What type of insurance is Healthplex?
WELCOME TO HEALTHPLEX Whether you are looking for a new customized dental plan for your group, wish to have your existing dental program redesigned, or simply want to lower your overall dental costs, Healthplex can offer you a spectrum of flexible, affordable options.
Does Healthplex cover extractions?
Most carriers include common procedures such as endodontics (root canals), periodontics (gum treatments), and even oral surgery (extractions) in the Major Services category. Healthplex covers those same services in the Basic Services category.
Where do I send my Healthplex claims?
Provider Quick Reference Guide.
Who bought Healthplex?
UNIONDALE, N.Y., Sept. 17, 2019 /PRNewswire/ — Healthplex, Inc., announced today that, following the receipt of all required regulatory approvals, the company has been acquired by affiliates of MCNA Dental, the largest full-risk Medicaid and Children’s Health Insurance Program dental benefits manager in the country.
What are the types of dental insurance?
In general, four types of services can be covered by a dental insurance plan: basic, comprehensive basic, major and orthodontic.
What is a capitation dental plan?
Capitation plans are another form of managed care. They are also called a Dental Health Maintenance Organization or HMO. Participating dentists are paid a set amount for each person enrolled in the plan, rather than for actual treatment provided and whether they visit the dentist or not.
What is considered medically necessary for dental implants?
Turns out, if you have tried to preserve a diseased tooth with proper oral hygiene and it did not work, dental implants may be considered medically necessary. In fact, there are a few reconstructive dental services that are billed to your medical insurance.
How do I cancel my Healthplex membership?
Please send a cancella on le er and a request for refund with your name and member number to Healthplex, Inc.; 333 Earle Ovington Blvd., Suite 300; Uniondale, NY 11553 or fax to: (516) 228-4829. You may also submit cancella on by email: cancella [email protected].
What is a capitation plan?
A capitated contract is a healthcare plan that allows payment of a flat fee for each patient it covers. Under a capitated contract, an HMO or managed care organization pays a fixed amount of money for its members to the health care provider.