Florida Blue, The BlueCross BlueShield of Florida Plan-Dental
As of January 1, 2014, Avesis will no longer be the program administrator for Florida Blue Medicare Advantage Plans. Please review the letter for additional information. Avesis is administering routine dental benefits to Florida Blue, The BlueCross BlueShield of Florida Plan Medicare Advantage members.
As a DenteMax provider, Avesis will be utilizing your office to provide dental benefits to members. HMO Members reside in the following counties: Broward, Hillsborough, Miami-Dade, Palm Beach, Pasco, Pinellas, and Polk. PPO members reside throughout the entire state of Florida.
Effective January 1, 2013, the Florida Blue HMO is expanding membership in the following counties: Brevard, Duval, Lake, Orange, Osceola, Seminole, and Sumter.
Below you will find a sample image of the ID card that members will present for services. Florida Blue, The BlueCross BlueShield of Florida Plan Medicare Advantage members will be in one of the following plans: BlueMedicare HMO, BlueMedicare PPO, BlueMedicare Regional PPO, BlueMedicare EGWP PPO, or BlueMedicare EGWP HMO
Members' benefits vary according to their individual coverage. As a participating provider, it is imperative that you verify eligibility and benefits on all members each time they present in your office. Please remember that only the services covered by the member's benefit plan will be paid by Avesis.
Plan benefits include preventive services such as exams, cleanings and x-rays, simple extractions and denture adjustments. Benefits may vary depending on the member's plan. Please click on the link below to view the benefits for this plan.Dental Benefit PlanSheet
If you are not currently an Avesis contracted provider and are interested in participating in these programs, please complete the Provider Credentialing and Contracting paperwork located on the left hand side of the page. All Participating Providers must have an NPI number. If you do not have an NPI number, please click here to apply. If you have any questions please contact one of our Provider Services Representatives at 1-855-569-8338
Send Completed Materials by mail to Provider Services:
Mail To:Avesis Third Party Administrators, Inc.
10324 Soulth Dolfield Road
Owings Mills, MD 21117