2017 Information for Premera Medicare Advantage De - Delete

  • Premera Medicare Advantage plans cover members who live in King, Snohomish, Pierce, Spokane, and Thurston counties.

    Preventive dental benefits are now included with our HMO-POS and HMO Plus Medicare Advantage plans. Those on the zero-premium plan can add preventive dental for an additional monthly charge.

    The added benefit covers the following preventive services:

    • Routine oral exams (twice yearly)
    • Cleanings (twice yearly)
    • Fluoride treatments (annually)
    • Bitewing and periapical x-rays (one set annually)
    • Panoramic or complete series x-rays (one set every 5 years)

    Secure dental tools and resources for providers

    Verify eligibility and benefits, check claim status and manage your patient's care.

    Log in to dental tools and resources

    If you have questions about Premera Medicare Advantage Dental, you can contact us.

    What you need to know

    It's important to check your patients' ID cards to ensure they have the new dental benefit.

    MA HMO ID card front

    MA ID card back

    Provider Directory

    Search for dentists and specialists dentists and specialists within the Premera Blue Cross Medicare Advantage Provider Network.

    Common questions

  • Yes. Premera created a new provider network for Snohomish, King, Pierce, Thurston, and Spokane counties that specifically supports our Medicare Advantage plans. Look for Dental Network: MA Select Dental on the member's ID card. To find out if you are part of the network, check the Medicare Advantage provider directory, or contact Physician and Provider Relations at 877-342-5258, option 4.
    The fee schedule for the new Medicare Advantage Select Dental Network is the same as our Select network.
    If you prescribe drugs, you do need to have an enrollment application on file with CMS. New CMS regulations require ALL prescribers (including dental providers) of Part D drugs to have an enrollment application on file. If you don't enroll, your prescriptions at the pharmacy will be denied and your patient will be responsible for the full cost. It's important for you to ensure you’re enrolled with Medicare before prescribing Part D drugs to Premera Medicare Advantage members.
    CMS recently posted a new video to take you through the enrollment process and how to use the Provider Enrollment, Chain, and Ownership System (PECOS). To enroll or learn more, visit the CMS website.