colorado medicare phone number for providers

Medicare Provider Resources CCAI. Important Claims Notification. REMINDER: New Payor ID and Mailing Address for claims with dates of service. Medicare is our country's health insurance program for people age 65 or older. You can update your mailing address by signing in to or creating your. For Marketplace inquiries, please call 517.364.8567 or (toll free) 866.539.3342. For PHP Medicare inquiries, please contact your plan. Sparrow Advantage.

Colorado medicare phone number for providers -

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New West Physicians We Put Health First

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New West Physicians accepts most major health insurance plans because we understand the importance of health insurance for the individuals and families we serve. As insurance benefits shift and change, it is important to know your plan and what is covered before your appointment with your provider.

Below is a list of the insurance plans we accept as well as additional detail per plan. Easy links are available to visit your health plan’s website where you can look for helpful features such as Coverage Review, Deductible Trackers, Provider and Service Availability, Procedure Estimators, and Claims Management. A Quick Features Reference Guide is available to assist you.

Please keep in mind: It is the patient’s responsibility to understand their plan, financial obligation, and portion of the services that are provided to them. Please contact your insurance carrier or your company’s Human Resources Manager for specific details of your plan.

EPO, HMO, POS, PPO, Aetna Federal, Aetna Whole Health

Blue HMO, Blue PPO, Blue POS (HMO Colorado, Blue Advantage) We take nearly all Blue Anthem and BC/BS plans, except senior plans.  If you have an Exclusive Plan with the University of Colorado Health Sciences Center, only two of our offices participate – Lakewood Internal Medicine and Evergreen Internal medicine. If your plan is out-of-state, you should contact your Benefits Department to determine coverage.

BCBS Federal, Blue Anthem PERA, Blue Anthem MEDICARE Preferred PERA PPO (Medicare Advantage Plan), Blue Anthem Pathways X HMO (Bronze, Silver, Gold).

Anthem CU Plan thru University of Colorado Health Sciences Center *ONLY ACCEPTED at Lakewood Internal Medicine and Evergreen Internal Medicine.

This health plan offers an insurance product(s) on the Colorado Health Exchange, Connect for Health Colorado.  New West Physicians accepts the following plan: Pathway X Enhanced is the only BCBS product offered on the Exchange.

WE DO NOT ACCEPT BCBS SENIOR SMART

Unicare utilizes the PHCS/UnitedHealthcare network.

HMO, OPEN ACCESS, POS, PPA, PPO, SUREFIT

*This health plan offers insurance products on the Colorado Health Exchange,

New West Physicians accepts the following plans:

LocalPlus, Cigna Choice Fund, Cigna Connect EPO (Bronze, Silver, Gold)

Connect for Health Colorado.  

HMO, PPO, we take all Cofinity including Alliance, Definity, Archdiocese of Denver (Centura Facilities), and Guardian including PPONEXT.

Affordable, Coventry, First Health and Mail Handlers

Government Employees Health Association (GEHA) accepted plans are United Healthcare -PPO/USA Retirees and United Healthcare Intl, GEHA Fedeal.

Commercial Plan Only

*WE DO NOT ACCEPT  SENIOR PLAN AND HMO X PLAN WITH HUMANA

HMO, PPO, POS, NAVIGATE, CHARTER, COMPASS, CORE, Colorado Doctor’s Plan, UMR, UNICARE.

*This health plan offers insurance products on the Colorado Health Exchange, Connect for Health Colorado.

*WE DO NOT ACCEPT UHC CENTURA PLANS

Oxford United, PHCS-Multiplan-Principal, TRICARE (select plans only)

*We do not accept Bright Health, Denver Health Medical plan, Evercare, or OSCAR

Medicare Plans

New West Physicians accepts Medicare through the following Medicare Advantage Plans:

Anthem Medicare Preferred – PERA Retirees OnlyAnthem Medicare Preferred (PPO) Medicare Advantage Plan
Effective January 1, 2019Freedom to see specialists without referrals
Emergency care worldwide
Dedicated member services team focused on you and your needs
24/7 NurseLine
Aetna Medicare PrimePremiums as low as zero per month
Aetna Medicare SolutionsPrescription Drug Coverage
Maximum our-of-pocket $5,100 to $6,700
Out of network benefits on some plans
Silver Sneakers Fitness Program
Vision, Hearing and Telehealth coverage

 

Источник: https://www.nwphysicians.com/health-insurance/
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GEHA will be closed in observance of Thanksgiving on Thursday, November 25, and Friday, November 26. We will reopen at 7 a.m. Central time on Monday, November 29.

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Serving 2 million federal employees, military retirees, and their families. Everything we do starts with you.

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Exclusively for federal employees

Over 2 million federal employees and retirees, military retirees and their families choose GEHA.

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One size doesn't fit all

Plan options that deliver a variety of plans at a fair price.

SEE ALL FIVE PLANS
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Telehealth visits

Unlimited online access to doctors and therapists.

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Nationwide coverage

One of the largest provider networks available to federal employees.

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Stay healthy. Get rewarded.

Up to $1,000 in rewards — and a new plan perk for Elevate and Elevate Plus medical plans.

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COVID-19 vaccines

GEHA provides 100% coverage for the COVID-19 vaccination — and a $75 vaccination wellness account credit.

GET COVID-19 INFO

Which plan should you choose?

Find a medical plan

Just answer a few easy questions to find yours.

FIND YOUR PLAN

Compare medical plans

Choose up to four plans to compare rates and benefits side-by-side.

COMPARE MEDICAL

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Easily compare dental plan premiums and coverage side-by-side.

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Book a virtual benefits consultation.

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7 a.m. – 7 p.m. Central time

800.262.4342

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Learn about finding a plan right for you.

