Or maybe youve heard from friends that what youre paying is higher than it needs to be for the benefits youre receiving. Tue 9:00 am - 6:00 pm. } Services. endstream endobj startxref For individuals, dental insurance costs typically range between $16 and $70 per month. Care Credit has 0% financing with monthly payment options available that can be used for co-payments, deductibles, treatment and procedures not covered by insurance. For additional security, we need to verify your identity before you can sign in to the account. Why Choose Essence Healthcare Medicare Advantage. }. Need dental coverage? Enrollment in Essence Healthcare depends on contract renewal. But its widely available via stand-alone dental plans, either purchased through the exchange or directly from an insurance company. Please refer to plan documents for additional information or contact Customer Service. .featured_image_dental_map{ * Essence Healthcare's Medicare plan previews for 2023 have been released. Be sure to read the details of your plan to understand the level of coverage and potential out-of-pocket costs. Out-of-network providers are under no obligation to treat Plan members, except in emergency situations. Specialties. 0 Find out how Medicare Advantage compares to Original Medicare. After Dr. Pactrick Larosiliere suggested that I correct a small issue with my teeth., I signed up for ortho care. Home > 2023 guide to dental insurance plans. In most states, Medicaid covers at least some dental care for enrollees who are 21 and older. Dental Sealants. You must have both Medicare Parts A and B and Missouri Medicaid with QMB or QMB Plus eligibility to enroll in an Essence Healthcare HMO D-SNP plan. Sun Closed. provider's profile, including items like having a photo, a biography, Essence Dental Care. } Essence Healthcare includes HMO, HMO-POS and PPO plans with Medicare contracts. Get all your questions answered in a one-on-one appointment with a licensed Medicare advisor. Dr. Patrick Larosiliere is an orthodontist. .map_heading .heading_pals Maybe you just have Original Medicare and are trying to navigate whether to add a Medicare Supplement Plan to make up for where your benefits fall short. Martha is a native St. Louisan, has three grown children and currently lives in the St. Louis area with her husband. Benefits vary by plan. website and services to function. Dental Fillings. These extensive restorative procedures can be very expensive, even when the insurance carrier and the enrollee share the risk. Very pro.peopleThere, Address: 2345 Martin Luther King Jr Ave SE, Washington, DC 20020, Website: http://www.essencedentalcare.com, 300 D St SW Ste 211, Washington, DC 20024, 2811 Pennsylvania Ave SE Ste 2, Washington, DC 20020, 490 Lenfant Plz SW Ste 8210, Washington, DC 20024, 908 New Hampshire Ave NW, Ste 100, Washington, DC, DC 20037, 908 New Hampshire Ave NW Ste 301, Washington, DC 20037, 2231 Crystal Dr Lbby 150, Arlington, VA 22202, 919 18th St Nw Suite Lower Level 52, Washington, DC 20006. Enrollment in Essence Healthcare depends on contract renewal. Learn more about Medicare Supplement Insurance (Medigap) Plans. (301) 568-8444. Is pediatric dental coverage included on exchange plans? In her role at Essence, Erin provides strategic vision and oversight to the compliance and internal audit functions of the company. Choose how you want to receive or enter your security code. If a member obtains care from an out-of-network provider without prior approval from Essence Healthcare, Essence Healthcare will not be responsible for the costs. Total number of Dentists on Doctor.com who Accept ESSENCE: Percentage of ESSENCE Dentists who are listed as "Board Certified" on Doctor.com: ESSENCE Dentists listed on Doctor.com have been practicing for an average of: Average ProfilePoints score for Dentists who take ESSENCE: Average Overall User Rating for Dentists who take ESSENCE. As an experienced healthcare executive and certified public accountant, Richard brings more than 30 years of expertise to his current role of president and CEO. We will estimate your portion and ask you to pay that amount at the time of service. Out-of-network providers are under no obligation to treat Plan members, except in emergency situations. If you were to need these services, you would have to share these costs with your insurer, in many cases, and would have considerable financial outlays. We can help you influence star ratings and make your health plan stand out. Currently Essence Dental Care's 16 physicians cover 5 specialty areas of medicine. .map_container svg Maybe youre unhappy with your current plans customer service. Enrollment in Essence Healthcare depends on contract renewal. Always consult a medical provider for diagnosis and treatment. Understanding how to enroll or anything else in between weve got you covered. Invisalign is made with 3D computer imaging technology and has been proven effective. ESSENCE providers listed on Doctor.com have been practicing for an average of: 27.3 year (s) Average ProfilePoints score for Providers who take ESSENCE: 52/80. 