FYI

As a Delta Dental Medicare Advantage PPO provider, new members from our partner health plans may reach out to you and visit your practice. Check out this quick reference guide for helpful information. 
 

Here’s who you’ll be working with in 2025

Delta Dental has partnered with the following Medicare Advantage health plans to provide dental coverage to members:
 

• Aspire Health Plan (CA) Customer Service Number: 800-626-3023
• AvMed (FL) Customer Service Number: 800-693-2601
• BayCarePlus (FL) Customer Service Number: 855-251-8965
• Central Health Medicare Plan (CA) Customer Service Number: 855-370-3867
• CHRISTUS Health Plan (NM, TX) Customer Service Number: 888-818-7929
• Imperial Health Plan (CA) Customer Service Number: 888-643-3239
• Molina Healthcare (CA, ID, UT, WA, NV, SC) Customer Service Number: 888-818-7932. See  Provider Handbook here.
• SCAN Health Plan (AZ, CA, NV, TX) Customer Service Number: 855-830-6583
• Verda Health Plan of Texas (TX)  Customer Service Number: 800-626-3186
   

What else do you need to know?

Patients may visit your practice stating they have coverage from one of the above health plans, and present their Medicare Advantage plan name and/or ID card. This means that they’re likely to have Delta Dental. Log into Provider Tools to check their eligibility — the patient’s Medicare Advantage plan ID number can be used to locate them within Provider Tools.

Services for Medicare Advantage PPO patients are only covered if you’re part of the Delta Dental Medicare Advantage PPO network. Make sure to verify patients’ eligibility and benefits before treatment.

Finally, benefit coverage for your patients may have changed. Before discussing treatment options with them, log into Provider Tools to verify their benefit details for the current year.
 

Ensure that your patients have a great experience

To increase patients’ satisfaction with your practice and their health plan, be sure to provide a treatment plan and submit it to Delta Dental for a pre-treatment estimate. This helps patients understand their coverage, and any associated cost. It’s also a good idea to review all services with your patients beforehand so they know what’s covered, and ask them to sign a financial responsibility form before you perform any procedures.