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Источник: https://www.geha.com/

Find a COVID-19 Vaccine Provider 

Clinics at Tri-County Health Department

Vaccines are available to anyone ages 5 and older. Appointments are encouraged; walk-ins will be accepted until clinic capacity is reached. Call 303-451-0123 to make an appointment. All clinics will have Moderna, Pfizer, and Johnson & Johnson vaccines available. Spanish language assistance is available. COVID-19 vaccines and boosters are free and no insurance or identification is needed.  

You can also get your flu shot and COVID-19 vaccine at the same time. Our clinics are now offering both. If you have questions about Tri-County Health Department clinics, call 303-451-0123.

LocationsHours
Clinics may close early if capacity is reached.
Aurora
15400 E. 14th Place
  • Tuesdays and Thursdays, 1-3:30 p.m. 
  • Appointments available on select days
Castle Rock
410 S. Wilcox St.
  • Fridays, 8:30-11:30 a.m. and 1-3:30 p.m.
  • Appointments available on select days
Englewood
4857 S. Broadway #6806
  • Fridays, 8:30-11:30 a.m.
  • Appointments available on select days
Lone Tree
9350 Heritage Hills Circle
  • Thursdays, 8:30-11:30 a.m. and 1-3:30 p.m.
  • Appointments available on select days
Westminster
1401 W. 122nd Ave. #200
  • Tuesdays and Thursdays, 8:30-11:30 a.m. and 1-3:30 p.m.
  • Appointments available on select days

 Download and print our flyer in English or Spanish with additional details.

Find Other Locations to get Vaccinated

  • Check with your healthcare provider, local clinics, and pharmacies to get vaccinated
  • Water World offers COVID-19 vaccines Thursday - Sunday and testing daily. Review hours and provider details.  
  • Our Lady Mother of the Church offers walk-up COVID-19 vaccines Thursdays and Fridays, 7 a.m. – 5 p.m.
  • Kids First Health Care and Maiker Housing Partners offer COVID-19 vaccines at their Kids First Clinics at Alto Apartments every Friday, 8 a.m. - 12 p.m. and 1 - 4:30 p.m. Call 720-403-1236 to schedule an appointment. View their flyer in English and Spanish for more details 
  • Review the state's COVID-19 Community Mobile Vaccination Bus schedule
  • Find vaccine providers by county, large community vaccination sites, and other vaccine clinics from the state's vaccine finder page
  • Search the state's map also various locations to help you find a provider near you

The state's COVID-19 call center is available in multiple languages for questions about any of the clinics in Colorado. Call 877-268-2926 (877-CO VAX CO), Monday-Friday, 9 a.m.-10 p.m.; and Saturday-Sunday, 9 a.m.-5 p.m.

COVID-19 Vaccine Resources

Vaccine Privacy

The information you provide at a COVID-19 vaccination clinic will remain private and confidential. It will not be shared for any immigration or law enforcement purposes. If you are not a U.S. citizen, receiving the vaccine will not jeopardize your immigration status.

Источник: https://www.tchd.org/866/COVID-19-Vaccine

Insurance Coverage

If you are covered by health insurance, you are strongly encouraged to consult with your health insurer to determine accurate information about your financial responsibility for a particular health care service provided by a Centura Health facility. If you are not covered by health insurance, you are strongly encouraged to contact our billing office at 888-347-3295 to discuss payment options prior to receiving a health care service from Centura Health.

Centura Health accepts and bills most major insurance companies as a source of payment. However, some of their benefit plans do not cover treatment at some Centura Health locations. It is recommended that you contact your insurance company directly if you have any questions about coverage at a Centura Health location. Please note that if your insurance company does not include Centura Health as a participating provider for your insurance benefits, you may be billed for non-covered charges or be responsible for reduced benefits. 

When you come for care, please bring your insurance card as it contains information we need to file a claim with your insurance on your behalf. 

Below is a list of major insurance carriers accepted by Centura Health.* Please use the phone number or website listed below, or the phone number listed on the back of your insurance card, to contact your insurance company.

Aetna:1-800-872-3862 or www.aetna.com
Anthem Blue Cross/Blue Shield:1-800-810-2583 or www.anthem.com
Bright Health

1-855-827-4448 (TTY: 711) or www.brighthealthplan.com

CHP+:www.coloradopeak.com
Cigna/GreatWest:1-800-244-6224 or www.cigna.com
Cofinity:1-800-831-1166 or www.cofinity.net
Colorado Access1-855-469-7226 or www.coaccess.com
Coventry/First Health:1-800-226-5116 or www.firsthealth.com
Denver Health:303-602-2100 or www.denverhealthmedicalplan.org
Friday Health Plan1-800-475-8466 www.fridayhealthplans.com
Humana:1-800-833-6917 or www.humana.com
Kaiser:303-338-3800 or www.kaiserpermanente.org
Mulitplan/PHCS:800-922-4362 or www.multiplan.com or www.phcs.com
Pinnacol Assurance:303-361-4000 or www.pinnacol.com
Rocky Mountain Health Plan:970-243-7050 or www.rmhp.org
Tricare:www.mytricare.com
United Healthcare/PacifiCare of Colorado:800-516-3344 or www.myuhc.com

*Centura Health is not responsible for the accuracy of the telephone or website information listed above. Please consult your insurance benefit plan documents.

Centura Health works with Medicare and Medicaid.

Centura Health accepts Medicare and Medicaid. At the time you register you will be asked to present your insurance card as well as your personal ID. It is requested that Medicare patients pay their deductible at the time of admission. If it is not paid, supplemental insurance may be an option. Your eligibility to receive Medicaid will be verified.

Medicare requires we check the diagnosis by the ordering physician to ensure that the specific tests or procedures are covered by Medicare. Medicare has the right to not pay for tests, services and procedures it believes are not required to address the diagnosis.

Understanding insurance lingo

We recognize how difficult it is to understand all of the lingo you hear regarding your insurance. Should you have questions specific to your insurance coverage, please consult with your health insurance company.

