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California providers have new tool for directory updates
A new tool for all dentists in California is now available to easily update and verify your directory information. Providers in California can now complete state and federal required directory updates through Emfluence, a paperless, easy-to-use email tool. If there is not an email address on file or your office is in another state, you will continue to receive your notice in the mail.
Medicare Advantage payors
Did you know that some GEHA Connection Dental Network payors offer both Medicare Advantage and commercial plans? Please contact the payor directly for benefits. Currently, Medicare Advantage plans are offered by:
Update your email
As we move towards more electronic correspondence, please make sure your email address is up to date. Update your email at connectiondental.com or 800.505.8880, option 4
Medicare Advantage plans offer expanded coverage, but verify benefits first
Regular dental care is an important part of maintaining good health. One of the biggest perks of a Medicare Advantage plan is that many plans offer dental coverage.
Traditional Medicare only covers dental procedures while in the hospital. Medicare Part A does not cover routine dental care, such as cleanings, X-rays and fillings. Because of high out-of-pocket expenses, patients enrolled in traditional Medicare often go without the services they need. Medicare Advantage (Part C) is an all-in-one alternative to traditional Medicare. Medicare Advantage is a bundled plan that includes Parts A, B and usually, D. Medicare Advantage offers extra benefits that traditional Medicare does not, such as dental, vision, hearing and more. Patients that have Medicare Advantage plans may pay additional premiums for coverage.
MEDICARE PLANS INCLUDE:
Medicare Advantage plans include a variety of dental benefits. Please note you will be reimbursed by the payor the member has selected, not by Medicare directly.
It is crucial to verify benefits and eligibility with each payor prior to performing services. Contact the payor directly for your participation status within each of their network plans or products.
For a full listing of Medicare Advantage payors and plans, please visit the Resource Center at connectiondental.com Look in the Resources box on the right, then scroll near the bottom to the Connection Dental Network Payor List.
Since these plans follow Medicare/Medicare Advantage guidelines, you will need to comply with related requests sent by GEHA Connection Dental Network, including annual fraud, waste and abuse training and quarterly directory updates. Both tasks can be completed at connectiondental.com within the Provider Portal. You will receive a communication (in the provider portal or by letter) to complete your training when required.
What’s new
Be sure to check out the What’s New References category in the Resources section of the Resource Center at connectiondental.com to keep up-to-date on new and revised payor notices, provider manuals and state-specific policies and procedures.
To find this section, click on Resource Center at the top of the website. Then look at the Resources box on the right. Scroll down close to the bottom and you’ll see What’s New References. We encourage you to check out the Resource Center on a regular basis. Here is a recap of new or updated documents:
| New provider document | Date posted |
What's new |
UnitedHealthcare Medicare Advantage dental coverage - 2023 |
11.29.2022 |
New document added |
UHC quick reference guide for Medicare Advantage plans |
12.22.2022 |
New document added |
Humana provider manual |
12.22.2022 |
Updated document |
Washington State specific policy and procedure |
01.06.2023 |
Updated document |
GEHA Connection Dental Plan Manual |
03.03.2023 |
New document added |
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