Our dental coverage focuses on the importance of preventive care. Taking good care of your teeth and gums begins with regular checkups and services. Many of our plans cover preventive services such as exams, X-rays and cleanings.
Full Answer
What are Allwell Medicare Advantage plans?
Allwell Medicare Advantage plans are a type of Medicare Part C plan. Individuals purchase the plans as an alternative to original Medicare. If a person is eligible for Medicare Part A and Part B, they qualify for an Allwell MA plan.
How do I find a dentist in the WellCare by Allwell network?
You can check to see if your dentist is in the network – or find a dentist close to you – by accessing the provider tool . If you choose to use a dentist that is out of the network, you will pay higher rates and may not be able to access all your benefits. Show your Wellcare By Allwell Member ID to use your dental benefits.
Does Allwell Medicare HMO cover prescription drugs?
Allwell Medicare HMO This HMO plan includes prescription drug coverage. The plan has $0 deductible, copayment, and premiums, and also includes dental and vision coverage. The HMO plan covers services provided by a specified network of healthcare providers.
Do Medicare Advantage plans cover dental?
Offered through Medicare-contracted private insurance companies, these plans are required to offer at least the same coverage as Original Medicare (except for hospice); in other words, a Medicare Advantage plan would cover dental care under the same situations as Original Medicare.
What does allwell cover?
Most of the Allwell Medicare Advantage HMO plans come with Part D prescription drug coverage included. Some plans also include vision and dental coverage. For an added cost, you can also add extra coverage for services like chiropractic care, acupuncture services, and fitness services.
What company owns allwell?
Centene CorporationAllwell is one of the Medicare Advantage brands operated by Centene Corporation, a national health plan focusing on government programs, including Medicaid and Medicare. Allwell offers Medicare Advantage in 18 states through state-specific health plans.
Is allwell and Wellcare the same?
Brand names that will be consolidated under Wellcare include Allwell, Health Net, Fidelis Care, Trillium Advantage, 'Ohana Health Plan and TexanPlus, Centene said.
What is allwell dual Medicare HMO SNP?
Allwell Dual Medicare HMO SNP This Allwell plan is an SNP available to people who qualify for both Medicare and Medicaid. Typically, the monthly premium is $0 and often includes extra coverage, such as for hearing and vision care.
Is allwell part of Healthnet?
About Wellcare Beginning Jan. 1, 2022, Centene's Medicare brands, including Allwell, Health Net, Fidelis Care, Trillium Advantage, 'Ohana Health Plan, and TexanPlus will transition to the Wellcare brand. For more information about Wellcare, visit www.wellcare.com.
Did wellcare change their name?
Effective January 1, 2020, MeridianCare, a WellCare company, is changing its name and logo to WellCare. As a result, we are transitioning to a new website. You can continue to use this website to access 2019 plan information documents and forms.
Does Wellcare cover dental for adults?
while also offering covering additional services. These extra benefits can include prescription drug coverage as well as coverage for dental, hearing and vision care. In fact, some Wellcare Medicare Advantage plan members can get up to $2,500 in extra dental, vision or hearing care every year with the Visa Flex card.
Is allwell a dual plan?
Allwell Dual Medicare (HMO SNP) is a plan for individuals with specific conditions or financial needs who are eligible for both Medicare and medical assistance from Texas Medicaid.
Is Wellcare a Chinese company?
Everyone at Wellcare has your best interest at heart to provide the best products to show we sincerely care. Headquartered in Taiwan, the two sisters established R&D, Marketing, QA departments in Taiwan and manufacturing facility in China, with markets all over Europe, America, and Asia.
Does Medicare Cover Dental Services?
If you’re wondering whether Medicare offers dental coverage, the answer is, “It depends.” Dental coverage is limited under Original Medicare, and y...
Original Medicare Dental Coverage
Original Medicare, Part A and B, does not cover routine dental care, including: 1. Cleanings and oral exams 2. Fillings 3. Crowns 4. Bridges 5. Den...
Medicare Dental Coverage Under Medicare Advantage (Medicare Part C)
If you’d like to get more comprehensive dental coverage under Medicare, you might want to consider a Medicare Advantage plan, available under the M...
Medicare Dental Coverage Under The Pace Program
PACE (Program of All-Inclusive Care for the Elderly) is a joint Medicare and Medicaid program that provides health-care services for people living...
Other Dental Coverage Options
Outside of getting Medicare dental benefits through a Medicare Advantage plan or a PACE program, you may find yourself having to pay the full cost...
Learn More About Medicare Dental Coverage
If you’re interested in Medicare dental coverage, I can find Medicare Advantage plan options that may offer routine dental benefits. To learn more...
Does Medicare require dentists?
Some Medicare Advantage plans may require you to use dentists in provider networks when receiving care, or you may have the option to use non-network dentists but at a higher cost-sharing level; you can check with the specific plan you’re considering for more details.
Does Medicare cover dental care?
Original Medicare, Part A and B , does not cover routine dental care, including: There are a few exceptions to this. Medicare Part A may cover certain dental services performed in a hospital if it’s a necessary part of a covered service.
Does Medicare Advantage cover dental?
Offered through Medicare-contracted private insurance companies, these plans are required to offer at least the same coverage as Original Medicare (except for hospice); in other words, a Medicare Advantage plan would cover dental care under the same situations as Original Medicare.
Is dental insurance part of Medicare?
Dental insurance may be another option if you want help with dental costs. Keep in mind that stand-alone dental plans are not part of the Medicare program, and this coverage may come with certain costs, including premiums, deductibles, coinsurance, and copayments.
Does Pace cover medicaid?
PACE covers all services covered under Medicare and Medicaid and if you enroll in the program, you’ll get all of your Medicare coverage through your PACE organization (including prescription drug coverage, doctor services, and hospital care) as long as your health-care team determines they’re necessary for your care.