Centura Health requires that payment be made at the time of service for any amount not covered by insurance. Insurance deductibles and co-payments are due at the time of service. For those without insurance, the total estimated hospital bill less any initial deposits made is due upon discharge. If you are unable to make the full payment at discharge, you can ask to see a financial counselor who can review alternate payment options with you, including a payment plan.

Centura Health makes every effort to simplify the billing process

If you have questions about your bill, contact us:

Learn more about Centura Health Charity Care Policy.

Источник: https://www.centura.org/patient-tools/pricing/insurance-coverage

UCHealth strongly encourages you to consult with your health insurer to determine accurate information about your coverage and benefits for a particular health care service provided at a UCHealth facility.

It is important for you to know your insurance plan and how much of your deductible you have met. Your out-of-pocket responsibility will vary based on your individual insurance plan and deductible.

Insurance plans accepted

UCHealth works with major payers to provide access to our facilities to as many individuals as possible, and our facilities are in-network for most insurance plans.

  • However, please note that this list is not exhaustive of all payers, and UCHealth may be out-of-network for some products offered by the payers listed.
  • To confirm if your insurance provider or specific plan is contracted with any of our facilities, contact your insurance provider and your clinic to confirm network status.

UCHealth billing and pricing

**Before receiving services, contact your health insurance company to verify your personal benefits, plan limitations, and referral and/or pre-authorization requirements, and in- or out-of-network status.**

Please be aware that your insurance plan may allow you to go out-of-network with proper authorization. If your insurance provider or plan is out-of-network with your UCHealth facility, contact your clinic to find out if an out-of-network authorization can be obtained. UCHealth does not participate with most Limited Benefits Plans, regardless of whether the plan provides authorization.

The phone number listed below may not match the phone number listed on the back of your insurance card. Call the phone number on the back of your card for the most accurate information.

Aetna — 1-800-872-3862
Anthem Blue Cross/Blue Shield — 1-800-810-2583
CHP+ (Colorado Access) — 1-888-214-1101
Cigna/GreatWest* — 1-800-244-6224 (group) or 1-866-494-2111 (individual)
Cofinity — 1-800-831-1166
Colorado Access — 1-855-469-7226
CICP — 720-848-1025
Coventry/First Health* — 1-800-226-5116
Denver Health — 303-602-2100
First Choice Health — 800-467-5281
First Choice of the Midwest — 888-246-9949 Option 4
Humana — 1-800-833-6917
Kaiser — 303-338-3800
Lifesource — 1-800-668-9682
Mulitplan/PHCS* — 800-922-4362 or 888-342-7427
Optum Health (formerly URN) — 800-873-4575
Pinnacol Assurance — 303-361-4000
Rocky Mountain Health Plan (RMHP) — 970-243-7050
Tricare HealthNet — 1-844-866-9378
UCHealth Plan Administrators — 800-207-1018
United Healthcare/PacifiCare of Colorado — 800-516-3344

* In addition to typical health insurance, these insurance carriers are known to offer Limited Benefits Plans, which we do not always accept.

Medicare

UCHealth accepts Medicare.

New to Medicare? If you’re not already enrolled in Original Medicare, we can help. We’ve partnered with eHealth, an independent insurance broker, to help you:

  • Review the Medicare plans accepted by your UCHealth providers.
  • Compare premiums, co-pays and prescription drug out-of-pocket costs.
  • Find the Medicare plan that’s right for you.
Learn more

Medicare Advantage

UCHealth is contracted with many Medicare Advantage plans. You should consult with your Medicare Advantage plan to confirm if your plan is in-network at the UCHealth facility or location you intend to use.

A Medicare Advantage plan, or Medicare Part C, is a Medicare plan offered by a private company that contracts with Medicare to provide you all your Original Medicare Parts A and B benefits as well as any additional coverage offered through the Medicare Advantage plan.

Medicare Advantage plans

Medicare supplements

UCHealth accepts Medicare Supplement plans. A Medicare Supplement plan is an additional insurance that works in conjunction with Medicare Part A and Medicare Part B. It is designed to fill the gaps in coverage, like copays, coinsurance, and deductibles, that Medicare does not cover.

Medicaid/Health First CO and income-based programs

UCHealth accepts Colorado Medicaid and Medicaid coverage from some other states. Medicaid is a health assistance program financed by federal, state, and local taxes to help pay hospital and medical costs for persons of low income.

To learn more, or if you would like to apply for Colorado Medicaid, you can visit https://coloradopeak.secure.force.com/ to learn more about this program as well as identify if you may be eligible. Income guidelines and the application process are available on the websites mentioned.

Income-based plans include:

CHP+ (Colorado Access)
Colorado Access
Denver Health
CICP

The Colorado Indigent Care Program (CICP) provides discounted health care services to low-income people and families. CICP is NOT a health insurance program. Not all UCHealth facilities participate in CICP.

Other government payers

UCHealth accepts other government payers like Tricare and VA Coverage with proper prior authorization.

Tricare HealthNet – 1.844.866.9378
VA Community Care Contact Center – 877.881.7618

Out of network and Limited Benefits Plans

Limited Benefits Plans offer limited coverage and reimbursement for limited services. In other words, they pay very little for very few types of services. They can be appealing because they have lower premiums. Though limited benefits plans may seem like health insurance, they are not. Often, patients with these types of plans do not realize that the plan they have purchased is not health insurance, and that their plan won’t really cover the services they need.

Patients with this type of “coverage” can still be seen at UCHealth-affiliated facilities, but we do not obtain prior authorizations or bill them on behalf of patients. We will bill the patient in accordance with our self-pay policies, and the patient is responsible for paying us directly and at those rates. If the patient wants to seek reimbursement from their Limited Benefits Plan, they will need to work with the plan directly. (If patients need a detailed statement of their services, otherwise known as an Itemized Statement, patients can submit your itemized statement request online or contact us).

