The Benefits Home for Toys"R"Us Team Members
Review this table for a high-level, side-by-side comparison of the plans.
For 2017-2018 dental coverage costs, click here.
|Aetna Dental PPO||Aetna DMO|
|Plan Provision||In-network||Out-of-network||In-Network Only|
|Preventive and diagnostic services*||100% of discounted rate; no deductible||100% of reasonable and customary (R&C)||100%|
|Basic services*||80% of discounted rate after deductible||70% of R&C after deductible||80%|
|Major services*||50% of discounted rate after deductible**||50% of R&C after deductible**||50%|
|Annual maximum benefit||
|Orthodontia||50% of discounted rate after deductible
(for children and adults)
(for all covered children and adults)
|Lifetime orthodontia maximum benefit||$1,500||N/A||One treatment per member|
|* Limits on frequency of treatment and services may apply. Bite-wing X-rays are covered once every 12 months, and full-mouth X-rays are covered once every 60 months. See the SPD and SMM for additional details.
** Osseous surgery and oral surgery are covered the same as Basic services.