Medicare resources for providers
Find information about Medicare compliance requirements, training,enrollment and more.
Important Participation Information
What you need to know
As a network dentist, you'll be able to see all Aetna Dental Medicare Advantage members and you'll be reimbursed according to the PPO fee schedule you have with us.* These members may reference having an HMO, DSNP, HMO-POS or PPO plan.
We’re here for you
If you have any questions, you can contact our dedicated Medicare Provider Services team. They offer personalized customer service and can help you with Medicare dental plan benefits. Just call 1-800-624-0756 (TTY: 711).
Aetna Medicare Advantage plans include HMO, PPO and D-SNP
A D-SNP (Dual Special Needs Plan) provides benefits to Medicare-qualified
members who also receive Medicaid benefits and/or assistance with Medicare
premiums or Parts A & B cost-sharing. Members must live in a county where
Aetna Medicare offers a D-SNP.
Important: Annual Medicare Compliance Program Requirements
New and existing participating providers in our Medicare Advantage (MA) Plans are required to meet the Centers for Medicare & Medicaid Services (CMS) compliance program requirements for first-tier, downstream and related entities (FDR) as identified in the Medicare compliance FDR program.
Additional Compliance Information
Annual notification regarding requirements will be sent to
providers via Adobe Acrobat Sign email or postcard. Providers
continue to be notified via OfficeLink Newsletters during the
summer months. You can access the training and attestation at
the link(s) below. Our Compliance Department completes
random audits to ensure compliance on an annual basis.
Review Compliance Training(s)
Read our Office Manual and/or Newsletters to learn more on
FDR Medicare Compliance Guide
Office Manual
Office Link Newsletter
For non-participating Aetna Medicare PPO providers
We are expecting an increase in membership for our Medicare Advantage preferred provider organizations. You are likely to see more patients with these health plans.