What is the dental exclusion?
Section 1862 (a) (12) of the Social Security Act states, "where such expenses are for services in connection with the care, treatment, filling, removal, or replacement of teeth or structures directly supporting teeth, except that payment may be made under part A in the case of inpatient hospital services in connection ...
What is the structure that supports the teeth?
Definition. Structures directly supporting the teeth means the periodontium , which includes the gingivae, periodontal membrane, cementum of the teeth, and the alveolar bone (i.e. alveolar process and tooth sockets). Page Last Modified: 11/19/2013 03:03 AM.
Did the dental exclusion include foot care?
In establishing the dental exclusion, Congress did not limit the exclusion to routine dental services, as it did for routine physical checkups or routine foot care, but instead it included a blanket exclusion of dental services.
Does Medicare pay for dental implants?
Currently, Medicare will pay for dental services that are an integral part either of a covered procedure (e.g., reconstruction of the jaw following accidental injury), or for extractions done in preparation for radiation treatment for neoplastic diseases involving the jaw.
What is Allwell Medicare?
Allwell is a Medicare Advantage (Part C) product offered through local health insurers in 16 states. Allwell offers a few different types of Medicare Advantage plans to eligible individuals, including HMOs, PPOs, and Special Needs Plans. To get any Allwell Medicare plan, you must be eligible for and enrolled in original Medicare ...
How many states does Allwell Medicare cover?
Allwell Medicare Advantage (Part C) plans are sold by private insurers in 16 states. However, not every county or ZIP code in those states has access to every plan. Like all Part C plans, Allwell Advantage plans cover at least as much as original Medicare does.
What is an SNP in Allwell?
Allwell offers two different types of HMO SNPs: Dual Eligible SNP (D-SNPs): for people who are eligible for both Medicare and Medicaid coverage. Chronic Condition SNP (C-SNP): for people with chronic health conditions such as diabetes or heart failure.
What is Medicare Advantage?
If you’re eligible for original Medicare, you could purchase a Medicare Advantage (Part C) plan. This is a type of additional insurance you get from private insurers. Part C plan offerings vary by location. Not every plan is available in every state. You can look for and compare Part C plans, including Allwell Part C plans, ...
What is included in Part C insurance?
This extra coverage differs from plan to plan. It may include prescription drug coverage, vision care, and dental services. Some Part C plans also offer coverage for acupuncture, plus access to gyms and health clubs through a health and fitness program known as SilverSneakers.
Does Allwell Medicare Advantage include prescription drugs?
Most of the Allwell Medicare Advantage HMO plans come with Part D prescription drug coverage included . Some plans also include vision and dental coverage. For an added cost, you can also add extra coverage for services like chiropractic care, acupuncture services, and fitness services.
Does Allwell offer HMO?
Allwell offers several HMO plans that may be available in your area. The names of these plans might differ from state to state. Overall, these plans range in monthly premium costs, with some premium-free options. Most of the Allwell Medicare Advantage HMO plans come with Part D prescription drug coverage included.
How many states have Allwell Medicare?
Allwell Medicare Advantage plans are available in 16 US states. Several different private insurance companies administer the policies, and plan availability and price may vary by county. Original Medicare is federally funded health insurance for adults over 65 and some younger adults with certain medical conditions.
What is the difference between coinsurance and deductible?
Coinsurance: This is a percentage of a treatment cost that a person will need to self-fund. For Medicare Part B, this comes to 20%.
Does Allwell MA have Medicare Advantage?
If a person is eligible for Medicare Part A and Part B, they qualify for an Allwell MA plan. All Medicare Advantage plans must cover services that original Medicare Part A and Part B covers, such as inpatient hospital care and outpatient services.
Does Allwell Medicare cover outpatient care?
Allwell Medicare Advantage can help cover the cost of numerous healthcare services. Private insurance companies that have been approved by Medicare to administer all MA plans. Original Medicare Part A includes coverage for hospital stays, Part B covers outpatient care, and Medicare Part D covers prescription drugs.
Does Allwell cover dental?
Although benefits can differ by plan, MA plans guarantee to cover routine healthcare needs, with standard coverage including: Some plans provide add-on services, such as acupuncture and dental coverage, that may affect the cost .
Does Allwell Medicare cover prescription drugs?
Some Allwell Medicare Advantage plans also cover prescription drugs. Currently, Allwell plans are available in 16 states and the types of plans available may differ by state and county.
Statutory Dental Exclusion
Background
- The dental exclusion was included as part of the initial Medicare program. In establishing the dental exclusion, Congress did not limit the exclusion to routine dental services, as it did for routine physical checkups or routine foot care, but instead it included a blanket exclusion of dental services. The Congress has not amended the dental exclusion since 1980 when it made a…
Coverage Principle
- Coverage is not determined by the value or the necessity of the dental care but by the type of service provided and the anatomical structure on which the procedure is performed.
Services Excluded Under Part B
- The following two categories of services are excluded from coverage: A primary service (regardless of cause or complexity) provided for the care, treatment, removal, or replacement of teeth or structures directly supporting teeth, e.g., preparation of the mouth for dentures, removal of diseased teeth in an infected jaw. A secondary service that is ...
Exceptions to Services Excluded
- The extraction of teeth to prepare the jaw for radiation treatment of neoplastic disease. An oral or dental examination performed on an inpatient basis as part of comprehensive workup prior to renal transplant surgery or performed in a RHC/FQHC prior to a heart valve replacement.
Definition
- Structures directly supporting the teeth means the periodontium, which includes the gingivae, periodontal membrane, cementum of the teeth, and the alveolar bone (i.e. alveolar process and tooth sockets).