PARTICIPATING PROVIDERS: 2015
AETNA DENTAL PPO (As of 6/1/98)
(STRATEGIC RESOURCES, COVENTRY DENTAL, GROUP DENTAL SERVICES INC., DENEX DENTAL (AS OF 4-114)= AN AETNA PPO ALSO)
ANTHEM BLUE SHIELD (PAID UNDER "UNICARE" FEE SCHEDULE..PPO 100, 200 & 300) Anthem, Wellpoint
and Unicare and Carefirst Blue Cross are all same carrier! NOT THE “TRADITIONAL PPO”
Ameritis & Principal are the same PPO fee scheudule
A: Standard Ins. Co.
B: Principal PPO
C: Assurant Employee Benefits (paid under DENTAL HEALTH ALLIANCE)
CIGNA DENTAL PPO
CONCORDIA (UNITED CONCORIDA)
A: Concordia Flex (National Fee for Service)
B: Concordia Parnet
C: Concordia National Fee for Service Network
D: Concordia Tri-Care Parnet (Military)
E: Concordia Parnet& Advantage Plan (combo of Advantage &Fee for service plans)
NOT PARTICIPATING IN "ACCESS" PLAN UNDER UNITED CONCORDIA!!!
F: CHIP PROGRAM
G: Alliance (1/2013)under "Advantage" program (PAID UNDER ASSURANT PPO!)
H: SUN FINANCIAL ADMINISTRATION
I: U.G.I. DENTAL NETWORK (1/2015) UNDER UNITED CONCORDIA (ALLIANCE,DENTAL NETWORK OF
AMERICA AND DENTEMAX CONBINATION!)
DENTAL HEALTH ALLIANCE: DECARE DENTAL NETWORK (TEAMSTERS) (EFF:1-01-09)
ASSURANT EMPLOYEE BENEFITS
HEALTHSMART BENEFIT SOLUTIONS
DIRECT DENTAL ADMINISTRATORS
DELTA DENTAL
A: Premier Plan
B: PPO Plan
C: Delta USA
D: O.D.S. (Oregon Dental Service) pays under Delta
DENTAL NEWTORK OF AMERICA- 2015- MERGING WITH UNITED CONCORDIA!!!
A: BLUE SHIELD OF ILLINOIS
B: BLUE SHIELD OF NEW MEXICO
C: BLUE SHEILD OF OKLAHOMA & KENTUCKY
D: BLUE SHIELD OF TEXAS
MAVEREST DENTAL NETWORK-(FORMALLY DENTAL WELLNESS PARTNERS (EFF: 3-10-09)
ONLY THE "PREFERRED OPTION" AND NOT THE "BASIC"!!!!!
A: FORT DEARBORN LIFE
B: RENAISSANCE PLAN
NOT “SELECT” PLANS (WHICH IS A “DISCOUNT” PLAN)
C: PARTNERING WITH METLIFE FOR SOME PLANS!
DENTEMAX PPO (EFF: 5-15-10) MULTIPLE PLAN ADMINISTRATORS- SEE BOOK OR ONLINE
DENTEMAX CONTINUED....
MOST USED:
AMERICAN GENERAL LIFE (UNDER DENTEMX AKA: UNITED STATES LIFE/CARINGTON)
BLUE SHIELD OF MASS. (UNDER DENTEMAX)
HUMANA (UNDER DENTEMAX) PPO PROGRAM EFF MAY/2010
MUTUAL OF OMAHA (UNDER DENTEMAX)
DOMINION DENTAL (AS OF 12-1-10)
PREMERA BLUE CROSS
DENTAL SELECT
SPIRIT DENTAL
FIDELIO INSURANCE (EFF. AGAIN 10-1-08)
GUARDIAN DENTALGUARD PREFERRED (as of 12-1-03)
A: United Healthcare (Under Dental Guard Preferred AND DENTAL BENEFIT PROVIDERS, INC.)
B: United States Life (Under Dental Guard Preferred Plans ONLY)
C: First Health (Uses Dental Guard Fee Schedule)
METLIFE PREFERRED DENTAL PROGRAM
NATIONAL DENTAL Health Alliance:
A: Fortis Health Ins. Co. (NOT ACCESS PLANS)
B: Fortis Benefits Ins. Co. (NOT ACCESS PLANS)
C: Assurant
D. Health Plan Administrators
D: Benefits Concepts
E: See Listing for Various Listings
Principal Ins. Co.(under Ameritis)
UNITED HEALTHCARE (DENTAL GUARD PREFERRED ONLY)- PAID UNDER DENTAL BENEFIT PROVIDERS
ALSO!! AS OF 1-1-12 WILL INCLUDE "ONE-NET PPO"
UNICARE: ( GRID PPO 100, 200 & PPO 300)
-ANTHEM BLUE SHIELD
-CAREFIRST BLUE SHIELD
-WELLPOINT
-HORIZON BCBS
WE ARE NOT IN THE FOLLOWING:
ANY HMO PLANS!
AETNA ACCESSS PLAN
UNITED CONCORDIA "ACCESS" PLAN
CONCORDIA PLUS PLAN (THIS IS AN HMO)
GUARDIAN DENTALGUARD “SELECT PLANS”
MAVEREST DENTAL NETWORK (FORMALLY DENTAL WELLNESS PARTNERS) "BASIC" PLAN