Limited Benefits Plans are not always easy to identify, and the cards these plans give to their members are often confusing. Limited Benefits Plans go by many names, including, but not limited to: limited benefits plans, cost sharing plan, health sharing plan, Christian/ministry plan, practitioner-only plan, physician-only plan, etc. Sometimes the plan cards do explicitly state that the plan is not health insurance. If your plan card has any of these phrases on it, you may have a limited benefits plan.

Limited Benefits Plans also often use a practice called “unilateral pricing,” which means the plan tries to dictate to a hospital or doctor how much they should be paid for providing health services to their members, even though the plan doesn’t have a contract with the hospital or doctor. Many of the cards for these types of plans state something like “acceptance of this card indicates acceptance of the plan’s benefit as payment in full,” “this plan pays for all services at 140% of the Medicare allowable amount,” or even “accepting this card waives the provider’s right to bill the patient.” UCHealth is not bound by these types of statements and if we do bill the plan, the final balance after the plan has paid would become the patient’s responsibility.

Additionally, Limited Benefits Plans may tell their members that they can go to any hospital they want or use any doctor they choose, but that does not mean that the plan is in-network or accepted by us. If your plan utilizes a unilateral pricing practice, if your plan card has any of the above phrases on it, or if your plan tells you that you can go to any hospital you want, you may have a Limited Benefits Plan.

Here is a list of some, but not all, limited benefits plans that UCHealth does not accept and will not bill:

  • ACS Benefit Services
  • Allied
  • Apostrophe
  • BAS (Benefit Administrative Systems) – 6 Degrees
  • Boon
  • Christian Healthcare Ministries
  • Clearchain ClaimDOC
  • Compass Essential
  • EBMS (Employee Benefit Management Services) – 6 Degrees
  • ELAP
  • Enterprise Group Planning
  • Entrust
  • Flume
  • GPA
  • Health Plan Inc (hpi)
  • Impact Health Sharing
  • Liberty HealthShare
  • Lockard and Williams
  • Lucent Health
  • Mittera Group Inc
  • Navajo Apostrophe
  • PBA
  • PFG Precision Optics
  • Samaritan Christian Health Share
  • Sana Banefits
  • Solidarity HealthShare

Not all Limited Benefits Plans are alike and even if your card doesn’t include any of the above phrases, you may still have a Limited Benefits Plan. If you think you may have a limited benefit plan, please reach out to our financial assistance team for assistance. Likewise, just because your plan does state some of the above phrases, the specific service you need a specific UCHealth location may be covered.

Get more information about financial assistance, billing estimates, and other billing questions using the right-side links at the top of this page.


This information is provided for general summary information only. It is not intended to provide specific advice. UCHealth makes no warranties, express or implied, regarding errors or omissions, and assumes no legal liability or responsibility for loss or damages resulting from the use of information contained herein.

Always check with your insurer about your coverage before making an appointment or receiving non-emergency care. Verify that you are covered for the practice, the individual provider, and the procedure. Some insurance plans require members to use specific labs, or to obtain a referral or authorization before certain types of care.

Источник: https://www.uchealth.org/billing-and-pricing/insured-patients/

Health First Colorado (Colorado's Medicaid Program)

Health First Colorado is public health insurance coverage for children, families, pregnant women, adults, the elderly, and people with disabilities. There are several different programs. When you apply for Health First Colorado, your eligibility will be determined based on the information you put in your application. Your age, family size, income and other information asked for in the application are used to ensure you are enrolled in the program that best meets your needs.

To be eligible for Health First Colorado you must be a US Citizen or eligible immigrant, a Colorado resident, and meet program specific income requirements. Some categories will consider resources.

For more information visit Health First Colorado. The Department of Health Care Policy and Financing is the state agency that administers Health First Colorado, the Child Health Plan Plus (CHP+) and other healthcare programs for Coloradans who qualify.

Health First Colorado Dental Providers Directory

Eligible adults enrolled in Health First Colorado in Colorado now have access to up to $1,000 per year in preventive dental care.

Источник: https://www.bouldercounty.org/families/medical/health-first-colorado/
Check Application Status

