As of January 1, 2017, DentaQuest manages the dental benefits for members in the VIP Prime; Medicare Essential; Enhanced Care Prime; Prime; Premium (aka Vytra Premium); and Select Care Networks. This also includes those using the out of area benefits (via Careington) through our Preferred/Plus Dental Network. Go to dentaquest.com for more details, or call DentaQuest at 1-844-822-8108, Monday to Friday from 8 am to 5 pm.
Glossary terms found on this page:
Services available to a member as defined in his or her contract. Benefit design includes the types of benefits offered, limits (e.g., number of visits, percentage paid or dollar maximums applied) and subscriber responsibility (cost sharing components).
Acronym for Medicare Advantage. An alternative to the traditional Medicare program in which private plans run by health insurance companies provide health care benefits that eligible beneficiaries would otherwise receive directly from the Medicare program.
A nationwide insurance program for the disabled and people age 65 and over, created by the 1965 amendments to the Social Security Act and operated under the provisions of the Act. It consists of two separate but coordinated programs, Part A and Part B.
An individual and each of his or her eligible dependents, including Medicare beneficiaries who are enrolled or participate in a benefit program and who are entitled to receive covered services from the practitioner pursuant to such benefit program and the terms of the practitioner's agreement.
The group of physicians, hospital, and other medical care providers that a specific plan has contracted with to deliver medical services to its members.
A prepaid payment or series of payments made to a health plan by purchasers and often plan members for health insurance coverage.