See how dental insurance options vary depending on where you live. State Medicaid programs have to cover pediatric dental, but there is wide state-to-state variation in terms of how Medicaid covers adult dental care. Doctors who accept ESSENCE Insurance | Doctor.com Services. Pediatric dental is one of the essential health benefits, although its a bit more complicated than the other nine. insurance, payment options, etc. Please leave a message, and your call will be returned the next business day. Please provide your zip code to see plans in your area. Financial Information - District Heights MD | Essence Dental Care Outside of the office, Dr. Zimmerman enjoys traveling especially to visit her three children. Every year, Medicare evaluates plans based on a 5-star rating system. You should consider your oral health needs to determine what type of plan is right for you and your budget. To enroll in an Essence plan, you must have both Medicare Parts A and B and reside in the plan service area. Essence Dental Care has not yet specified accepted insurance plans. Appointment scheduling. margin: auto; Essence Dental Care, District Heights, MD - Healthgrades We sent a one-time security code to {#maskedTwoFactorEmail}. She is also an accomplished entrepreneur, having co-founded a successful disease and complex case management firm. In most states, Medicaid covers at least some dental care for enrollees who are 21 and older. Resend, Mailing Address for Customer Service, Claims, Appeals & Grievances: (Arkansas, Georgia, Illinois, Kentucky, Missouri, and Ohio plans) P.O. What costs can I expect with dental insurance? The plan will also address major services like implementing dental crowns or other extensive procedures that require more time, effort, and money. When it comes to switching to an all-in-one Medicare Advantage plan from Original Medicare, theres a lot of new to consider. Visit Essence Smiles in Queens, NY Beware that he has more than 1 location. No matter where you are on your Medicare journey, understanding all of your options is key in choosing the right plan for you. All other marks contained herein are the property of their respective owners. Diagnostic mammograms: $0 copay. dental services. Sun Closed. We also offer assisted financial plans throughCareCredit, an affordable option used by many of our patients to pay for their dental treatment. But for children, For those who purchase their own insurance, the decision to purchase dental coverage is not always as clear-cut as the decision to purchase health insurance. You are about to be logged out due to inactivity. Some dental plans include benefits for cosmetic orthodontia services, out-of-pocket cap for pediatric dental services. You may find that you can only purchase dental coverage through the exchange if youre also purchasing health insurance. You must continue to pay your Medicare Part B premium. If you ever have an issue or question, your call will be promptly answered by one of our friendly and knowledgeable representatives. No matter what your Medicare coverage looks like today, well help you make sense of the differences between Original Medicare and Medicare Advantage plans and provide you with a checklist of key considerations along with a comprehensive list of questions you should be asking to ensure you make the best-possible decision as you consider an all-in-one Medicare Advantage plan. Essence Dental Care has not yet specified any specialties. Weve also added additional service counties across the Greater Saint Louis Metropolitan area. provider's profile, including items like having a photo, a biography, If you're self-conscious about your smile, correcting your concerns with braces will greatly improve the way you look and feel. Joel is a seasoned executive with over 22 years of experience in the healthcare industry. With Essence Healthcare emails, you can opt out at anytime and well never sell or share your information with anyone. Your child should visit the dentist every six months for regular dental cleanings and checkups. Dental health insurance plans will have two categories, basic and major components. 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. Please note that the Medicare Annual Enrollment Period is October 15th through December 7th. Once you receive it, please enter it below. width: 100%; With my Essence Healthcare plan, I get better coverage at a lower monthly premium than I did when I was working. width: 135% !important; Dental, vision, and health insurance can be bundled. You pay a monthly premium for dental coverage, Your dental plan will typically have a deductible, Your dental plan may have preferred providers, The health insurance marketplace/exchange in your state is a good place to start, particularly if you also need to purchase your own health insurance. Essence Dental Care has not yet specified any specialties. 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. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services. Fri 9:00 am - 3:00 pm. Dr. Zimmerman has a distinguished history of medical leadership at health plans such as CIGNA, Group Health Plan and Health Partners of the Midwest. 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. Specialties. Essence Healthcare | Medicare Supplement Insurance Plans (Medigap Does dental insurance cover cosmetic treatments and procedures? Dental coverage: What to expect from Medicare, your states essential health benefits benchmark plan. A native of Columbia, Missouri, Erin and her family enjoy all things Mizzou sports. These extensive restorative procedures can be very expensive, even when the insurance carrier and the enrollee share the risk. PCPs and Specialists need to ensure all referrals are on file by this date. All Essence Healthcare plans include Part D drug coverage. Cool. can be prohibitive for dental services consumers. .image img .map_heading .heading_pals Invisalign uses a series of invisible, removable, and comfortable aligners that no one can tell you're wearing. All of our plans include maximum out-of-pocket protection that limits that amount you have to pay out of of your own pocket for medical services. * Essence Healthcare's Medicare plan previews for 2023 have been released. Find out how we can help you obtain the best affordable individual and family dental plans today. We're currently processing your request and we'll be in touch soon. Essence Dental Care has not yet specified accepted insurance plans. Medicare can be complex, but it doesnt have to be confusing. 