Medicare Blog

ow can i find a dentist who takes a medicare advantage plan

by Kyle Bauch Published 2 years ago Updated 1 year ago

How can I make a same-day appointment with a Dentist who takes Medicare insurance?

On average, patients who use Zocdoc can search for a Dentist who takes Medicare insurance, book an appointment, and see the Dentist within 24 hour...

How can I find a Dentist who takes Medicare insurance?

Zocdoc lets you search specifically for a Dentist who takes Medicare insurance. Just choose your carrier and plan from the drop-down menu at th...

How can I book an appointment online with a Medicare Dentist?

Zocdoc is a free online service that helps patients find Medicare Dentists and book appointments instantly . You can search for Medicare Dentists...

How can I find a female Dentist who takes Medicare insurance?

When you search for Dentists on Zocdoc, you can filter your results by gender, in addition to other criteria. That way, you’ll only see Dentists...

How can I find a Medicare Dentist who sees patients after hours?

On Zocdoc, you can search specifically for Medicare Dentists with availability after 5 p.m.

How can I find a top-rated Medicare Dentist?

You can use Zocdoc to find Medicare Dentists who are highly rated by other patients. These ratings are based on verified reviews submitted by rea...

How can I find a video visit with a Dentist online?

Dentists on Zocdoc who see patients through online video visits will have a purple video icon on their profiles. You can also filter your search re...

Are video visits with a Dentist online covered by Medicare?

Most insurers provide coverage for video visits at the same cost as in-person visits. You can search on Zocdoc specifically for Dentists who accept...

How can I find a Medicare Dentist who sees patients in the morning or evening?

Zocdoc lets you search specifically for a Dentist who has appointments available before 10:00 am, or after 5:00 pm. Just choose the special hours f...

Emergency Dentists

Finding an emergency dentist in your neighborhood that takes Medicare Part A or B is the easiest because the pool of eligible providers expands when you have an urgent need for immediate oral care. Plus, the program pays for select services.

Oral Surgeons

Seniors can also easily find a list of local oral surgeons that take Medicare Part A or B because a broader array of procedures might be an integral part of a covered service, and you can use the online provider directory.

Oral Exams

Seniors can sometimes find dental offices or clinics that take Medicare Parts A or B for comprehensive oral exams (perhaps including X-rays) but never treatment. In these cases, you might utilize two different resources to identify participating providers.

Pediatric Dentists

Finding a local pediatric dentist that takes Medicare Parts A or B should prove elusive even when the treatment is integral to a covered service. The two terms typically do not belong together in the same sentence.

Tooth Implants

Senior citizens need to apply the lessons addresses above (Part A & B) and below (Part C – Advantage plans) when looking for nearby dentists taking Medicare for tooth implants.

AARP

Finding local dentists that takes an AARP Medicare Advantage plan means visiting the website of United Healthcare (UHC), the insurance company backing this branded affiliate program.

Aetna

Identifying dentists that take one of the Aetna Medicare Advantage plans near you also means visiting this insurance company’s website, but with a slightly different twist. Aetna offers two designs that impact your choice of providers.

What is Medicare Advantage Plan?

Medicare Advantage plans are offered by private insurance companies contracted with the Medicare program to provide benefits covered by Part A and Part B (except for hospice care, which is covered under Part A). These private companies look for ways to control health care expenses to help keep costs low for their members.

What is a PPO plan?

PPOs let you see any provider or doctor who accepts your Medicare Advantage plan, but you pay a lot less when you use providers in the plan’s preferred provider network. Like HMOs, your plan network will include specialists, hospitals, and other providers you need for your health care needs. Private Fee-for-Service Plans (PFFS).

What is an HMO?

Health Maintenance Organizations (HMOs). Most HMOs require you to get your health care from providers in the plan’s network. You’ll choose a primary care provider (PCP) who will handle all your routine health care and refer you to specialists as needed to treat you.

Does Medicare Advantage cover vision?

Medicare Advantage plans are only required to cover the same services as Part A and Part B, which do not include benefits for routine vision, dental, hearing, and prescription drugs. However, many Medicare Advantage plans do offer additional coverage for these services.

How Can I Find a UnitedHealthcare Dental Provider?

UHC makes it easy to search for participating dental providers in your area. Simply visit the UHC provider lookup tool and select the type of UnitedHealthcare plan you have (or the plan you’re considering, if you’re shopping for Medicare). Then enter your zip code and follow the prompts.

How Many Dental Providers Accept UnitedHealthcare?

UHC advertises that its dental network includes more than 100,000 local and national dental providers. This is hardly surprising, as UnitedHealthcare boasts the largest number of policy holders of any insurance company with around 70 million customers in 2021 and ranks No. 5 on the Fortune 500 list.

Using a UnitedHealthcare Dental Provider

Depending on the type of UHC plan in which you enroll, your choice of dental providers may be restricted to only those providers within the UnitedHealthcare network, or you may also be able to visit dental providers outside of the plan’s network while still receiving at least partial coverage for your care.

What Kind of Dental Care Is Covered by UnitedHealthcare Medicare plans?

UnitedHealthcare dental coverage includes routine dental care such as exams, cleanings, fillings and X-rays. Plans may also include orthodontics and other advanced services such as extractions, root canals, dentures, bridges, crowns and more.

