Medicare Advantage
We serve members through many different plans, including Florida Blue’s Medicare Advantage members. This gives you the opportunity to see more patients and to provide much-needed dental care to seniors.
If you participate in our BlueDental Choice Copayment network, you are in-network for Medicare Advantage. See the FAQs below for more information.
Frequently Asked Questions
Am I in-network for Florida Blue Medicare Advantage?
How do I verify my patients' Medicare Advantage status?
Members will present to your office with a Florida Blue BlueMedicare HMO or PPO Medicare Advantage ID card. To verify benefits, please refer to MyPatientsBenefits or contact Customer Service at 866-445-5148. You can find samples of the benefit plans and member ID cards in our Dental Manual.
If a service isn’t covered by a member’s Medicare Advantage benefit plan, you are required by law to inform members in writing and in advance of treatment, outlining their financial responsibility.
How am I reimbursed for Medicare Advantage plans?
What if I have opted out of Medicare?
Do I need to do any special training for Medicare Advantage?
Yes, we require all providers who participate with Medicare Advantage to complete fraud, waste and abuse training annually. This training is provided by the Centers for Medicare & Medicaid Services (CMS); to access it:
- Visit CMS’s training site
- Go to “Fraud and Abuse-related Resources”
- Click on “Fraud and Abuse Educational Products”
- Follow the instructions for accessing the web-based training and downloadable PDF versions
Once you have completed the required training, please complete the and return it to DentalProviderRelations@FCLife.com.