Colorado medicare phone number for providers -

Unitedhealthcare dental provider phone number

Unitedhealthcare dental provider phone number


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Learn about Combined Application for American Rescue Plan Rural Funding and Provider Relief Fund Phase 4 Now Open, New UCare Website Spotlight: Find a Form, UCare Connect + Medicare Service Area Expansion, Documentation Improvement: Breast Cancer, LivingWell Kid Kits, Dental Access for Members, Reminder: UCare Medicare Part D Vaccine Information, Ensure You Don’t Contact Us. Box 69421 Harrisburg, PA 17106-9421. Unum’s dental network is a growing nationwide dental network. 1-888-306-7337 . 877-816-3596 7 hours ago United Healthcare Dental Provider Service Phone Number #5 . 1. com Show details . Allied National Client Services 866-323-2985 United Healthcare Dental Provider Service Phone Number #5 . Pacific Union Dental Plan (PUD) – a United Healthcare Company P. com . Just Now Contact information for members with individual or family plans. ET. Box 19199 Planation, FL 33318. Your List of Main Dentists and Specialists We have included a list of dentists in the Harris service area who are in our plan. By Phone: Call the number on the back of the member’s ID card or dial 800-676-BLUE (2583) to If you have comments or questions, we want to help you. UnitedHealthcare Vision Plan Type - Preferred Provider Organization (PPO) 866-249-1999; VSP Vision Care Plan Type - Preferred Provider Organization (PPO) 800-807-0764; BENEFEDS. 30541 Salt Lake City, UT 84130-0541 877-816-3596 2 hours ago United Healthcare Dental Providers. United Healthcare Community Plan Dental Providers 877-901-7321. com (look under “Join Our Network ”) or call 800-822-5353. Please note: We make every effort to ensure each of the network links contain accurate and up-to-date information. If you have. local time. 3805 Edwards Rd Ste 160, Cincinnati, OH 45209 3. Emblem Health (formerly GHI Family Dental Practice) 1873 Western Ave Albany NY 12203 518-869-1044. Ostomy Supplies - Byram Healthcare Centers. Dr. Category: Health Detail Drugs Starting your journey to finding the right dental insurance provider for you, your business, or your family can seem daunting. Make one-time payment from a checking or savings account. For questions related to Availity, contact Availity Client Services at (800) 282-4548 or visit the Availity Support Community. 2019 Unitedhealthcare Medicare Advantage Plans. UnitedHealthcare Dental offers 3 different plans to fit your needs. He works in Cincinnati, OH and specializes in Dentist/Oral Surgeon and General Dentistry. 1-866-936-6002 . Box 30567 Salt Lake City, UT 84130-0567. or after 2 p. com / 1-800-822-5353 • Features provider self-service capabilities and the Treatment Plan Calculator • Visit the “Contact Us” section of uhcdental. Submit New Claims: United Concordia Dental Companies, Inc. 9ellAway’s Dental Provider Network in the U. We're currently experiencing an internal server problem. Harvard Pilgrim and UnitedHealthcare. Customer care representatives are available to assist you. Select your network name below to start your provider search. com Oct 23, 2021 · Dr. 6 102 nd Street Troy, NY 12180 518-833-6900. 1-855-580-1854. Find payment amount and due date. Whitney Young Albany Dental Clinic. A. 1-877-844-4999 / TTY 711 for technical issues all day, every day. With a wide variety of plan types and coverage options, United Healthcare is a major insurance carrier in the United States, offering multiple Medicare Advantage plans. 866-414-1959. AmeriGroup, Community Health Plan of Washington, Coordinated Care, Molina, or United Health) you must contact Gain fast and secure online access to your patient's benefit and account status information using the Provider Self-Service Site. Find Claim Forms Contact UnitedHealthcare by phone, online or by mail. 800-822-5353 6 hours ago If you work in this specialty, you’ll contact a partner who handles credentialing and contracting on behalf of UnitedHealthcare: Dental Benefit Providers. If you have any questions, please call UnitedHealthcare Member Services at 1-877-901-7321, TDD/TTY: 7-1-1. UnitedHealthcare is one of the top dental providers with extensive dental insurance options, helping you to cut costs while taking care of your oral health. Provider relations (Humana/ChoiceCare) For participation status, requests to join the network and contract-related questions 800-626-2741 Open 8 a. 877-816-3596 5 hours ago The #5 phone number for United Healthcare Dental Provider Service with tips to quickly reach and to call a live United Healthcare support rep. (through your employer) 1-866-414-1959 / TTY 711 for general information. Dental Benefit Providers P. UnitedHealthcare Community Plan . Visit Dentist Link or call 1-844-888-5465. 1-855-580-1854 TTY Users: 711 24 hours a day, 7 days a week. Oct 04, 2019 · Resources UnitedHealthcare West Supplement Provider Number; Preauthorization: 800-746-7405 (Arizona & Colorado) 888-866-8297 (Nevada) 800-668-8139 (Texas and Oklahoma) United Healthcare Community Plan Dental Providers 877-901-7321. - W UnitedHealthcare Dental Benefit Providers. Box 30552 Salt Lake City, UT 84130-0552. Hours of operation: 8 a. UMR P. Administrative Guide. 1-877-7NYSHIP (1-877-769-7447), choose UnitedHealthcare . Find your provider representative. You can also send us an email. UnitedHealthcare provides access to the network 43 Years Exp. Contact us uhcdental. UnitedHealthcare provides access to the network Starting your journey to finding the right dental insurance provider for you, your business, or your family can seem daunting. United Gethuman. Contact Us. 1-800-354-4054 UnitedHealthcare dental insurance plans, brochures, and download applications. Feb 22, 2021 · If you are a provider currently not in United's Choice Plus network and would like to join, click here. Oct 15, 2021 · If you are a Provider and require assistance, you may contact UnitedHealthcare plans by calling the toll-free General Provider line. Please keep us informed of changes to your service address and other contact information (address, phone/fax numbers, etc. to 8:00 p. If you’re not sure of your plan's network, check your member ID card, log in to your online account, or give us a call at the phone number listed on your card and we can help. Health (9 days ago) 7 rows · 877-233-1800. United Healthcare Customer Service Phone Number (877) 887-0441, Email, Address Looking for UnitedHealthcare dental providers in Las Vegas, Carson City or Reno, NV? You’re in luck! Absolute Dental takes UnitedHealthcare (UHC) Dental Insurance Coverage at our 25+ locations. Health (5 days ago) The #5 phone number for United Healthcare Dental Provider Service with tips to quickly reach and to call a live United Healthcare support rep. Need further assistance? Please call 702-242-7088 or toll-free at 1-800-745-7065, Monday through Friday, 8 a. For technical support, call the CareFirst Help Desk at (877) 526 – 8390. local time, 7 days a week. • UHC On Air (24/7 On Demand Access) For PPO and Medicare Advantage Membership uhcdental. Call 877-342-5258, option 2, 8 a. Providers are routed by their Tax ID. unitedhealthcare dental provider phone number

Источник: http://sailorsmenu.com/xwiel0/unitedhealthcare-dental-provider-phone-number.html

Social Security

Medicare is our country's health insurance program for people age 65 or older. Certain people younger than age 65 can qualify for Medicare too, including those with disabilities and those who have permanent kidney failure.

The program helps with the cost of health care, but it does not cover all medical expenses or the cost of most long-term care. You have choices for how you get Medicare coverage. If you choose to have Original Medicare (Part A and Part B) coverage, you can buy a Medicare Supplement Insurance (Medigap) policy from a private insurance company.

