She has served companies in all aspects of audit service delivery and related audit and financial reporting matters, including coordination and execution of financial statement audits, review and supervision of staff accountants, and documentation and testing of business processes and internal controls. There are plans as low as $10/month, but to have any real coverage for major services, such as crowns and bridges, you should expect to pay at least $35/month. Dental health insurance plans will have two categories, basic and major components. My story is too long to tell but I never write reviews but I wouldn't wish my experience on my enemy. The plan will also address major services like implementing dental crowns or other extensive procedures that require more time, effort, and money. No matter where you are on your journey to Medicare, you want to be sure youre always up to speed on the most up-to-date content with regards to popular Medicare topics that could potentially affect you or your plan. Every year, Medicare evaluates plans based on a 5-star rating system. Cox HealthPlans Medicare Advantage. The dental hygienist will then perform a periodontal exam to make sure your gums adhere tightly to your teeth, and no periodontal disease or bone loss may be occurring. You may reach a messaging service on weekends from April 1 to September 30 and holidays. Enrollment in Essence Healthcare depends on contract renewal. width: 100%; No matter where you are on your Medicare journey, understanding all of your options is key in choosing the right plan for you. Before joining the Essence family of companies in 2006, he served as vice president of marketing for e-MDs and held a variety of management positions at several healthcare technology companies, including Trizetto, Nightingale and Mariner Systems. Essence Healthcare 2021 Summary of Benefits Members enrolled in an Essence Healthcare HMO or HMO D-SNP plan must use plan providers except in emergency or urgent care situations. * Essence Healthcare's Medicare plan previews for 2023 have been released. The Dental Essence staff will provide you with a treatment plan including your estimated out of pocket expense for your dental treatment. We have multiple plan types to choose from, including Preferred Provider Organization (PPO) plans, Health Maintenance Organization (HMO) plans and a Point-of-Service option (HMO-POS). Dental managed care plans tend to be HMOs or PPOs (for dental care, these are called DHMOs and DPPOs), but Dental Exclusive Provider Organizations (DEPO) and Dental Point of Service (DPOS) are available in some areas. Visit Essence Smiles in Queens, NY Plus, Zoom! The Dental Essence staff will provide you with a treatment plan including your estimated "out of pocket" expense for your dental treatment. You must have both Medicare Parts A and B and Missouri Medicaid with QMB or QMB Plus eligibility to enroll in an Essence Healthcare HMO D-SNP plan. Search Prescription Drugs Search our formulary list of covered prescription medications; Find a Doctor Search for primary care physicians, specialists, dentists and more within the Essence Healthcare provider network; Important Plan Documents Find important plan information like Summary of Benefits, Evidence of Coverage, Formulary guides and more Very pro.peopleThere, Address: 2345 Martin Luther King Jr Ave SE, Washington, DC 20020, Website: http://www.essencedentalcare.com, 300 D St SW Ste 211, Washington, DC 20024, 2811 Pennsylvania Ave SE Ste 2, Washington, DC 20020, 490 Lenfant Plz SW Ste 8210, Washington, DC 20024, 908 New Hampshire Ave NW, Ste 100, Washington, DC, DC 20037, 908 New Hampshire Ave NW Ste 301, Washington, DC 20037, 2231 Crystal Dr Lbby 150, Arlington, VA 22202, 919 18th St Nw Suite Lower Level 52, Washington, DC 20006. Dental insurance plans typically have deductibles that must be paid before treatment is provided. Please leave a message, and your call will be returned the next business day. Diagnostic mammograms: $0 copay. } position: absolute; Financial Information - District Heights MD | Essence Dental Care For people who purchase their own stand-alone dental coverage, premiums are most commonly in the range of $20 to $50 per month. In essence, the basic component will focus on more routine dental services. 2023 Essence Healthcare All rights reserved. For additional security, we need to verify your identity before you can sign in to the account. State Medicaid programs have to cover pediatric dental, but there is wide state-to-state variation in terms of how Medicaid covers adult dental care. Do not check if you are on a public or shared computer. She has extensive expertise in process improvement, health center administration facilities management, and information systems operations. Our licensed agents can recommend the best dental insurance options for your situation. One of our goals at Essence Healthcare is to offer comprehensive coverage options to meet the unique needs of every Medicare beneficiary and we achieve this goal by offering our members more choices, more flexibility, more protection and more savings wherever possible. But the plan may have a waiting period for these services, or may cover a larger percentage of their cost after your plan has been in effect for a certain amount of time. Payment is expected at the time of service. Useful 2. For more information or assistance, please call Customer Service at the number listed under the Contact Us page. If youre considering dental insurance, you should consider factors such as a plan's provider network, waiting periods and benefit caps. (301) 568-8444. Resources and Downloads. { It is a great idea to learn how dental insurance works to know why prevention and routine dental care is vital. 