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Plans and documents

We make it easy for you to get the information and resources you need to better serve your patients and help your practice run smoothly.

You can find comprehensive information about all of our dental plans, including Federal Employee Program (FEP) plans, in our Dental Manual. Our Medicare Advantage Dental Manual explains everything you need to know about the dental benefits provided to Florida Blue Medicare Advantage plan members.

The table below shows which plans are included in each of our networks, along with links to the applicable CDT Guide and Dental Manual.

Network
Plans in this network
CDT Guide
Dental Manual
Access Max
BlueDental Choice Plus
Choice
BlueDental Choice Plus
BlueDental Choice
All Florida Blue commercial health plans with dental benefits
FHCP health plans with dental benefits
Truli for Health HMO
BlueDental Choice Q/QF
Copayment
BlueDental Choice Copayment
BlueDental Copayment Q/QF
FEP Dental
FEP Basic and Standard Plans
FEP Dental (FEDVIP)
GRID/GRID+
N/A
Medicare Advantage
All BlueMedicare plans with dental benefits
All FHCP Medicare plans with dental benefits
N/A

Fee schedules

Current-year fee schedules can be found in the MyDentalCoverage portal. Fee schedules for the next year will be provided separately in advance of the new year.

Medicare Advantage plans

Most Florida Blue Medicare plans include dental benefits. Members will present a Florida Blue Medicare HMO or PPO medical ID card, which also serves as their dental ID card. It’s important to note that a member’s Medicare Advantage ID card will reference the medical plan type, which is not the same as the dental plan type. All dental benefits embedded in Medicare Advantage plans are PPO benefits. The Medicare Advantage plans offered by Florida Blue are shown in the grid below along with associated medical and dental plan types. Only the dental plan type is associated with your network participating status with us.

Medical Plan Type
Dental Plan Type
BlueMedicare Classic (HMO)
HMO
PPO
BlueMedicare Classic Plus (HMO)
HMO
PPO
BlueMedicare Complete (HMO D-SNP)
HMO D-SNP
PPO
BlueMedicare Patriot (PPO)
PPO
PPO
BlueMedicare Preferred (HMO)
HMO
PPO
BlueMedicare Premier (HMO)
HMO
PPO
BlueMedicare Select (PPO)
PPO
PPO
BlueMedicare Total (HMO D-SNP)
HMO D-SNP
PPO
BlueMedicare Value (PPO)
PPO
PPO

Medicare Advantage compliance training

Below are links to annual general and specialized Medicare compliance training. These courses are available to all persons involved in the administration or delivery of Medicare Advantage program benefits. Providers are advised to complete the training and to email Certificates of Completion to dentalproviderrelations@fclife.com.

Combating Medicare Parts C and D Fraud, Waste and Abuse

Part C Organization Determinations, Appeals, and Grievances

Part D Coverage Determinations, Appeals, and Grievances