Find out how we can help you obtain the best affordable individual and family dental plans today. Members enrolled in an Essence Healthcare HMO-POS or PPO plan may see out-of-network providers (non-contracted providers). Search our formulary list of covered prescription medications, Search for primary care physicians, specialists, dentists and more within the Essence Healthcare provider network, Find important plan information like Summary of Benefits, Evidence of Coverage, Formulary guides and more, View additional information and resources on Essence Healthcare Medicare Advantage plans, Find out how Essence has grown to be a leading local and national Medicare provider over the past 15 years, Hear what members have to say about Essence Healthcare. Out-of-network providers are under no obligation to treat Plan members, except in emergency situations. Please work with your PCP to ensure all necessary referrals are in place. For pediatric dental treatment, however, those are reversed if you buy a stand-alone dental plan through the exchange in your state: out-of-pocket costs are limited, and insurance benefits (the amount the insurance company will pay) are unlimited. You are about to be logged out due to inactivity. We will estimate your portion and ask you to pay that amount at the time of service. Y0027_23-1003_C - Last Updated Date: 04/14/2023. Essence Healthcare includes HMO, HMO-POS, and PPO plans with Medicare contracts. Erin brings over a decade of public accounting experience to Essence Healthcare, with nine years focused on the insurance industry serving life, health, property/casualty insurers, captive insurers and reinsurers. This is part of the Medicaid programs Early and Periodic Screening, Diagnostic, and Treatment benefit, which is required to be provided in all states for Medicaid enrollees under the age of 21. Benefits vary by plan. margin: auto; Its important that you know whether or not your dentist is in-network as choosing an in-network dentist will likely lower your out-of-pocket costs compared to out-of-network providers. (301) 568-8444. If you have a dentist preference, make sure that your plan is accepted at the dental practice you prefer. For accommodations of persons with special needs at meetings, call 1-866-509-5398 (TTY: 711). Martha is a talented healthcare executive with more than 25 years of experience in managed care and medical group settings. Now that Im retired, thats very important. DPPOs and DPOS plans will generally provide some out-of-network coverage, but your costs will be higher if you go outside the network. As of 2023, the out-of-pocket cap for pediatric dental services is $375 for one child, and $750 for a family (if there are multiple children on the familys plan). Access the 2023 Plan Previews Today Introducing 2023 Essence Healthcare First Looks! Compare the best dental insurance plans with eHealth and get a free quote on the right plan for you and your family. UnitedHealthcare Insurance Review: Top Benefits, High Prices - ValuePenguin top: 0; Click on your state using the map above to learn more. We also offer assisted financial plans throughCareCredit, an affordable option used by many of our patients to pay for their dental treatment. No matter where you are on your Medicare journey, understanding all of your options is key in choosing the right plan for you. These limits will increase to $400 and $800, respectively, in 2024. Let us help you achieve your smile goals! . Our quality of life is a lot better because we chose Essence and it allows us some freedom that maybe we wouldnt have had before. Dental insurance covers routine services and can save you money out-of-pocket. hOQsLAM` hb6AZ(n-`K`;@|y~nssOp1fyiuL,O|AXWfDS$9[z*'_N9Bk;% #eL2} Phone: (202) 610-5696. 6456 0 obj <>/Filter/FlateDecode/ID[]/Index[6385 125]/Info 6384 0 R/Length 253/Prev 1240540/Root 6386 0 R/Size 6510/Type/XRef/W[1 3 1]>>stream Sign up for email or text appointment reminders. Phone: (301) 568-8444. } To enroll in an Essence plan, you must have both Medicare Parts A and B and reside in the plan service area. left: 50%; If you ever have an issue or question, your call will be promptly answered by one of our friendly and knowledgeable representatives. Doctor.com specializes in matching patients with the health care Maybe you just have Original Medicare and are trying to navigate whether to add a Medicare Supplement Plan to make up for where your benefits fall short. Dental health insurance plans will have two categories, basic and major components. Costs vary depending on your provider and the level of coverage outlined by each plan. Essence Healthcare also includes an HMO D-SNP plan with a contract with Medicare and the state Medicaid program. Dental insurance plans start at $8.95/month*. Payment is expected at the time of service. Please refer to plan documents for additional information or contact Customer Service. By providing cosmetic dental care, your dentist is able to offer smile enhancement, restoration, and maintenance treatments for optimal dental health. For California providers, as of 11/1/22 referral requirements will be reinstated. The Dental Essence staff will provide you with a treatment plan including your estimated out of pocket expense for your dental treatment. Your policy will likely give you access to free or very low-cost cleanings and routine exams. Members enrolled in an Essence Healthcare HMO-POS or PPO plan may see out-of-network providers (non-contracted providers).