New Aetna Mailing- Selecting a Primary Care Dentist

August 15, 2014

Over the next week, eligible NYCDCC Welfare Fund participants will be receiving a secondary mailing from the Benefit Funds concerning dental coverage through Aetna DMO, effective October 1, 2014. This mailing describes how eligible participants can select a Primary Care Dentist (PCD) in Aetna’s network for themselves, as well as their dependents. What is important to note is that selecting a PCD is NOT OPTIONAL. All eligible participants and dependents MUST select a PCD or they will NOT be able to access their coverage.

Between August 18^th and September 10^th, ALL eligible participants and dependents will be required to select a PCD. This will allow for your PCD to be listed on your ID Cards, which you will receive before your coverage becomes active on October 1^st. Again, if you fail to select a PCD, you will not be able to use your coverage.

For instructions on how to select a PCD, please see below:     

Option #1 – Call Aetna Member Services

• Call Member Services at 855-201-8436 between 8am and 6pm to speak with an Aetna representative.
• Have the Social Security Number and Date of Birth of the participant available.
• Review Primary Care Dentists who participate in the Aetna DMO plan by going to www.aetna.com and following these instructions:
  • Scroll down the page and select “Find a doctor, dentist, facility or vision provider.”
  • Choose to search our Public Directory located towards the bottom of the page.
  • Elect Dentist (Primary Care).
  • Enter your Zip code.
  • Select the Dental Maintenance Organization (DMO^®) plan.
  • Provide the name to the Aetna Member Services Representative.

Option #2 – Register for Aetna’s Member Services Website – Aetna Navigator^®

• Go to www.aetna.com
• Choose Logon/Register from the Menu Bar.
• Select “Sign Up Now” & follow the step-by-step instructions included on the next pages.
• Once you are registered, log onto the site and select “Find a Doctor, Dentist or Facility.”
• Choose “Dentist (Primary Care).” The site will provide a list of Primary Care Dentists in your area.
• Select “Make My Primary Care Dentist” next to the provider you choose. It’s that easy!
• You may also assign Primary Care Dentists for your dependents by selecting “Change Primary Care Doctor for another member” after you have completed your election.

You can also view a full PDF version of the mailing by clicking HERE.