The Parts of Medicare

Social Security enrolls you in Original Medicare (Part A and Part B).

  • Medicare Part A (hospital insurance) helps pay for inpatient care in a hospital or limited time at a skilled nursing facility (following a hospital stay). Part A also pays for some home health care and hospice care.
  • Medicare Part B (medical insurance) helps pay for services from doctors and other health care providers, outpatient care, home health care, durable medical equipment, and some preventive services.

Other parts of Medicare are run by private insurance companies that follow rules set by Medicare.

  • Supplemental (Medigap) policies help pay Medicare out-of-pocket copayments, coinsurance, and deductible expenses.
  • Medicare Advantage Plan (previously known as Part C) includes all benefits and services covered under Part A and Part B — prescription drugs and additional benefits such as vision, hearing, and dental — bundled together in one plan.
  • Medicare Part D (Medicare prescription drug coverage) helps cover the cost of prescription drugs.

Most people age 65 or older are eligible for free Medical hospital insurance (Part A) if they have worked and paid Medicare taxes long enough. You can enroll in Medicare medical insurance (Part B) by paying a monthly premium. Some beneficiaries with higher incomes will pay a higher monthly Part B premium. To learn more, read Medicare Premiums: Rules For Higher-Income Beneficiaries.

Should I Sign Up For Medical Insurance (Part B)?

With our online application, you can sign up for Medicare Part A (hospital insurance) and Part B (medical insurance). Because you must pay a premium for Part B coverage, you can turn it down.

If you’re eligible at age 65, your initial enrollment period begins three months before your 65th birthday, includes the month you turn age 65, and ends three months after that birthday.

If you choose not to enroll in Medicare Part B and then decide to do so later, your coverage could be delayed and you may have to pay a higher monthly premium for as long as you have Part B. Your monthly premium will go up 10 percent for each 12-month period you were eligible for Part B, but didn’t sign up for it, unless you qualify for a "Special Enrollment Period" (SEP).

If you don’t enroll in Medicare Part B during your initial enrollment period, you have another chance each year to sign up during a “general enrollment period” from January 1 through March 31. Your coverage begins on July 1 of the year you enroll. Read our Medicare publication for more information.

If you have a Health Savings Account (HSA) or health insurance based on current employment, you may want to ask your personnel office or insurance company how signing up for Medicare will affect you.

Special Enrollment Period (SEP)

If you have medical insurance coverage under a group health plan based on your or your spouse's current employment, you may not need to apply for Medicare Part B at age 65. You may qualify for a "Special Enrollment Period" (SEP) that will let you sign up for Part B during:

  • Any month you remain covered under the group health plan and you or your spouse's employment continues.
  • The 8-month period that begins with the month after your group health plan coverage or the employment it is based on ends, whichever comes first.

How To Apply Online For Just Medicare

If you are within three months of turning age 65 or older and not ready to start your monthly Social Security benefits yet, you can use our online retirement application to sign up just for Medicare and wait to apply for your retirement or spouses benefits later. It takes less than 10 minutes, and there are no forms to sign and usually no documentation is required.

Apply for Medicare Only

Return to Saved Application

UCHealth strongly encourages you to consult with your health insurer to determine accurate information about your coverage and benefits for a particular health care service provided at a UCHealth facility.

It is important for you to know your insurance plan and how much of your deductible you have met. Your out-of-pocket responsibility will vary based on your individual insurance plan and deductible.

Insurance plans accepted

UCHealth works with major payers to provide access to our facilities to as many individuals as possible, and our facilities are in-network for most insurance plans.

  • However, please note that this list is not exhaustive of all payers, and UCHealth may be out-of-network for some products offered by the payers listed.
  • To confirm if your insurance provider or specific plan is contracted with any of our facilities, contact your insurance provider and your clinic to confirm network status.

UCHealth billing and pricing

**Before receiving services, contact your health insurance company to verify your personal benefits, plan limitations, and referral and/or pre-authorization requirements, and in- or out-of-network status.**

Please be aware that your insurance plan may allow you to go out-of-network with proper authorization. If your insurance provider or plan is out-of-network with your UCHealth facility, contact your clinic to find out if an out-of-network authorization can be obtained. UCHealth does not participate with most Limited Benefits Plans, regardless of whether the plan provides authorization.

The phone number listed below may not match the phone number listed on the back of your insurance card. Call the phone number on the back of your card for the most accurate information.

Aetna — 1-800-872-3862
Anthem Blue Cross/Blue Shield — 1-800-810-2583
CHP+ (Colorado Access) — 1-888-214-1101
Cigna/GreatWest* — 1-800-244-6224 (group) or 1-866-494-2111 (individual)
Cofinity — 1-800-831-1166
Colorado Access — 1-855-469-7226
CICP — 720-848-1025
Coventry/First Health* — 1-800-226-5116
Denver Health — 303-602-2100
First Choice Health — 800-467-5281
First Choice of the Midwest — 888-246-9949 Option 4
Humana — 1-800-833-6917
Kaiser — 303-338-3800
Lifesource — 1-800-668-9682
Mulitplan/PHCS* — 800-922-4362 or 888-342-7427
Optum Health (formerly URN) — 800-873-4575
Pinnacol Assurance — 303-361-4000
Rocky Mountain Health Plan (RMHP) — 970-243-7050
Tricare HealthNet — 1-844-866-9378
UCHealth Plan Administrators — 800-207-1018
United Healthcare/PacifiCare of Colorado — 800-516-3344

* In addition to typical health insurance, these insurance carriers are known to offer Limited Benefits Plans, which we do not always accept.

Medicare

UCHealth accepts Medicare.

