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Aetna Dental Inc. 2018 Exception Requested for Service Areas Without Desired Access Dental Maintenance Organization In accordance with Texas Administrative Code Title 28, 11.1607 Accessibility and
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To fill out Aetna DMO Waiver Specialty Dentists, follow these steps:
02
Obtain the Aetna DMO Waiver Specialty Dentists form from your Aetna provider or download it from the Aetna website.
03
Fill in your personal information, including your name, address, and contact details.
04
Provide your Aetna member ID number and group number.
05
Specify the type of specialty dentist you are seeking a waiver for.
06
Clearly explain the reason for requesting a waiver, such as unavailability of in-network specialists or specific medical conditions that require specialized treatment.
07
Attach any supporting documents, such as medical records or referrals, if necessary.
08
Review the completed form to ensure all information is accurate and complete.
09
Sign and date the form.
10
Submit the filled-out Aetna DMO Waiver Specialty Dentists form to your Aetna provider or send it by mail to the designated Aetna address.
11
Keep a copy of the filled-out form for your records.

Who needs aetna dmo waiverspecialty dentists?

01
Individuals who require specialized dental care and cannot find an in-network specialist under their Aetna DMO plan may need Aetna DMO Waiver Specialty Dentists. This waiver allows them to seek treatment from out-of-network specialists and potentially receive reimbursement for covered services. It is particularly beneficial for individuals with unique dental conditions or those who require specialized treatments not readily available within the network of dentists.
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Aetna DMO waiverspecialty dentists are dentists who have agreed to accept lower fees in exchange for being listed as specialists in the Aetna Dental Maintenance Organization network.
Dentists who wish to be included in the Aetna DMO network as specialty providers are required to file the waiverspecialty dentists form.
To fill out the Aetna DMO waiverspecialty dentists form, dentists must provide their basic information, specialty credentials, and agree to the network's fee terms.
The purpose of the Aetna DMO waiverspecialty dentists program is to ensure that members have access to affordable specialty dental care within the network.
Dentists must report their specialty credentials, contact information, and agree to the fee schedule on the Aetna DMO waiverspecialty dentists form.
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