We serve members through many different plans, including Florida Blue’s Medicare Advantage members. This gives you the opportunity to see more patients and to provide much-needed dental care to seniors.
If you’re an in-network provider in our Medicare Advantage network, you have the opportunity to provide essential dental care to more than 100,000 Florida Blue Medicare Advantage members.
See the FAQs below for more information.
If you participate in our Medicare Advantage network, you are considered in-network for Florida Blue’s Medicare Advantage members. These members have a Medicare Advantage HMO or PPO medical plan, with embedded dental PPO. Please call customer service at 866-445-5148 to verify your participation in our Medicare Advantage network.
If you’d like to grow your practice and provide much-needed dental care to seniors by joining our Medicare Advantage network, please contact your dental network manager or visit the Update Your Status page on our website; there, you’ll find the forms you need to complete in order to be added to the network.
Members will present to your office with a Florida Blue BlueMedicare HMO or PPO Medicare Advantage ID card. To verify benefits, please refer to MyPatientsBenefits or contact customer service at 866-445-5148. You can find samples of the benefit plans and member ID cards in our Medicare Advantage Dental Manual.
If a service isn’t covered by a member’s Medicare Advantage benefit plan, you are required by law to inform members in writing and in advance of treatment, outlining their financial responsibility.
Yes, we require all providers who participate with Medicare Advantage to complete fraud, waste and abuse training annually. This training is provided by the Centers for Medicare & Medicaid Services (CMS). You can access it here.
Once you have completed the required training, please complete the and return it to firstname.lastname@example.org.