Officers - Dental Coverage

Dental Plan for Officers

The University offers two comprehensive dental plans through Aetna: Aetna Columbia Dental Plan and the Aetna Dental Maintenance Organization (DMO). Both plans cover the same range of services, but differ in cost depending on the plan you choose and the provider you see.

 

Overview & Comparison

The Aetna Columbia Dental Plan allows you to see a broad range of dentists in three categories: the Columbia Preferred Dental Network—Columbia University College of Dental Medicine faculty and alumni; the national Aetna PPO Network; or an out-of-network dentist, although your cost may be significantly higher for out-of-network.

The Aetna Dental Maintenance Organization (DMO) requires you to select a primary care dentist from the Aetna DMO network. Monthly premiums are generally lower and there is no deductible or annual or lifetime benefit maximums for most services under this plan. However, referrals are needed for specialists and there is no out-of-network coverage.

Using the Aetna Columbia Dental Plan Networks

Aetna PPO Dental Network

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


Columbia Preferred Dental Network

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.

Website: cudentalassociates.columbia.edu

Columbia Dental Associates Morningside Associates
1244 Amsterdam Avenue
(near 121st Street)
New York, NY 10027
212-961-1266

and

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

Columbia Dental Associates Medical Center Practice
Bard Haven Towers
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

Aetna Dental Maintenance Organization Plan

With the Aetna Dental Maintenance Organization (DMO) plan, monthly premiums are generally lower and there is no deductible or annual or lifetime benefit maximums for most major services. Your primary care dentist must be in the Aetna DMO network. Referrals are needed for specialists. There is no out-of-network coverage.

The DMO is not available outside the U.S., or in the following U.S. states and territories: Alaska, Alabama, Arkansas, Louisiana, Maine, Mississippi, Montana, North Dakota, New Hampshire, South Carolina, South Dakota, Vermont, Wyoming, Puerto Rico and the Virgin Islands.

Aetna DMO Plan Overview

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.

  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.

If you have questions about your benefits enrollment, please contact the Columbia Benefits Service Center at hrbenefits@columbia.edu or 212-851-7000.

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 health savings account (HSA) or a flexible spending account (FSA)? You can use those 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

The DMO is not available outside the U.S., or in the following U.S. states and territories: Alaska, Alabama, Arkansas, Louisiana, Maine, Mississippi, Montana, North Dakota, New Hampshire, South Carolina, South Dakota, Vermont, Wyoming, Puerto Rico and the Virgin Islands.

Monthly Pre-Tax Contributions for Dental

2020 Monthly Pre-Tax Contributions for Dental (Full-Time Officers)

2020 Monthly Pre-Tax Contributions for Dental (Part-Time Officers)

Information

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, go to Aetna to download and print an ID card.