Aetna is the health provider to AGMA Health Funds, allowing you to get care when and where you want it. Click the button below to log onto your Aetna account to get to know your plan, see your claims, find providers in your area, and more! Through the online portal, you’ll be able to request a physical card, or access the digital version.
If you don’t yet have an account, click the register button and enter either the member ID Aetna provided for you or your Social Security Number, along with the rest of your information to gain access to your account.
Aetna Health has an app!
Members who are enrolled in AGMA Health Fund plans are also eligible to enroll in self-pay dental insurance. Members have the choice of two dental plans:
Freedom of Choice DMO
No deductible and no-cost preventative care, but you must use an Aetna DMO dentist.
Freedom of Choice Indemnity
Allows you to see either in-network or out-of-network dentists, but your out-of-pocket costs are higher.
In order for a covered member to be eligible for benefits, dental services must be provided by a primary care dentist selected from the network of participating DMO dentists. Members who choose the Indemnity Plan will pay more out of pocket, even if they are seeing a DMO dental provider.
Your employer is covering the cost of individual dental coverage for it’s members, however if you would like to elect family coverage for your dependents, you are responsible for the difference of the individual coverage and the family coverage, which totals to $42.38.
You can find the dental benefits summary for both plans by clicking on the thumbnails below.
Dental Estimation Service
Aetna provides a service to enrolled members where if the cost of a dental visit or procedure is over $100, the member can request for the explanation of benefits to be valued by Aetna so the member is aware of exactly how much the procedure will be covered by insurance.
For specific questions about coverage of services and amounts covered, please call Aetna Dental Member services at 1-877-238-6200.
For DMO plan members, we recommend confirming with the dental provider you’ve chosen to ensure they’re accepting your plan, before attending your first appointment.
If you would like to elect dental coverage, you may do so during your initial enrollment, otherwise you will have to wait until our Open Enrollment period in November.
To pay the difference of your family dental coverage, please call Dawn at 212-765-3664 ext 4.