Wellcare Insurance offers preventive care and cover comprehensive dental healthcare for Madicaid members. That’s why the readers often ask “How do I find dentists that accept wellcare Insurance Near Me?” This article is a complete guide to find a Wellcare dentist nearby you for both adults and children.
We will also discuss the Dental benefits covered under Wellcare Insurance.
Let’s start.
Dental Benefits Covered by Wellcare Insurance for Medicaid Members
Applies to plans in various states like Alabama, Florida, Georgia, Kansas, Michigan, etc.
Covered Dental Services
- Diagnostic: Oral exams, x-rays, tests to evaluate dental health status
- Preventive: Routine cleanings, fluoride treatment, COVID testing
- Restorative: Fillings, crowns, on lays, denture repairs
- Endodontic: Root canals, pulp capping, retreatment of failed root canals
- Periodontal: Treatment of gums – surgery, deep cleanings
- Prosthodontic: Dentures, bridges, dental implants
- Oral Surgery: Complex extractions, biopsies
- Other: Additional dental services like sedation, tele-dentistry consultations
Frequency Limitations
- The maximum frequencies that the plan will cover for each procedure
- Examples: 2 cleanings allowed per 12 months, 1 crown per tooth per 84 months
Exclusions
- Services like cosmetic dentistry, TMJ treatment, vertical dimension restoration
- Hospital charges, laboratory test charges
- Congenital anomalies, investigational procedures
Prior Authorization Requirements
- Prior approval required before treatment for certain procedures
- To review eligibility and benefit availability
Billing Policies
- Treatment completion date: When treatment finishes and is billable
- Examples: For dentures, crowns, fillings, root canals
Read this PDF document provided by Wellcare for more clarity.
How to Find Dentists that Accept Wellcare Near You
There are many ways you can use to find Dentist that accept Wellcare near you. We have mentioned two methods in this post. Let’s try them one-by-one.
Method 1 – Contact Wellcare Over the Phone
You can simply contact Wellcare customer care over the phone and ask them about the Dentists near you. They may ask your location, County, and ZIP code details and suggest a few dentists nearby you.
Follow the steps mentioned below to contact Wellcare Customer care.
- Go to the Wellcare Contact Us page
- Now select your state from the drop-down list in the top right hand corner of the page.
- It will take you to the Contact us page of that particular state
- Now click “Contact Us” again shown in the Top menu
- A new contact us page will open
- Now scroll down to find “Member Services” section
- Here you’ll find the contact number, dial the number and ask your query
Method 2- Through Online Directory Search
The most efficient way to find the Dentists that accept wellcare near you is through online directory search. We recommend two directories Dental Quest and Wellcare itself to find most accurate addresses, and locations near you.
You just need to fill a few details like County Name, ZIP code, State, and Plan details to get the results immediately.
You may experience some changes to the directory structures but details to be asked are same as mentioned above.
Check out the latest images of directories just below the video. It will provide more clarity.
Watch the video to get insight of online directory search.
Online directory search of Dental Quest
You just need to follow a few steps to find the Wellcare Dentist through online directory search of Dental Quest.
The steps are mentioned below
- Visit the Denta Quest Website
- You’ll see the interface asking for State, Type of Insurance Plan, and Choosing a plan like in image below.
- Now fill the details and click “Find a Dentist”
- Now it will flash the address of Dentists and their location near you on the map side by side.
- See the Image below.
Online directory search of Wellcare
You can use Wellcare provider finder tool to locate a dentist near you. The steps are given below.
- Visit Wellcare Provider finder tool
- Now you’ll see a drop-down list asking to select “Plan Type”
- Select your Plan and it will take you to the next step where
- You need to provide the details of Address/ City/ County/ ZIP code or You can use your current location for more accurate results.
- Fill the details and click “Select Your Plan” button to proceed
- Now “Select Your Plan” on the new page and click “Continue” Button.
- Now it will show the details and locations of all the doctors, dentists, and Pharmacies near you.
Summary- Dentist that accept Wellcare Insurance
If we summarize the post, the points will be as mentioned below
There are two effective methods to find the Dentist that accept Wellcare Insuarnce
- Find the contact number of Wellcare Insurance in your State using Contact Us page and use this number to navigate the dentist near you.
- Use the Online directories and provider finder tools like Denta Quest and Wellcare Provider tool to locate the dentist near you.
Let me know in the comment section if this post helped anyone to find Wellcare dentist near you.
FAQs
What does wellcare cover for dental
Wellcare Medicare Advantage plans cover diagnostic, preventive, restorative, endodontic, periodontal, prosthodontic, oral surgery, and other dental services for members, with frequency limits per procedure. Key exclusions are cosmetic dentistry, TMJ treatment, labs, hospital charges, and congenital anomalies. Prior authorization is required for some treatments.
How much does wellcare pay for dentures
Wellcare pays around $200- $2500 every year for extra Denture, Vision, and Hearing care. This amount is preloaded on Visa Flex Card offered by Wellcare.
Is WellCare of Kentucky a Medicaid plan?
If you are already a Medicaid member or have an existing Medicaid plan, You can opt for Wellcare Dual Special Needs plan (D-SNP) to take advantage of Medicare and Medicaid.
Is WellCare in Florida Medicaid?
Yes, Wellcare provides Medicaid benefits in the state of Florida. Wellcare started to provide Medicaid in Florida since 1985.
Is WellCare Medicaid in New York?
Yes, Wellcare partnered with State Government of New York and joined Medicaid network as a provider in 2002.
- 55 Pediatric Dentists that accept Medicaid in Alabama - 07/08/2024
- 49+ Orthodontists that accept Medicaid - 05/08/2024
- 45+ Orthodontists that accept Medi-Cal - 30/07/2024