0. Sound familiar? Preview the 2023 MA/MAPD products and learn about these portfolio-selling opportunities in your state. Compare plan options for individuals and families. Plus, Zoom! Other diagnostic radiology services (such as MRI, CT and PET Dental insurance premiums. Essence Dental Care - District Heights, MD 20747 - Yellow Pages He obtained his Doctor of Dental Surgery degree and a certificate in orthodontics from Howard University. Sealants last for several years, but will be monitored at your regular checkups. Submission of this form is subject to Healthgrades, Help Millions of people find the right doctor and care they need, Get immediate care and visit with providers from the comfort of your home, or anywhere, Urgent care centers can be faster and cheaper for situations that are not life threatening, Doctors and patients discuss the latest medical treatments and health tips, Search prescription drugs for why theyre used, side effects and more, Back and Neck Surgery (Except Spinal Fusion). Benefits, star ratings, and network may vary by plan, contract or market. There are plans as low as $10/month, but to have any real coverage for major services, such as crowns and bridges, you should expect to pay at least $35/month. 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. For Essence Health Plan Claims, Eligibility or Patient Referral Inquiries for Arkansas, Georgia, Kentucky, and Ohio plans: 855-425-0457 | customerservice@essencehealthcare.com Joel is a seasoned executive with over 22 years of experience in the healthcare industry. If youre considering dental insurance, you should consider factors such as a plan's provider network, waiting periods and benefit caps. Essence Healthcare Inc Reviews, Ratings | Insurance near 13900 The core idea here is that if individuals practiced the right behaviors, ate the right foods, and visited their dentists regularly for basic procedures, they would have lower chances of needing more extensive restorative procedures. Understanding how to enroll or anything else in between weve got you covered. width: 78%; Martha is a native St. Louisan, has three grown children and currently lives in the St. Louis area with her husband. 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 Now that Im retired, thats very important. } 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. Understanding the different Parts of Medicare can be confusing. } Box 5904 Troy, MI 48007, Questions relating to Registration, Login, Application Access, General Questions and Technical Support: 866-397-2812 | customersupport@lumeris.com, For Essence Health Plan Claims, Eligibility or Patient Referral Inquiries for Missouri and Illinois plans: 866-597-9560 | customerservice@essencehealthcare.com, For Essence Health Plan Claims, Eligibility or Patient Referral Inquiries for Arkansas, Georgia, Kentucky, and Ohio plans: 855-425-0457 | customerservice@essencehealthcare.com, For Essence Health Plan Claims, Eligibility or Patient Referral Inquiries for California plans: 855-996-8422 | customerservice@essencehealthcare.com. For plans with Part D Coverage: You may be able to get Extra Help to pay for your prescription drug premiums and costs. These plans will vary from state to state in terms of which insurers offer the coverage. To enroll in an Essence plan, you must have both Medicare Parts A and B and reside in the plan service area. Compare plans or request your FREE, no-obligation Medicare Decision Guidetoday! Find plans in your state. For Americans who purchase their own stand-alone dental coverage, premiums are most commonly in the range of $20 to $50 per month. Dental coverage leads to earlier and better dental care. If you are looking to learn more about dental coverage, have questions about dental coverage, or want to select an ideal dental plan for you and your family, our dental health experts at eHealth can assist. You must continue to pay your Medicare Part B premium (unless your Part B premium is paid for you by Medicaid or another third party). Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services. Each type of plan functions differently and is designed to help you get the most out of your Medicare coverage. Essence Healthcare includes HMO, HMO-POS and PPO plans with Medicare contracts. Martha is a talented healthcare executive with more than 25 years of experience in managed care and medical group settings. Average Overall User Rating for providers who take ESSENCE: 5 (out of 5) hOQsLAM` hb6AZ(n-`K`;@|y~nssOp1fyiuL,O|AXWfDS$9[z*'_N9Bk;% #eL2} Please, I beg you, educate yourself on dental/orthodontist care and Never Never go to him or his wife. Search our formulary list of covered prescription medications, Search for primary care physicians, specialists, dentists and more within the Essence Healthcare provider network, Find important plan information like Summary of Benefits, Evidence of Coverage, Formulary guides and more, View additional information and resources on Essence Healthcare Medicare Advantage plans, Find out how Essence has grown to be a leading local and national Medicare provider over the past 15 years, Hear what members have to say about Essence Healthcare, Just starting to explore coverage options, Determining when youre eligible to enroll.
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