5. Essence Healthcare also includes an HMO D-SNP plan with a contract with Medicare and the state Medicaid program. She has extensive expertise in process improvement, health center administration facilities management, and information systems operations. Medicare can be complex, but it doesnt have to be confusing. display: block !important; But assuming you need to purchase your own dental plan, there are several things to keep in mind: Dental plans can be managed care plans (ie, they have a network of participating dentists) or indemnity plans (ie, they pay a set amount for a particular service, regardless of what dentist you use). The plan will also address major services like implementing dental crowns or other extensive procedures that require more time, effort, and money. Home > 2023 guide to dental insurance plans. All Essence Healthcare plans include Part D drug coverage. Sound familiar? They also tend to have benefit caps that limit how much the insurance plan will pay for adult dental care. For plans with Part D Coverage: You may be able to get Extra Help to pay for your prescription drug premiums and costs. You may find that its worthwhile to pay a larger premium in order to have more extensive coverage (ie, a larger benefit cap) or a shorter waiting period for certain services. For most people, achieving a healthy, beautiful smile is the reason for receiving orthodontic care. They really take care of me. Care Credit has 0% financing with monthly payment options available that can be used for co-payments, deductibles, treatment and procedures not covered by insurance. Essence Healthcare Medicare Advantage Plans with Part D Essence.Provider Call anytime to discuss your options with a local, licensed Essence Healthcare advisor. Any outstanding balances not paid for by your insurance plan may also be made online via oursecure Payment Portal. Currently, I have three teeth missing that is very visible. You must continue to pay your Medicare Part B premium (unless your Part B premium is paid for you by Medicaid or another third party). Get all your questions answered in a one-on-one appointment with a licensed Medicare advisor. *Plans vary by market. Currently Essence Dental Care's 16 physicians cover 5 specialty areas of medicine. When not at work trying to come up with the next big idea, he enjoys spending time with his wife and son, writing, playing golf or cheering on his favorite sports team, the St. Louis Blues. Services/Products Dentists. 99. { Its not just Essence Dental Care, its Dr. Patrick Larosiliere who owns this establishment with his wife. These plans will vary from state to state in terms of which insurers offer the coverage. More than 70% of orthodontists in the US and Canada are certified to treat with Invisalign. Payment method all major credit cards, insurance, paypal, amex, discover, master card, visa Other Link. General Dentistry. Wed 9:00 am - 6:00 pm. . Our office accepts cash, check, Visa, American Express, MasterCard and Discover. You must be logged in to access this feature. we make it easier for you to quickly identify the most informative profiles on Doctor.com. Will dental insurance cover services provided by my dentist? Dental coverage: What to expect from Medicare, your states essential health benefits benchmark plan. Essence Advantage (HMO) Diagnostic Services/Labs/Imaging (Costs for these services may vary based on place of service) Lab services: $20 copay. width: 78%; 2023 Essence Healthcare All rights reserved. Regular checkups and cleanings now may prevent more serious and costly issues later. Fax: (301) 568-8447. By showing providers with higher ProfilePoints first, Fluoride Cleanings. We're currently processing your request and we'll be in touch soon. These limits will increase to $400 and $800, respectively, in 2024. Find Reviews, Ratings, Directions, Business Hours, Contact Information and book online appointment. 44 customer reviews of Essence Healthcare Inc. One of the best Insurance business at 13900 Riverport Dr, Maryland Heights MO, 63043 United States. group dental insurance plans, you can do so through eHealth. Understanding the different Parts of Medicare can be confusing. Always consult a medical provider for diagnosis and treatment. } You must continue to pay your Medicare Part B premium. .featured_image_dental_map{ Why Choose Essence Healthcare Medicare Advantage.