Management/Non-Represented Plan Design Retirees
Retiree dental coverage, offered through Aetna, is designed to promote good dental health for you and your eligible dependents.
If you’re eligible for retiree medical coverage (that is, you are Medicare-eligible and meet the applicable age and service requirements), you’re eligible for retiree dental coverage. See Retiree Medical and the Dental Expense Plan Summary Plan Description (SPD) for details.
You may choose to enroll in the Dental Preferred Provider Organization (PPO) option. The PPO option is available to those eligible retirees who have a US or US territory address, as their address of record, on file with the Nokia Benefits Resource Center. You may visit any dentist and receive benefits; however, you will receive a higher level of benefits if your dentist is in-network.
This option pays 100 percent of covered diagnostic and preventive services. After you meet the deductible, this option pays a percentage of other covered services, up to an annual maximum. Note that the percentage paid for covered services is a percentage of the provider’s negotiated rate (for in-network services) or of reasonable and customary (R&C) fees (for out-of-network services).
For more information about your dental coverage, review the Dental Expense Plan SPD or contact the carrier.
If you need dental work costing over $200, you should determine, before treatment begins, what is covered and how much your dental plan option will pay. Please see “Predetermination of Benefits” in the Dental Expense Plan SPD, or contact the carrier.
Note: You will not receive an Aetna member ID card and you do not need one to receive care. (You may be asked to provide your group number, which is 700140.) However, if you would like to have a member ID card, you can download and/or print one out from the Aetna website.
To find a dentist in the PPO network:
Note: It is always a good idea to confirm with your dentist that he or she participates in your dental plan option before scheduling an appointment.
For your specific costs, visit the YBR website.
