News and Views

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Spring 2023 Newsletter

Wednesday, April 26, 2023 | Posted in GEHA Connection Dental Network Provider Newsletter

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Join the Key Influencer Panel and put your ideas into action

You have the unique opportunity to directly influence the evolution of policy, procedures and interactions for the GEHA Connection Dental Network. This elite group of highly qualified professionals helps shape how we can work together to improve the GEHA Connection Dental Network provider experience.

Interested in joining? Scan the QR code or visit geha.com/Panel

California providers have new tool for directory updates

A new tool for all dentists in California is now available to easily update and verify your directory information. Providers in California can now complete state and federal required directory updates through Emfluence, a paperless, easy-to-use email tool. If there is not an email address on file or your office is in another state, you will continue to receive your notice in the mail.

Medicare Advantage payors

Did you know that some GEHA Connection Dental Network payors offer both Medicare Advantage and commercial plans? Please contact the payor directly for benefits.

Update your email

As we move towards more electronic correspondence, please make sure your email address is up to date. Update your email at connectiondental.com or 800.505.8880, option 4

Medicare Advantage plans offer expanded coverage, but verify benefits first

Regular dental care is an important part of maintaining good health. One of the biggest perks of a Medicare Advantage plan is that many plans offer dental coverage.

Traditional Medicare only covers dental procedures while in the hospital. Medicare Part A does not cover routine dental care, such as cleanings, X-rays and fillings. Because of high out-of-pocket expenses, patients enrolled in traditional Medicare often go without the services they need. Medicare Advantage (Part C) is an all-in-one alternative to traditional Medicare. Medicare Advantage is a bundled plan that includes Parts A, B and usually, D. Medicare Advantage offers extra benefits that traditional Medicare does not, such as dental, vision, hearing and more. Patients that have Medicare Advantage plans may pay additional premiums for coverage.

MEDICARE PLANS INCLUDE:

• Part A (Inpatient hospital coverage)
• Part B (Outpatient medical coverage)
• Part C (Medicare Advantage)
• Part D (Prescription drug coverage)

Medicare Advantage plans include a variety of dental benefits. Please note you will be reimbursed by the payor the member has selected, not by Medicare directly.

It is crucial to verify benefits and eligibility with each payor prior to performing services. Contact the payor directly for your participation status within each of their network plans or products.

For a full listing of Medicare Advantage payors and plans, please visit the Resource Center at connectiondental.com Look in the Resources box on the right, then scroll near the bottom to the Connection Dental Network Payor List.

Since these plans follow Medicare/Medicare Advantage guidelines, you will need to comply with related requests sent by GEHA Connection Dental Network, including annual fraud, waste and abuse training and quarterly directory updates. Both tasks can be completed at connectiondental.com within the Provider Portal. You will receive a communication (in the provider portal or by letter) to complete your training when required.

What’s new

Be sure to check out the What’s New References category in the Resources section of the Resource Center at connectiondental.com to keep up-to-date on new and revised payor notices, provider manuals and state-specific policies and procedures.

To find this section, click on Resource Center at the top of the website. Then look at the Resources box on the right. Scroll down close to the bottom and you’ll see What’s New References. We encourage you to check out the Resource Center on a regular basis. Here is a recap of new or updated documents:

New provider document	Date posted	What's new
UnitedHealthcare Medicare Advantage dental coverage - 2023	11.29.2022	New document added
UHC quick reference guide for Medicare Advantage plans	12.22.2022	New document added
Humana provider manual	12.22.2022	Updated document
Washington State specific policy and procedure	01.06.2023	Updated document
GEHA Connection Dental Plan Manual	03.03.2023	New document added

Stay informed with News & Views

News & Views is the place to find the latest news and information in the world of dentistry. Check out these recent articles:

• 2023 GEHA Plan manual for dental providers
• National Children's Dental Health Month
• Make embracing diversity, equity and inclusion part of your practice
• Quality care in dentistry
• Successful implant outcomes
• National Dentist's Day
• GEHA Connection Dental Network team
• New features added to the IVR (Interactive Voice Response) system
• Join the key influencer panel to put your ideas into action
• Update your email
• Rewards partners

For these stories and more, visit connectiondental.com/News