EmblemHealth Preferred Dental is based on a strong, stable provider network established in 1988. Our fully-credentialed PPO network consists of more than 8,000 general dentists and specialists in New York and New Jersey.
And by credentialed, we mean that our dentists meet the requirements of the NCQA—the “Gold Standard” in health plan accreditation. Not every health insurer can say that. We care about the dental care our members get. And we rest a little easier knowing that they are getting care from dentists that meet the toughest quality standards in the nation.
Savings to Your Group
We have negotiated reimbursement levels with our dentists and specialists that deliver significant cost savings for our customers. Reduced fees can range from 50% to as much as 70% off of average charges, depending on location. This translates into comprehensive, paid-in-full benefits for your employees, without the usual price tag.
Plus, with EmblemHealth Preferred Dental, you can see dentists and specialists in the network without pre-selecting a primary care general dentist or specialty referrals.
Did we mention that members can see any dentist of their choice? It’s true. If a member chooses to go to a dentist outside of the network, they will still be covered, just with higher out-of-pocket expenses.
It’s important to us that we maintain a direct, supportive relationship with the dental community. When we pay our dentists fast and accurately, we show them that we value their time and their care. In turn, they trust that we will be there for them, supporting the care they provide.
That’s why EmblemHealth has a dedicated dental claims unit, focused on dental claims alone. Through this department, we process over 1 million claims annually. Plus, with over 95% of our claims coming from New York dentists and specialists, we have a unique, focused understanding of New York providers and regional practice patterns. This helps keep us on the pulse of our providers’ needs and expectations.