NUSS - Dental Coverage

Dental Plan for Officers

As a Non-Union Support Staff member, you have three dental plan options: The EmblemHealth Preferred Dental Benefits Plan A (“EmblemHealth Dental”), the Aetna Columbia Dental Plan, or the Aetna Dental Maintenance Organization (DMO) plan. 

EmblemHealth Dental

This plan covers preventive, basic and major services. You may choose to use participating EmblemHealth dentists or go to a nonparticipating dentist.

  • If you use a participating dentist, no forms are required
  • If you use a nonparticipating dentist, you pay the provider then file a claim for reimbursement
    • You’ll be reimbursed up to the allowance shown on the EmblemHealth Dental fee schedule for covered services, available from EmblemHealth
    • You may pay the difference between the total charge and the amount the Plan covers

For a list of participating dentists, go to: emblemhealth.com/find-a-doctor/directory; select “Dental Preferred” and enter your preferred location to search for participating providers nearby. For more information, call EmblemHealth at 212-501-4443.

EmblemHealth Dental Plan Overview

* For dependent children only.

Aetna Dental

The University offers two comprehensive dental plans through Aetna. Both plans cover the same range of services. No matter which plan you choose you can locate providers, review your dental benefits coverage, and get cost estimates at aetna.com.

Aetna Columbia Dental Plan: Choose from a broad range of dentists in three categories, including Columbia University College of Dental Medicine faculty and alumni—the “Columbia Preferred Dental Network”, or dentists in the national Aetna PPO network. You may also see an out-of-network dentist, although your cost may be significantly higher.

Aetna Dental Maintenance Organization (DMO): Under this plan, monthly premiums are generally lower and there is no deductible, or annual or lifetime benefit maximums, for most major services. You must choose a primary care dentist from the Aetna DMO network. Referrals are needed for specialists and there is no out-of-network coverage.

If you see an Aetna-participating dentist, you will not be billed for fees that exceed the Aetna-negotiated amount. To locate an Aetna participating dentist, go to Vendor Contacts.

When you use a dentist who participates in the Columbia University network, you receive a greater benefit for services. To locate a Columbia Preferred dentist, go to Vendor Contacts

Columbia Preferred dentists are located throughout the tristate area of New York, New Jersey and Connecticut.

Columbia Preferred dentists accept reimbursement for services covered at 100% as payment in full. You are not responsible for paying any fees that exceed the network-negotiated fees. You also do not have to submit any claim forms when you use a network participating dentist.

 

Columbia Preferred Dental Plan Facilities

Website: cudentalassociates.columbia.edu

Columbia Dental Associates Morningside Associates
1244 Amsterdam Avenue
(near 121st Street)
New York, NY 10027
212-342-2300

and

430 West 116th Street
New York, NY 10027
212-662-4887

Columbia Dental Associates Medical Center Practice
100 Haven Avenue
New York, NY 10032
212-342-0107

Columbia-Presbyterian Eastside Dental Faculty Practice
Columbia Doctors Midtown
51 West 51st Street
Suite 350
New York, NY 10019
212-326-8520

Columbia Oral & Maxillofacial Surgery
Vanderbilt Clinic

622 West 168th Street
7th Floor
New York, NY 10032
212-305-4552

 

Everyone enrolled in the Aetna Dental Maintenance Organization (DMO) plan must go to providers in the Aetna DMO network. To keep your dental care on track, consider selecting your primary care dentist (PCD) now, in advance of your regular checkup or whenever you next require dental care. Referrals are needed for specialists and there is no out-of-network coverage.

  1. If you have not registered on Aetna’s website, create a user account at aetna.com.
  2. After logging in, search for primary care dentists under “Find care and pricing”.
  3. Choose your primary care dentist online or by calling Aetna at 800-773-9326.

A primary care dentist (PCD) helps guide your dental care. You and each family member must each choose a PCD from the Aetna DMO network (does not have to be the same PCD). If you go to a dentist other than your selected PCD, you could end up paying more.

  • See your PCD for regular exams and to get referrals if you need specialty care
  • You can change your PCD once a month on your member website. Switch by the 15th day of the current month. The change will start the first day of the next month.
  • Pay your share of the cost. This may be a copay, which is a set dollar amount. Or it may be coinsurance, which is a percentage of the dentist’s charge. Have a flexible spending account (FSA)? You can use the funds to help with these costs.
  • No deductible, no claims forms and no yearly dollar limits.

To locate an Aetna DMO participating dentist, go to Vendor Contacts.

Prior to January 1, 2022, the Aetna DMO is available in the following U.S. states: California, Colorado, Connecticut, Delaware, Florida, Georgia, Illinois, Massachusetts, Maryland, Michigan, Minnesota, North Carolina, New Jersey, New York, Ohio, Oregon, Pennsylvania, and Texas. The DMO is not available outside the U.S.

Effective January 1, 2022, the Aetna DMO is only available within certain zip codes. If the DMO is not an available option for you in CUBES, it means that your home address is in a zip code where the DMO is not offered. The DMO is not available outside the U.S.

Monthly Pre-Tax Contributions for Dental

2022 Monthly Pre-Tax Contributions for Dental (Full-Time employees)

2021 Monthly Pre-Tax Contributions for Dental (Full-Time employees)

*Dependent children can only be covered for EmblemHealth Dental through the end of the calendar year in which they turn 19.

2022 Monthly Pre-Tax Contributions for Dental (Part-Time employees)

2021 Monthly Pre-Tax Contributions for Dental (Part-Time employees)

*Dependent children can only be covered for EmblemHealth Dental through the end of the calendar year in which they turn 19.

Reminder

Dental ID Cards

Aetna will mail a letter confirming your enrollment—not an ID card. Share a copy of this letter with your dentist, or simply give your name, date of birth and member ID number (or your Social Security Number). If you prefer to have an ID card, go to Aetna’s website to download and print.