Wednesday, Oct 12, 2016
The current list of participating dental plans for 2017 includes:
2017 dental coverage available for individual or family plans
Access Dental Plan DHMO
Anthem Blue Cross DPPO
California Dental Network DHMO
Delta Dental of California DHMO and DPPO
Liberty Dental Plan DHMO
Premier Access DPPO
2017 dental coverage available for small businesses
Access Dental Plan DHMO
California Dental Network DHMO
Delta Dental of California DHMO and DPPO
Liberty Dental Plan DHMO
Premier Access DPPO
It is important to note that the 2017 embedded children's dental plans have not been determined yet. Details on 2017 embedded plans will be coming in the near future and CDA will keep its members updated as information becomes available.
For more information visit coveredca.com.
What dentists need to keep in mind:
Verify participation status: Dentists are encouraged to verify participation status with the dental plans in their area and confirm the reimbursement fee schedule for treating Covered California enrollees. Dentists should also advise patients when scheduling whether they participate as a contracted provider with the patient's plan.
Prior to seeing the patient, confirm the patient's eligibility and benefits: This action will save you time and challenges with dental plan payments.
Check on new deductibles/copayments for the year: Many plans' calendar year deductibles and visit frequency limitations were reset. Additionally, some patient plans may have new copayment amounts. This reinforces the importance of checking patient eligibility and benefits before the patient arrives for his or her visit.