Information for Premera Medicare Advantage Dental Providers

  • Premera Blue Cross has publicly announced the company will exit the Medicare Advantage market. As of January 1, 2025, Premera will no longer offer Medicare Advantage plans. Premera Medicare Supplement plans and members are not affected. If members have questions, please have them contact customer service at 888-850-8526.

    2024 Dental Benefits

    All Premera Medicare Advantage Plans include preventive and comprehensive benefits.

    Dental Plans: Annual Maximum Allowed and Comprehensive Deductibles:

    HMO $0
    Classic (HMO) and Total Health (HMO)

    $1,000 with $25 deductible
    $1,500 with $25 deductible

    For more information:

    Review our MA dental enhanced benefit document for details about what's covered.
    Check our MA utilization review document prior to delivering dental services. Predetermination reviews are standard.
    Check out our dental provider training guide to learn about our plans and how to use our online tools.

    Secure dental tools and resources for providers

    Effective January 22, 2025, online tools for Medicare Advantage Dental will no longer be available. For billing or claims questions, call MA Dental Provider Service, at 855-612-7477.

    Sign in to dental tools and resources

    What you need to know

    It's important to check your patients' ID cards to ensure they have the dental benefit. Look for “DENTAL” on the ID card. If it's not listed, the member doesn't have dental coverage.

    dental ID card

    Provider Directory

    Search for dentists and specialists dentists and specialists within the Premera Blue Cross Medicare Advantage Provider Network.