal jurisdiction over private employers, based on the need of private employers to follow a single set of paperwork and rules for pensions and other employee benefit plans where employers had employees in multiple states.
Except for private employer plans, insurance can be regulated by the individual states, and Managed Care entities making medical decisions can be held accountable for those decisions if negligence is involved, as allowed by the Texas Healthcare Liability Act.

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