Health Partners Plans - Dental
Effective January 1, 2014, Avesis will be administering routine dental benefits for Health Partners Plansí Medicare Advantage Members. Avesis will be utilizing your office to provide dental benefits to members residing in Philadelphia county of the Commonwealth of Pennsylvania.
Below you will find a sample image of the ID cards that members will present for services. Health Partners Medicare dental members will be in one of the following plans:
Members' benefits vary according to their individual planís coverage. As a participating provider, it is imperative that you verify eligibility and benefits on all members each time they present in your office. Please remember that only the services covered by the member's benefit plan will be paid by Avesis.
Health Partners Medicare PrimePlus (HMO) plan benefits include routine preventive services, as well as restorative and major services with a $50 deductible and a $500 annual maximum. Health Partners Medicare Special (HMO SNP) plan benefits include routine preventive services, as well as restorative and major services with a $500 maximum every two years and no deductible.
If you are not currently an Avesis participating provider and are interested in participating in these programs, please complete the Provider Credentialing and Contracting paperwork located on the left hand side of the page. All participating providers must have a NPI number. If you do not have a NPI number, please click here to apply. If you have any questions please contact one of our Provider Services Representatives at 1-855-536-7764.
Send Completed Materials by mail to:
Mail To:Avesis Third Party Administrators, Inc.
Attn: Provider Dental Contracting
10324 Soulth Dolfield Road
Owings Mills, MD 21117