New to Medicare? If you’re not already enrolled in Original Medicare, we can help. We’ve partnered with eHealth, an independent insurance broker, to help you:

  • Review the Medicare plans accepted by your UCHealth providers.
  • Compare premiums, co-pays and prescription drug out-of-pocket costs.
  • Find the Medicare plan that’s right for you.
Learn more

Medicare Advantage

UCHealth is contracted with many Medicare Advantage plans. You should consult with your Medicare Advantage plan to confirm if your plan is in-network at the UCHealth facility or location you intend to use.

A Medicare Advantage plan, or Medicare Part C, is a Medicare plan offered by a private company that contracts with Medicare to provide you all your Original Medicare Parts A and B benefits as well as any additional coverage offered through the Medicare Advantage plan.

Medicare Advantage plans

Medicare supplements

UCHealth accepts Medicare Supplement plans. A Medicare Supplement plan is an additional insurance that works in conjunction with Medicare Part A and Medicare Part B. It is designed to fill the gaps in coverage, like copays, coinsurance, and deductibles, that Medicare does not cover.

Medicaid/Health First CO and income-based programs

UCHealth accepts Colorado Medicaid and Medicaid coverage from some other states. Medicaid is a health assistance program financed by federal, state, and local taxes to help pay hospital and medical costs for persons of low income.

To learn more, or if you would like to apply for Colorado Medicaid, you can visit https://coloradopeak.secure.force.com/ to learn more about this program as well as identify if you may be eligible. Income guidelines and the application process are available on the websites mentioned.

Income-based plans include:

CHP+ (Colorado Access)
Colorado Access
Denver Health
CICP

The Colorado Indigent Care Program (CICP) provides discounted health care services to low-income people and families. CICP is NOT a health insurance program. Not all UCHealth facilities participate in CICP.

Other government payers

UCHealth accepts other government payers like Tricare and VA Coverage with proper prior authorization.

Tricare HealthNet – 1.844.866.9378
VA Community Care Contact Center – 877.881.7618

Out of network and Limited Benefits Plans

Limited Benefits Plans offer limited coverage and reimbursement for limited services. In other words, they pay very little for very few types of services. They can be appealing because they have lower premiums. Though limited benefits plans may seem like health insurance, they are not. Often, patients with these types of plans do not realize that the plan they have purchased is not health insurance, and that their plan won’t really cover the services they need.

Patients with this type of “coverage” can still be seen at UCHealth-affiliated facilities, but we do not obtain prior authorizations or bill them on behalf of patients. We will bill the patient in accordance with our self-pay policies, and the patient is responsible for paying us directly and at those rates. If the patient wants to seek reimbursement from their Limited Benefits Plan, they will need to work with the plan directly. (If patients need a detailed statement of their services, otherwise known as an Itemized Statement, patients can submit your itemized statement request online or contact us).

Limited Benefits Plans are not always easy to identify, and the cards these plans give to their members are often confusing. Limited Benefits Plans go by many names, including, but not limited to: limited benefits plans, cost sharing plan, health sharing plan, Christian/ministry plan, practitioner-only plan, physician-only plan, etc. Sometimes the plan cards do explicitly state that the plan is not health insurance. If your plan card has any of these phrases on it, you may have a limited benefits plan.

Limited Benefits Plans also often use a practice called “unilateral pricing,” which means the plan tries to dictate to a hospital or doctor how much they should be paid for providing health services to their members, even though the plan doesn’t have a contract with the hospital or doctor. Many of the cards for these types of plans state something like “acceptance of this card indicates acceptance of the plan’s benefit as payment in full,” “this plan pays for all services at 140% of the Medicare allowable amount,” or even “accepting this card waives the provider’s right to bill the patient.” UCHealth is not bound by these types of statements and if we do bill the plan, the final balance after the plan has paid would become the patient’s responsibility.

Additionally, Limited Benefits Plans may tell their members that they can go to any hospital they want or use any doctor they choose, but that does not mean that the plan is in-network or accepted by us. If your plan utilizes a unilateral pricing practice, if your plan card has any of the above phrases on it, or if your plan tells you that you can go to any hospital you want, you may have a Limited Benefits Plan.

Here is a list of some, but not all, limited benefits plans that UCHealth does not accept and will not bill:

  • ACS Benefit Services
  • Allied
  • Apostrophe
  • BAS (Benefit Administrative Systems) – 6 Degrees
  • Boon
  • Christian Healthcare Ministries
  • Clearchain ClaimDOC
  • Compass Essential
  • EBMS (Employee Benefit Management Services) – 6 Degrees
  • ELAP
  • Enterprise Group Planning
  • Entrust
  • Flume
  • GPA
  • Health Plan Inc (hpi)
  • Impact Health Sharing
  • Liberty HealthShare
  • Lockard and Williams
  • Lucent Health
  • Mittera Group Inc
  • Navajo Apostrophe
  • PBA
  • PFG Precision Optics
  • Samaritan Christian Health Share
  • Sana Banefits
  • Solidarity HealthShare

Not all Limited Benefits Plans are alike and even if your card doesn’t include any of the above phrases, you may still have a Limited Benefits Plan. If you think you may have a limited benefit plan, please reach out to our financial assistance team for assistance. Likewise, just because your plan does state some of the above phrases, the specific service you need a specific UCHealth location may be covered.

Get more information about financial assistance, billing estimates, and other billing questions using the right-side links at the top of this page.


This information is provided for general summary information only. It is not intended to provide specific advice. UCHealth makes no warranties, express or implied, regarding errors or omissions, and assumes no legal liability or responsibility for loss or damages resulting from the use of information contained herein.

Always check with your insurer about your coverage before making an appointment or receiving non-emergency care. Verify that you are covered for the practice, the individual provider, and the procedure. Some insurance plans require members to use specific labs, or to obtain a referral or authorization before certain types of care.

