Fidelis Care Dental Providers: Everything You Need to Know

If you are looking for a dental insurance plan in New York, you might have heard of Fidelis Care. As one of the leading health insurance providers in the state, Fidelis Care offers dental insurance to its members through a network of dental providers. In this article, we will discuss everything you need to know about Fidelis Care dental providers.

Fidelis Care Dental Providers: Everything You Need to Know

What is Fidelis Care?

Fidelis Care is a nonprofit health insurance company that provides various healthcare services to low-income families and individuals in New York State. The company was founded in 1993 with a mission to help underserved communities access affordable and quality healthcare services.

Today, the company has over 1.7 million members and provides health insurance coverage for eligible individuals and families, including Medicaid recipients, Medicare beneficiaries, and Qualified Health Plan (QHP) enrollees.

What Dental Services Does Fidelis Care Offer?

Fidelis Care offers comprehensive dental care benefits to its members, including preventive care, diagnostic services, restorative treatments, and orthodontic care.

Some of the specific services covered by Fidelis Care’s dental plan include:

  • Routine cleanings
  • X-rays
  • Fillings
  • Extractions
  • Root canals
  • Crowns
  • Bridges
  • Dentures
  • Orthodontic treatment (braces)

The exact benefits may vary depending on your plan level and location.

How Do I Find a Fidelis Care Dental Provider?

To find a Fidelis Care dental provider near you, you can visit their website or call their customer service hotline. They have an extensive network of over 8,000 dentists across New York State who participate in their dental program.

You can also use the online directory on their website to search for a dentist by location or specialty. If you already have a dentist that you would like to see, you can check if they participate in Fidelis Care’s network by using their online directory.

What Should I Consider When Choosing a Fidelis Care Dental Provider?

When choosing a Fidelis Care dental provider, there are several factors that you should consider. These include:

  • Location: Choose a dentist that is convenient for you to access. You don’t want to have to travel too far for your appointments.
  • Specialty: If you need specialized dental care, such as orthodontic treatment or oral surgery, make sure the dentist has experience and training in that area.
  • Reputation: Look for reviews and ratings from other patients to get an idea of the quality of care provided by the dentist.
  • Cost: Check if the dentist accepts your insurance plan and what out-of-pocket expenses you might incur.

How Do I Make an Appointment with a Fidelis Care Dental Provider?

To make an appointment with a Fidelis Care dental provider, you can call the office directly or use their online scheduling tool if available. Be sure to let them know that you are a Fidelis Care member and provide your plan information when making your appointment.

It is also important to arrive at your appointment on time and bring your insurance card with you. Your dentist will need this information to confirm your coverage and file claims on your behalf.

What Are Some Tips for Maintaining Good Oral Health?

While having dental insurance is important, it is also essential to take good care of your oral health. Here are some tips for maintaining healthy teeth and gums:

  • Brush twice daily: Brushing removes plaque and bacteria from your teeth, preventing cavities and gum disease.
  • Floss daily: Flossing cleans between your teeth where a brush cannot reach, removing food particles and plaque buildup.
  • Use mouthwash: Rinse with mouthwash after brushing and flossing to kill bacteria and freshen your breath.
  • Avoid sugary foods and drinks: Sugars can lead to tooth decay and cavities, so limit your intake of candy, soda, and other sweet treats.
  • Visit the dentist regularly: Schedule routine cleanings and checkups with your dentist to catch any problems early and maintain good oral health.

Conclusion

Fidelis Care dental providers offer a wide range of dental services to their members across New York State. By choosing a Fidelis Care dental provider that meets your needs, you can access quality care at an affordable cost. Follow our tips for maintaining good oral health to keep your smile healthy and vibrant for years to come.

FAQs

What is Fidelis Care?

Fidelis Care is a health insurance company that offers coverage for medical, dental, and vision care to individuals and families in New York State.

Does Fidelis Care offer dental insurance?

Yes, Fidelis Care provides dental insurance coverage for its members. It offers various plans that cover preventive, basic, and major dental services.

How can I find a Fidelis Care dental provider?

You can easily find a Fidelis Care dental provider by visiting the company’s website and using its “Find A Provider” search tool. Alternatively, you can call customer service for assistance.

What are the benefits of using a Fidelis Care dental provider?

By choosing to use a Fidelis Care dental provider, you can enjoy lower costs and greater convenience as these providers are part of the company’s network and offer discounts on certain services. Plus, you’ll have access to high-quality care from licensed professionals who meet the company’s standards for excellence.

Can I use an out-of-network dentist with my Fidelis Care plan?

While it may be possible to see an out-of-network dentist with your Fidelis Care plan, doing so may result in higher out-of-pocket costs or no coverage at all depending on your specific plan. It’s always better to choose an in-network provider whenever possible to ensure maximum benefits.

What types of procedures are covered under Fidelis Care’s dental plans?

The exact procedures covered under each plan will vary, but generally speaking, preventive care such as cleanings and exams are covered 100%, while basic procedures like fillings and extractions are partially covered. Major procedures like root canals and crowns may also be covered but usually require pre-authorization.

How do I file a claim with Fidelis Care for dental services?

You typically don’t need to file a claim with Fidelis Care dental providers as they will bill the company directly for covered services. However, if you see an out-of-network provider or need to cover costs above and beyond what your plan allows, you may need to submit a claim form which can be found on the Fidelis Care website.

Are there any restrictions on how often I can visit a Fidelis Care dental provider?

The frequency of visits allowed under your plan will depend on the specific details of your coverage. Generally speaking, routine exams and cleanings are allowed once or twice per year while more complex procedures may have stricter limitations. It’s always best to check with your dental provider and insurance company before scheduling any treatments.

Does Fidelis Care offer orthodontic treatment coverage?

Depending on your plan, Fidelis Care may provide some coverage for orthodontic treatments such as braces or Invisalign. However, these types of procedures are usually considered major services and may require pre-authorization or additional fees. Again, it’s important to review your plan details carefully when considering orthodontic treatment.

How does Fidelis Care ensure quality care from its dental providers?

To ensure that its members receive high-quality care from licensed professionals, Fidelis Care thoroughly reviews and credentials all dentists who join its network. This includes verifying licensure, professional experience, education credentials, and patient satisfaction ratings. Additionally, providers must agree to follow certain standards of care and participate in continuing education programs to stay up-to-date with industry best practices.

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