Frequently Asked Questions
AGMA Health Fund Dental

1. Who is eligible for dental insurance through the AGMA Health Fund?
A. As of January 1, 2006, the AGMA Health Fund Plan A no longer automatically includes Dental coverage. Any member who is enrolled in AGMA Health Fund Plan A is also eligible to enroll in the dental insurance plan. Anyone who was eligible and did not enroll by January 1, 2006, must wait until the next Open Enrollment period to enroll. You can enroll in the Dental Plan if you become eligible for the AGMA Health Fund Plan A after January 1, 2006. Please contact the Fund Office for plan options, plan costs and enrollment forms.
2. Do I have to choose an in-network dentist?
A. No.  AGMA Health Fund offers both the Freedom of Choice DMO plan and the Freedom of Choice Traditional Plan. The DMO plan is similar to an HMO plan.  You go to an in-network dentist and your out-of-pocket costs are minimal.  With the Traditional Plan, you may go to ANY dentist, but your out-of-pocket costs are higher.
3. How do I know if a particular dentist is in-network?
A. You can either call Aetna Dental member services at 1-877-238-6200 or check their Web site at www.aetna.com/docfind
4. How will I know what percentage of a particular dental service is covered?
A. For specific questions about coverage of services and amounts covered, please call Aetna Dental Member Services at 1-877-238-6200.
5. If I go to an out-of network dentist, do I have to pay for services "up-front?"
A. That will depend upon the billing practices of your particular dentist.  It is best to ask your dental office this question when scheduling an appointment.
Frequently Asked Questions
AGMA Health Fund Vision
1. Who is eligible for vision insurance through the AGMA Health Fund?
A. As of January 1, 2015, the AGMA Health Fund will offer Plan A eligible members the opportunity to enroll for vision coverage on a self-pay basis. Please contact the Fund Office for eligibility and rate information
2. What benefits are offered in the Vision plan?
A. Aetna's Vision Preferred Plan offers a variety of benefits - please see the summary for more information.