Dental Coverage

Protect your smile today and tomorrow.

Michaels offers a dental plan administered by Aetna.

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What You Pay When You Receive Care

The plan requires that a deductible is met before a benefit is paid. A deductible is the amount a member must pay for eligible expenses before the plan begins to pay benefits.

Dental Plan
Dental PlanAnnual benefit maximum
Plan pays per coverage year
$500
Dental PlanAnnual deductible
Per individual per coverage year
$50
Dental PlanPreventive services
(includes checkups and cleanings)
You are responsible for paying up to 20% of the
Recognized Charges† .
These services have no waiting period.
Dental PlanBasic services
(includes fillings, oral surgery, and
denture, crown and bridge repair)
You are responsible for paying up to 40% of the
Recognized Charges† .
You must be covered under the dental plan without
interruption for 3 months before the plan begins to
pay for these services.
Dental PlanMajor services
(includes Perio and Endodontics,
crowns, bridges, and dentures)
You are responsible for paying up to 50% of the
Recognized Charges† .
You must be covered under the dental plan without
interruption for 12 months before the plan begins to
pay for these services.

The plan requires that a deductible is met before a benefit is paid. A deductible is the amount a member must pay for eligible expenses before the plan begins to pay benefits.

Dental Exclusions

This dental plan does not cover all dental care expenses and has exclusions and limitations. You should refer to your certificate to determine which dental care services are covered and to what extent. The following is a partial list of services and supplies that are generally not covered. However, your plan may contain exceptions to this list based on state mandates or the plan design purchased.

  1. Cosmetic procedures unless needed as a result of injury.
  2. Any procedure, service or supplies that are included as covered medical expenses under
    another group medical expense benefit plan.
  3. Prescribed drugs, pre—medication, analgesia or general anesthesia.
  4. Services provided for any type of temporomandibular (TMJ) or related structures, or myofascial pain.
  5. Charges in excess of the Recognized Charge, based on the 80th percentile of the FAIR Health RV Benchmarks.

What the Plan Costs

What the Plan Costs

Dental
DentalYou $9.04
DentalYou + child(ren) $17.06
DentalYou + Spouse $18.24
DentalYou + Family $29.90
DentalYou $9.04

Additional Resources

Dental Enrollment Kit

What if I miss a payroll deduction?

If you miss a payroll deduction after your coverage begins, you will not have coverage during the time that payroll deduction would cover, unless you pay the full missed premium directly to Aetna Voluntary.

See Missed Premium Payment Coupon for more information!

Provider