5805 Silver Hill Rd Ste G, District Heights MD 20747. For most people, achieving a healthy, beautiful smile is the reason for receiving orthodontic care. Search Prescription Drugs Search our formulary list of covered prescription medications; Find a Doctor Search for primary care physicians, specialists, dentists and more within the Essence Healthcare provider network; Important Plan Documents Find important plan information like Summary of Benefits, Evidence of Coverage, Formulary guides and more Tooth sealants are also recommended because they "seal" the deep grooves in your child's teeth, preventing decay from forming in these hard-to-reach areas. Find out these and so many more things to be thinking about as you consider a Medicare Advantage plan. One of our goals at Essence Healthcare is to offer comprehensive coverage options to meet the unique needs of every Medicare beneficiary and we achieve this goal by offering our members more choices, more flexibility, more protection and more savings wherever possible. Before joining Essence Healthcare, she served as chief medical officer of Mercy Health Plans, a providersponsored plan owned by Sisters of Mercy. Essence Healthcare Summary of Benefits Things to Know About Essence Advantage, Essence Advantage Plus and Essence Advantage Select Hours of Operation From October 1 to March 31, you can call us seven days a week from 8 a.m. to 8 p.m. From April 1 to September 30, you can call us Monday through Friday from 8 a.m. to 8 p.m. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227 . Essence Dental Care is a Practice with 1 Location. Embedded pediatric dental vs. stand-alone coverage: Pros and cons, Early and Periodic Screening, Diagnostic, and Treatment benefit, Heres an overview of HMO, PPO, EPO, and POS as theyre used for medical insurance, how dental insurance can benefit consumers. Essence provides so much more benefit and at such a low cost. 5. You may reach a messaging service on weekends from April 1 through September 30 and holidays. (301) 568-8444. position: absolute; Dental X-rays . All Essence Healthcare plans include Part D drug coverage. Your dental hygienist will begin your cleaning by exploring the surface of your teeth to determine if you have any cavities and to examine the quality of existing fillings. hOQsLAM` hb6AZ(n-`K`;@|y~nssOp1fyiuL,O|AXWfDS$9[z*'_N9Bk;% #eL2} Essence Healthcare includes HMO, HMO-POS, and PPO plans with Medicare contracts. Were excited to announce that Essence Healthcare has added exciting new plan options and expanded its service area for the 2023 plan year to include coverage in a number of new markets including select counties in Northeast Georgia, Ohio, Kentucky, Arkansas, Northern California and Southwest Missouri. The content on Healthgrades does not provide medical advice. If you see the name Larosiliererun. But assuming you need to purchase your own dental plan, there are several things to keep in mind: Dental plans can be managed care plans (ie, they have a network of participating dentists) or indemnity plans (ie, they pay a set amount for a particular service, regardless of what dentist you use). DentaQuest delivers concierge-level service, flexible cost-effective dental plan designs, and access to a scalable provider network for Medicare Advantage health plans. Under pediatric dental coverage obtained via a health insurance marketplace, orthodontia will generally only be covered when considered medically necessary. Download your FREE Medicare Advantage decision guide or request a copy by mail. We offer a broad range of plans to meet your dental needs, both big and small. display: block !important; View available plans in your area for complete details on benefits included. Dental Cleanings. Essence Dental Care has not yet specified any specialties. The treatment is safe, simple, and relaxing! Fluoride Cleanings. Dental health insurance plans will have two categories, basic and major components. She has served companies in all aspects of audit service delivery and related audit and financial reporting matters, including coordination and execution of financial statement audits, review and supervision of staff accountants, and documentation and testing of business processes and internal controls. She has extensive expertise in process improvement, health center administration facilities management, and information systems operations. Erin brings over a decade of public accounting experience to Essence Healthcare, with nine years focused on the insurance industry serving life, health, property/casualty insurers, captive insurers and reinsurers. This is more in line with the way health insurance works. Your child should visit the dentist every six months for regular dental cleanings and checkups. Please refer to plan documents for additional information or contact Customer Service. In general, DHMOs and DEPOs will only cover services provided by in-network dentists, and DHMOs will require your primary care dentist to provide a referral before you can see a specialist. 2023 Essence Healthcare All rights reserved. No matter where you are on your journey to Medicare, you want to be sure youre always up to speed on the most up-to-date content with regards to popular Medicare topics that could potentially affect you or your plan. These plans, sold directly by dental insurance companies or dental offices, are available year-round. PCPs and Specialists need to ensure all referrals are on file by this date. Learn more about Essence Healthcare plans at one of our FREE local or online Medicare seminars. Before joining Essence Healthcare, she served as chief medical officer of Mercy Health Plans, a providersponsored plan owned by Sisters of Mercy. Its important that you know whether or not your dentist is in-network as choosing an in-network dentist will likely lower your out-of-pocket costs compared to out-of-network providers. La Plata, MD. Do not check if you are on a public or shared computer. Essence Dental Care has not yet specified accepted insurance plans. If you already have an account, please log in to receive access to this feature. Every year, Medicare evaluates plans based on a 5-star rating system. Compare plans or request your FREE, no-obligation Medicare Decision Guidetoday! Your privacy is important to us. .map_svg_wrapper
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