AN ALTERNATIVE TO
DISCOUNTED PPOs
AND CAPITATION

AN ALTERNATIVE TO DISCOUNTED PPOs AND CAPITATION

I WANT INFORMATION FOR
Dental Professionals

Founded by dentists

BeneCare Dental Plans was started in 1979 as an Independent Practice Association of Dental Professionals along with a specialty administrator to create an alternative to the traditional insurers’ heavily discounted PPO and capitation reimbursement models.

Girl smelling strawberries

WHY PARTICIPATE WITH BENECARE?

Real-world
reimbursementS

Our reimbursement schedules typically exceed the deeply discounted PPOs and capitation models.

No non-covered
services provision

Our fee schedules do not apply to non-covered services or services that exceed frequency limitations or benefit maximums.

Girl smelling strawberries

No third-party
leasinG

Our proprietary networks are owned or managed by dental professionals and never leased to other carriers or third-party administrators.

Plan-specific compensation

Participating dentists are reimbursed at the applicable patient plan’s allowance, not at the lowest fee schedule a dentist has agreed to accept.

Patient panel

Open and close your patient panel at your discretion.

Participation options

Only participate in the fee schedules you choose. There is no fee to enroll with BeneCare.

WHAT OUR CUSTOMERS ARE SAYING

I have worked with BeneCare for over 30 years. There are no other insurance companies that are as professional, personalized, fair and helpful as BeneCare. I would recommend BeneCare to any dentist.

– Dr. George F. Schieder III, DDS | Mays Landing, NJ

Diane did a great job! She was helpful and kind. A great employee. A keeper!”

– Fredericka C. | Tolland, CT

BeneCare’s representative was so polite, understanding, and helpful. She took the time to go over my benefits and options with me.

– Edward A. | Atlantic City, NJ

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SPEED CLAIMS PROCESSING WITH ELECTRONIC DATA INTERCHANGE

Submitting your claims using Electronic Data Interchange (EDI) helps improve accuracy; speeds processing; and helps ensure prompt payment. EDI claims can be submitted through the following clearinghouses: Change Healthcare, DentalXChange, or Renaissance.1

BeneCare Payor ID: 23210

HELP YOUR PATIENTS AVOID SURPRISES

BeneCare recommends that dental professionals request a Predetermination of Benefits prior to a patient receiving any major dental work.2 This step gives you a summary of what the plan will pay toward any covered procedure and what the patient’s out-of-pocket responsibility will be. This helps patients budget to meet their financial obligation.

EASILY MANAGE YOUR PATIENTS

Our secure website is a convenient way to administer your BeneCare patients any time of the day or night.

  • Verify eligibility.
  • Look up claims and treatment history.
  • Submit Predetermination of Benefits requests.
  • Locate a participating dentist or specialist.
  • Find co-pay information.
  • Update practice information.

Don’t have an account? Register here.

Join your dental colleagues.

1 Change Healthcare, DentalXChange, and Renaissance are trademarks of their respective owners. BeneCare may use new, or cease to use existing, clearinghouse vendors at its sole discretion.

2 Major dental work is defined as any covered services expected to exceed $250 or for services such as dentures, crowns, periodontics, or bridgework. Predeterminations are offered to give dentists and members cost and coverage certainty, but they are never a mandatory condition of coverage. Predetermination is not a guarantee of payment.