How Do I Find a UnitedHealthcare Plan With Dental Coverage

You may be able to find and compare UnitedHealthcare Medicare Advantage plan by calling to speak with a licensed insurance agent who can deliver all of your available plan options from both UHC and other carriers to help you review and compare.

Who is Audrey McNamara?

Dr. Audrey McNamara is a general dentist. She attended the University of Toronto, where she earned her dental degree. She stays up-to-date on the advancements made in dentistry. Dr. McNamara sees patients for a range of reasons. These include tooth extractions, dental emergencies, and wisdom tooth problems. Based in Kirkland, WA, she believes in rendering quality care to all her patients. During Dr. McNamara's consultations, she makes patients understand their conditions in a manner they can comprehend. She makes sure that each patient visit is relaxing and comfortable. She builds and maintains partnerships to improve dental health. We offer a smile savings plan for those with no insurances, which includes cleaning and X-rays, and the patient would get 20% off for any treatment.

Who is Lynn Jones?

Dr. Lynn Jones graduated from the University of Washington School of Dentistry. Besides being a highly skilled dentist, Dr. Jones is also a popular local and national lecturer. She has completed the stringent requirements required to receive the most respected postgraduate certification in cosmetic dentistry, Accreditation with The American Academy of Cosmetic Dentistry (AAACD). The AACD requires attendance at accreditation workshops, mastery of rigorous oral and written exams, and expert panel approval of specific cosmetic casework. The Academy also insists on responsible and ethical patient care from its members. Dr. Jones was the first female dentist in Washington state to achieve this prestigious accreditation. She is also a Fellow of the International Congress of Oral Implantologists (FICOI), and has received extensive training and experience with dental implants. Dr. Jones still makes time to regularly volunteer with the Give Back a Smile program where cosmetic dentists donate their talents to restore the smiles of survivors who have received dental injuries due to domestic abuse. We offer a smile savings plan for those with no insurances, which includes cleaning and X-rays, and the patient would get 20% off for any treatment.

What happens if you get a health care provider out of network?

If you get health care outside the plan’s network, you may have to pay the full cost. It’s important that you follow the plan’s rules, like getting prior approval for a certain service when needed. In most cases, you need to choose a primary care doctor. Certain services, like yearly screening mammograms, don’t require a referral. If your doctor or other health care provider leaves the plan’s network, your plan will notify you. You may choose another doctor in the plan’s network. HMO Point-of-Service (HMOPOS) plans are HMO plans that may allow you to get some services out-of-network for a higher copayment or coinsurance. It’s important that you follow the plan’s rules, like getting prior approval for a certain service when needed.

What is a special needs plan?

Special Needs Plan (SNP) provides benefits and services to people with specific diseases, certain health care needs, or limited incomes. SNPs tailor their benefits, provider choices, and list of covered drugs (formularies) to best meet the specific needs of the groups they serve.

Can a provider bill you for PFFS?

The provider shouldn’t provide services to you except in emergencies, and you’ll need to find another provider that will accept the PFFS plan .However, if the provider chooses to treat you, then they can only bill you for plan-allowed cost sharing. They must bill the plan for your covered services. You’re only required to pay the copayment or coinsurance the plan allows for the types of services you get at the time of the service. You may have to pay an additional amount (up to 15% more) if the plan allows providers to “balance bill” (when a provider bills you for the difference between the provider’s charge and the allowed amount).

Do providers have to follow the terms and conditions of a health insurance plan?

The provider must follow the plan’s terms and conditions for payment, and bill the plan for the services they provide for you. However, the provider can decide at every visit whether to accept the plan and agree to treat you.

What is Medicare Advantage Dental?

Understanding Medicare Advantage dental coverage. Dental care is a vital part of maintaining your health and well-being, especially as you age. And one of the main perks of joining a Medicare Advantage (MA) plan is that many plans offer dental coverage to help you keep up with your oral health.

How long does it take for Aetna to reimburse you for dental care?

You’ll pay for your dental care up front when you see a dentist, and then submit your receipts to Aetna to get reimbursed within four to six weeks. “With a direct member reimbursement allowance, you’re given a set amount of money to spend each year on dental care.”.

Does Medicare cover dental cleanings?

Original Medicare, on the other hand, does not cover routine dental care, such as cleanings, X-rays, and fillings. Due to the relatively high out-of-pocket costs for these procedures, some older adults end up forgoing necessary dental care. There is one exception, however: If you need medical dental procedures while you’re in the hospital, ...

How long do you have to enroll in dental insurance in MA?

Members must enroll in this option when they enroll in their plan, or within 30 days of their plan’s start date.

Does Aetna have dental insurance?

Dental benefits are already included in the majority of Aetna MA plans. For some Aetna MA plans that don’t include dental coverage, you may have the choice of paying extra each month for dental benefits. This is done through an optional supplemental benefit.

Can you go out of network with PPO?

For PPO plans, you have the option to go out of network, but you will have higher costs. All preventive services (cleaning, X-rays, exams) are covered at 100%. For comprehensive services, you’ll pay a portion of the cost (coverage varies by plan). You may have an annual plan maximum.

Who is Sachi Fujimori?

Sachi Fujimori is a writer and editor based in Brooklyn who focuses on writing about science and health. A good day is one where she eats her vegetables and remembers to live in the moment with her baby girl.

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z 1 2 3 4 5 6 7 8 9