Aetna dental coverage for Invisalign? How to get Aetna Dental Insurance to pay for your Invisalign Procedure?

Getting Aetna Dental Insurance to cover your Invisalign procedure involves a few steps, but it’s important to note that the dental coverage can vary depending on your specific policy. However, with proper preparation and understanding of your policy, the process can be straightforward. Here’s a guide to help you navigate through it:

Empower Yourself By thoroughly reviewing your Aetna Dental Insurance policy. This is the first crucial step in understanding your coverage for orthodontic treatments, including Invisalign. Pay close attention to details such as deductibles, copayments, coverage limits, and any pre-authorization requirements. This knowledge will put you in control of the process.

Reassure Yourself By scheduling a consultation with your trusted dentist or orthodontist. They guide this process, evaluating your teeth condition and determining if Invisalign is the right treatment option. They can also provide you with a treatment plan outlining the estimated duration and cost of the procedure.

Confirm Network Providers: Ensure your dentist or orthodontist is in-network with Aetna Dental Insurance. In-network dental insurance providers have pre-negotiated rates with insurance companies, which can result in much lower out-of-pocket costs. You can check the Aetna website or contact customer service to verify your provider is in-network.

Obtain Pre-Authorization: Some insurance plans, including Aetna Dental Insurance, may require pre-authorization for orthodontic treatments like Invisalign. Pre-authorization involves submitting a treatment plan and obtaining approval from the Aetna Dental insurance company before starting treatment. Your dentist or orthodontist can assist you in obtaining pre-authorization by submitting the necessary documentation to Aetna. This process typically takes a few days to weeks, so starting early is essential. 

Schedule Treatment: Once you’ve completed the above steps and understand your coverage, you can schedule your Invisalign treatment with your dentist or orthodontist. Be sure to follow any instructions your dental professional provides and keep track of your appointments for documentation purposes. This is important because you must submit claims and documentation to Aetna Dental Insurance for reimbursement. 

Submit Claims and Documentation: After each Invisalign appointment, obtain copies of your receipts and treatment records. You’ll need these documents to submit claims to Aetna Dental Insurance for reimbursement. Be sure to follow Aetna’s claim submission process, which includes providing all required documentation and completing any necessary forms.

Secure your claims by following up with Aetna Dental Insurance. This step is crucial to ensure they’ve received your claims documentation and to inquire about the status of your claim. If there are any issues or discrepancies, rest assured that you can work with the insurance company to resolve them promptly.By following these steps and staying informed about your Aetna Dental Insurance policy, you can increase the likelihood of getting coverage for your Invisalign procedure and minimize out-of-pocket expenses. Remember to communicate your tooth condition and the treatment options with your dental professional and the Aetna insurance provider throughout the process. This will ensure a smooth experience and help you address concerns or questions.