In Case of a Dental Emergency
The Plan pays a benefit at the network level of coverage even if the services and supplies were not provided by a network provider up to the Dental Plan maximum. The care provided must be a covered service or supply. You must submit a claim to Aetna describing the care given. Additional dental care to treat your dental emergency will be covered at the appropriate coinsurance level for the type of service provided.
A Dental Emergency is any dental condition that occurs unexpectedly, requires immediate diagnosis and treatment in order to stabilize the condition, and is characterized by symptoms such as severe pain and bleeding.