GENERAL INFORMATION
WHAT ARE THE TWO DENTAL NETWORKS THAT WELLCARD MEMBERS HAVE ACCESS TO?
DENTEMAX & AETNA
TRUE OR FALSE: PROVIDERS DO NOT NEED TO VERIFY THE DENTAL NETWORK A MEMBER IS ASSOCIATED WITH.
FALSE
THIS IS A COMMON PROVIDER TYPE WITH NO SPECIALTY TRAINING
GENERAL DENTIST
WHAT IS THE BEST WAY FOR A MEMBER TO OBTAIN THE COST FOR THEIR DENTAL VISIT?
CONTACT THE PROVIDER'S OFFICE DIRECTLY
WHICH WELLCARD DENTAL SERVICE ALLOWS MEMBERS TO HAVE A VIRUTAL VISIT?
TELEDENTIST (24/7 DENTAL)
WHAT PIECE OF INFORMATION MUST BE COLLECTED TO CONFIRM IF A PROVIDER IS IN-NETWORK?
THE PROVIDER'S TAX ID NUMBER.
WHAT TYPE OF PROVIDE ASSISTS WITH STRAIGHTENING TEETH?
ORTHODONTIST
WHEN DOES A MEMBER RECEIVE THEIR DENTAL DISCOUNT?
DISCOUNTS ARE PROVIDED AT THE TIME OF SERVICE.
99% OF WELLCARD MEMBERS HAVE ACCESS TO WHICH DENTAL NETWORK?
DENTEMAX
TRUE OR FALSE: WELLCARD AGENTS CAN PROVIDE A COPY OF THE FEE SCHEDULE TO DENTAL PROVIDERS.
FALSE. PROVIDERS MUST REACH OUT TO THE NETWORK DIRECTLY TO OBTAIN THIS INFORMATION.
THIS PROVIDER TREATS PROBLEMS WITH THE NERVE OF THE TOOTH
ENDODONTIST
WHAT IS THE BEST WAY FOR A MEMBER TO RECEIVE A REFUND OR REIMBURSEMENT FROM WELLCARD FOR A PREVIOUS DENTAL VISIT?
WELLCARD DOES NOT OFFER REFUNDS OR REIMBURSEMENTS.
WHICH OF THE WELLCARD DENTAL NETWORKS POSTS A COPY OF THEIR FEE SCHEDULE ONLINE?
AETNA
HOW DOES A DENTAL PROVIDER BECOME CONTRACTED WITH ONE OF WELLCARD'S DENTAL NETWORKS?
CONTACT THE NETWORK DIRECTLY
THIS PROVIDER PERFORMS SURGERIES, REMOVES WISDOM TEETH, & REPAIRS SOFT TISSUE PROBLEMS.
ORAL SURGEON
WHAT IS THE STANDARD WAITING PERIOD FOR MEMBERS TO BE ABLE TO USE THEIR WELLCARD FOR DENTAL SERVICES?
THERE IS NO WAITING PERIOD. SERVICES ARE AVAILABLE IMMEDIATELY.
HOW MUCH IS A TELEDENTIST CONSULTATION WITH WELLCARD?
$49
A PROVIDER WANTS TO CONFIRM IF THEY ARE IN NETWORK. YOU DO NOT SEE THE PROVIDER NAME, ONLY THE NAME OF THE FACILITY. IS THE PROVIDER IN-NETWORK OR OUT OF NETWORK?
IN NETWORK. IF THE FACILITY IS LISTED ALL PROVIDERS AT THE FACILITY ARE AUTOMATICALLY IN-NETWORK.
THIS PROVIDER FOCUSES ON YOUNGER PATIENTS FROM CHILDREN AS YOUNG AS 1 OR 2 YEARS OLD TO EARLY ADULTHOOD.
PEDODONTIST
DO MEMBERS NEED TO REMAIN WITH THE SAME DENTIST AFTER THEY CHOOSE ONE?
NO, THEY MAY SWITCH PARTICIPATING PROVIDERS AT ANY TIME.