They insisted on telling me that if I kept appt. with them (my dentist referred me) that I would be charged out of network rates even though they have an in network contract with my insurance company. Called insurance company and insurance company said they were obligated to charge in network rates.
Why would a Dr.'s office sign up with insurance company and then not honor contract. If you are not happy get your name off of Aetna's website as a PPO provider or provide the service you contracted to do.