Fidelis dental fee schedule. Guidance for comprehensive health insurance policy forms.

Fidelis dental fee schedule. Questions and Additional Information: View Patient Information Get Claims Details See Eligibility / Benefits Submit Authorizations Download Provider-specific Documents Don't have an account? Submit a request for access Update: New York State Medicaid Program Dental Policy and Procedure Code Manual The Department of Health has updated the following sections of the Dental Policy and Procedure Code Manual: Fidelis Care members with dental coverage have their benefits covered through DentaQuest. A "New for 2025" section on page 6 summarizes changes. Fidelis Care members with dental coverage have their benefits covered through DentaQuest. Fee-For-Service Reminders from the Bureau of Dental Review article published in the September 2020 issue of the Medicaid Update; and Fee-for-Service Dental Claim Submission Guidance When Third-Party Liability Payment article published in the May 2024 issue of the Medicaid Update. Fidelis Care members with dental coverage have their benefits covered through DentaQuest. Wellcare Medicare Plan Information Click on the corresponding state for the member’s plan to view plan-specific information, including annual benefit maximum, coinsurance, covered services by CDT code, prior authorization requirements, and benefit limitations. . Interested in learning more about Preventive Dental Care? Check out our blog post! DentaQuest provides dental plans to Medicaid-eligible adults and children in New York who are members of Fidelis Care plans Jul 26, 2025 · In this complete guide, we’ll explore everything you need to know about Fidelis Dental plans — from coverage details and eligibility to provider networks and cost breakdowns. The 2025 NYS Medicaid Dental Policy and Procedure Code Manual and Updated Fee Schedule are available on eMedNY Policies in the 2025 Dental Manual became effective January 1, 2025. New York State provider manuals, tip sheets, important forms, and applications (NYS health insurance). More residents are enrolled in a New York Medicaid dental plans than ever before. Apr 23, 2025 · Fidelis Care would like to remind providers of the updated calculation of hospitals’ initial inpatient acute, exempt hospital, and exempt unit reimbursement rates for Medicaid Fee-for-Service (FFS) and Medicaid Managed Care (MMC), which were effective October 1, 2024. Patients may have to pay separately for certain lab services, vaccines, and NEW YORK PROVIDERS The Network for Quality Dental Care in New York DentaQuest is a leading dental insurance provider in New York, providing dental coverage to eligible members of various Medicaid, CHIP, Medicare-Medicaid, Medicare Advantage, Marketplace and Personal plans. Fees for medical services typically range from $25 to $80. Fees are based on services received and can be adjusted based on your income and family size. Fees for dental services typically range from $45 to $200. Copyright © 2017, State of New Jersey New Jersey Department of Banking and Insurance This page brought to you by the Insurance Division and the Office of Public Affairs Information for Medicaid Dental Providers Welcome to the New York State Medicaid Dental Provider Page. Guidance for comprehensive health insurance policy forms. New York State offers an extensive dental services benefit to all Medicaid members. Some examples of cost-sharing include deductibles, coinsurance, and/or copays. These fees constitute the maximum amount you may charge for covered services when providing dental care and supplies to Eligible Persons (participants in dental benefit plans underwritten or administered by clients of DHA or members of other groups that have access to DHA). The revised documents are effective January 1, 2025. Provider Resources: The 2025 Program Manual and updated Fee Schedule are now available on eMedNY. If you’ve ever wondered whether Fidelis Dental is the right choice for you, you’re in the right place. Please follow the links in eMedNY to the 2025 Dental Policy and Procedure Codes Manual and Fee Schedule. Jul 15, 2025 · For billing and reimbursement of practitioner administered drugs, refer your Provider Manual Procedure Code and Fee Schedule sections for Drugs, and Provider Communications, listed above. Regulatory news and educational resources for Fidelis Care providers, carrying out services in New York State. Tell us more about yourself to find qualifying plans and estimate costs. May 11, 2023 · Wellcare’s Provider Portal – Providers love our Live Chat! Mar 1, 2025 · Clinical policies and payment policies (PDF) library for Fidelis Care & Centene providers in the NYS Health Insurance payment plans. We are here to help you understand your benefits! Service Fees Zufall Health has a sliding fee discount program to ensure affordable access to all services. All Fidelis Care Qualified Health Plans carry some combination of cost sharing between you and Fidelis Care. yswzz wst mhqmd dalrrh chrlf imksaxl xjoa quyelbg pawtgh ntdpa