Information for Premera Medicare Advantage Dental Providers

  • Preventive Dental Benefits

    Dental Plans: Benefits:

    Classic (HMO)
    Classic Plus (HMO)
    Total Health (HMO)
    Core Plus (HMO)
    Sound + Rx (HMO)
    Charter + Rx (HMO)

    Optional dental rider plans:
    Core (HMO)
    Peak + Rx (HMO)

    • Routine oral exams (twice yearly)
    • Cleanings, periodontal maintenance (any combination twice yearly)
    • Fluoride treatments (once yearly)
    • Bitewing and periapical x-rays (one set yearly)
    • Additional x-rays (complete series or panoramic x-ray, one set every 5 years)
    • Limited problem focused (emergency) exam (once yearly)
    • Palliative (emergency) treatment of dental pain (once yearly)

    Members with Classic (HMO), Total Health (HMO), and Core Plus (HMO) have an extra $200 benefit they can use for approved ADA procedures. Some limitations apply.

    Check out our 2020 dental provider training guide to learn about our plans and how to use our online tools.

    Secure dental tools and resources for providers

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

    Sign 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 dental benefit. Look for “DENTAL” on the ID card. If it's not listed, the member doesn't have dental coverage.

    dental ID card

    Provider Directory

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