Источник: https://www.uchealth.org/billing-and-pricing/insured-patients/

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We give our more than 1.4 million members the power to use and manage their dental benefits easily. Through our innovative plans, large dentist network, and expert customer service, we make dental care accessible, affordable, and simple, leading to a healthier smile and life. And through our foundation and corporate social responsibility initiatives, we are active in the community, helping expand access to quality dental care and giving to organizations that support our mission of improving the oral health of the communities we serve.Creating healthy Colorado smiles is what drives us.


Resource Library

Delta Dental of Colorado is excited to debut our upgraded system, including our website and secure portals, which will enhance the service experience for all of our customers and stakeholders. Access our resource library to get specific communications, tutorials, and other information you will need to know about the system upgrade.

Oral Health & Wellness

Delta Dental of Colorado is not just the state's leading dental benefits company; we are also a nonprofit with a mission to improve the oral health of the communities we serve. For the past several years, we've been promoting the message throughout Colorado that caring for your oral health is important because of the strong connection between oral and overall health.

Learn more

Individual Plans

We sell several plans for Connect for Health Colorado, Colorado's health care insurance marketplace for individuals and small groups. As the nation's leading dental benefits provider, we offer quality, cost-effective choices designed for you, your family, and your well-being.

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2020 Annual Report

Like every other business, 2020 threw us into an environment of uncertainty and change. But one thing stayed constant: our commitment to our mission and our guiding belief that smiles matter. Read more in our 2020 annual report.

Read more

Contact Us

We want to ensure you receive the best possible customer service. Visit our contact page to find the latest Delta Dental of Colorado phone, email, and fax information.


Access your insurance and the tools to help you use it anytime, anywhere with the Delta Dental mobile app. App features may vary by geographic area and individual dentist participation.

Choosing a Dental Plan

Find coverage for individuals, families, or groups.

- June 27, 2018

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Questions?

Check out our Frequently Asked Questions pages for Members, Brokers, Providers and Employers.

- June 27, 2018

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DDCO In the News

Visit our newsroom for the latest Delta Dental of Colorado press releases and news.

- June 27, 2018

Источник: https://www.deltadentalco.com/

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New West Physicians We Put Health First

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New West Physicians accepts most major health insurance plans because we understand the importance of health insurance for the individuals and families we serve. As insurance benefits shift and change, it is important to know your plan and what is covered before your appointment with your provider.

Below is a list of the insurance plans we accept as well as additional detail per plan. Easy links are available to visit your health plan’s website where you can look for helpful features such as Coverage Review, Deductible Trackers, Provider and Service Availability, Procedure Estimators, and Claims Management. A Quick Features Reference Guide is available to assist you.

Please keep in mind: It is the patient’s responsibility to understand their plan, financial obligation, and portion of the services that are provided to them. Please contact your insurance carrier or your company’s Human Resources Manager for specific details of your plan.

EPO, HMO, POS, PPO, Aetna Federal, Aetna Whole Health

Blue HMO, Blue PPO, Blue POS (HMO Colorado, Blue Advantage) We take nearly all Blue Anthem and BC/BS plans, except senior plans.  If you have an Exclusive Plan with the University of Colorado Health Sciences Center, only two of our offices participate – Lakewood Internal Medicine and Evergreen Internal medicine. If your plan is out-of-state, you should contact your Benefits Department to determine coverage.

BCBS Federal, Blue Anthem PERA, Blue Anthem MEDICARE Preferred PERA PPO (Medicare Advantage Plan), Blue Anthem Pathways X HMO (Bronze, Silver, Gold).

Anthem CU Plan thru University of Colorado Health Sciences Center *ONLY ACCEPTED at Lakewood Internal Medicine and Evergreen Internal Medicine.

This health plan offers an insurance product(s) on the Colorado Health Exchange, Connect for Health Colorado.  New West Physicians accepts the following plan: Pathway X Enhanced is the only BCBS product offered on the Exchange.

WE DO NOT ACCEPT BCBS SENIOR SMART

Unicare utilizes the PHCS/UnitedHealthcare network.

HMO, OPEN ACCESS, POS, PPA, PPO, SUREFIT

*This health plan offers insurance products on the Colorado Health Exchange,

New West Physicians accepts the following plans:

LocalPlus, Cigna Choice Fund, Cigna Connect EPO (Bronze, Silver, Gold)

Connect for Health Colorado.  

HMO, PPO, we take all Cofinity including Alliance, Definity, Archdiocese of Denver (Centura Facilities), and Guardian including PPONEXT.

Affordable, Coventry, First Health and Mail Handlers

Government Employees Health Association (GEHA) accepted plans are United Healthcare -PPO/USA Retirees and United Healthcare Intl, GEHA Fedeal.

Commercial Plan Only

*WE DO NOT ACCEPT  SENIOR PLAN AND HMO X PLAN WITH HUMANA

HMO, PPO, POS, NAVIGATE, CHARTER, COMPASS, CORE, Colorado Doctor’s Plan, UMR, UNICARE.

*This health plan offers insurance products on the Colorado Health Exchange, Connect for Health Colorado.

*WE DO NOT ACCEPT UHC CENTURA PLANS

Oxford United, PHCS-Multiplan-Principal, TRICARE (select plans only)

*We do not accept Bright Health, Denver Health Medical plan, Evercare, or OSCAR

Medicare Plans

New West Physicians accepts Medicare through the following Medicare Advantage Plans:

Anthem Medicare Preferred – PERA Retirees OnlyAnthem Medicare Preferred (PPO) Medicare Advantage Plan
Effective January 1, 2019Freedom to see specialists without referrals
Emergency care worldwide
Dedicated member services team focused on you and your needs
24/7 NurseLine
Aetna Medicare PrimePremiums as low as zero per month
Aetna Medicare SolutionsPrescription Drug Coverage
Maximum our-of-pocket $5,100 to $6,700
Out of network benefits on some plans
Silver Sneakers Fitness Program
Vision, Hearing and Telehealth coverage

 

Источник: https://www.nwphysicians.com/health-insurance/
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