OHCA selected DentaQuest, LIBERTY Dental, and MCNA Dental to administer benefits for the more than 770,000 Medicaid-enrolled eligible adults and children statewide. DentaQuest is the worst company Ive ever tried to deal with. Trust your gut and ask people you know about their providers. and Events, Course Listing Opportunities for C.E. Your email address will not be published. Please try different search terms. Liberty Dental approved it all, $5, 000 worth of dental work and a coule of months later DentalQuest gets the contract. I do have documentation, and my receipt for $350. On 1/15/2021 DentaQuest finally called to tell me that I did have coverage and since I went out of network I would have to fill out a reimbursement form and that it would take up to 6 months for payment. My daughter and son were given the same canned response and both denied the same day the claims were submitted I am beyond angry that the insurance decided that the care the dentist recommends is not medically necessary. "We are honored to support the state by ensuring access to high-quality oral healthcare for SoonerCare members," said Dr. Jandra Korb, dental director for DentaQuest Oklahoma. Staff and supervisors are really interested in promoting from within, No benefits are available unless you are a supervisor. Your web browser (Internet Explorer) is out of date and no longer supported. DentaQuest denied evrything except a root canal. I broke my denture completely in half and was told on 12/272020 by DentaQuest that I did not have coverage for a denture replacement. E.W. If you do not know your child's CHIP dental plan, call the CHIP enrollment broker at 1-800-964-2777. Regardless of advertiser status, none of the listings, reviews, or other information on Wallet Hub constitutes, in any way, a referral or endorsement by us of the respective financial company or professional, or vice versa. from WalletHub and across the web. I called both DentaQuest and Wellcare about the miss information pointing out my policy stated that I did have full coverage. The whole Medicare advantage type plan is a scam to take your Medicare payments and replace Medicare with unscrupulous insurance operators. Dont use them if you have Medicaid, just use Dentaquest. I was told that 6 months had not past since last cleaning. After I stopped using that hand for a few days the pain subsided. The Dentist was not in network with Healthfirst. In regards to getting the proper dental plan. SoonerCare is the name for Oklahomas Medicaid program. I have an adult daughter with Autism. Refreshing. Talked to Caresource/medicaid with my symptoms and the oral surgeon said the top 2 need to come out and are surgically able. I called DentaTrust to get help with this and was told in a very, cold, unwavering voice that I would still have to wait. I have been trying to call everyday throughout the day to get someone on line, and nothing. I want her approved for this surgery immediately so she doesn't suffer more or age out and the insurance be cancelled. The WalletHub rating is comprised of reviews from both WalletHub users and ratings on other reputable websites. The rating was last updated on 08/19/2022. Web dentaquest is committed to improving oral health care for all. Message DentaQuest through secure messaging. In the past, a case management rep was supposed to call me and I have never gotten a call. I used the insurance for a new crown in August of 2021. MCNA Dental's focus on outstanding service and support for participating dentists helps to facilitate the delivery of quality dental care and treatment. It's been 5yrs since I received my first dentures, regular wear and tear has them completely useless. After this experience with DentaTrust, I'm afraid of their dentists. MCNA is dedicated to promoting high-quality and cost-effective oral health by increasing access to dental care for the public. However, every time I had an appointment the office manager told me that she could not get through to Healthfirst, that they were giving her the run around. DentaQuest benefits Find a dentist near you The dental contracts are part of the continued roll-out of Oklahoma Gov. the same approved message is on the automated machine I have temporary crowns in my mouth and now I am not sure if or when this will get approved. According to the American Dental Association, wisdom teeth removal may be necessary if you experience changes in the area of those teeth, such as: There are options for dental care at no cost or reduced cost for qualifying children. Compare ratings, reviews, salaries and work-life balance to make the right decision for your career. We currently serve over 5 million Medicaid and CHIP members in Texas, Florida, Iowa, Idaho, Louisiana, Nebraska, Arkansas, and Utah, and are looking forward to serving members in Oklahoma. Registered Dental Assistant (Current Employee) - Florida. Combine that with advantage plan partnerships with totally unethical companies like DentaQuest puts a thief in your pocket with little to no recourse. DentaQuest and MCNA Dental administer the dental benefits for eligible Medicaid recipients. 1.3. See how working at DentaQuest vs. MCNA Dental Plans compares on a variety of workplace factors. I paid for their higher cost option to make sure it would be covered. None of the dentist offices they sent to has not work and I raised my concerns in any event , I dealt with rude customer service over the telephone. Plus, he was 2 hours away. Together with our affiliated companies, we provide exceptional service to state agencies and managed care associations all across the nation. What do we pay this company for? someone did not do their job and it causing me problems. DentaQuest has been a partner to the State of Texas since 2012, providing Medicaid and CHIP dental benefits that cover a full range of care with a focus on prevention and access, and currently serves about 1.5 million Medicaid and 229,000 CHIP beneficiaries throughout the state. I was able to get a job for the last few weeks in 2020 and was offered benefits, for which I enrolled. For complete details on the scope of this review, visit www.ncqa.org. 1 0 obj <> She said that she would have to contact Healthfirst to see if they would pay for the dentures then they could reimburse me for that amount. Reproduction or republication strictly prohibited without prior written permission. Mission: At DentaQuest, it's our mission to improve the oral health of all and achieve a nation free of dental disease. We sincerely apologize for your poor experience with 8 yrs,when it use to be 5yrs to receive new dentures, I need as much of the $6,000 to be reimbursed to me ASAP. Is this your company? When the the dentist told me that, he also said since I told him I could not afford that, that he could do for me a lower dentures since I already had my upper dentures. The company's Member Advocates engage. For more than 15 years we have helped nearly 50000 customers resolve their issues and will never stop striving to ensure further improvements on our platform for a better communication between companies and customers. They don't answer the phone! Even though I am still getting no relief from the pain, I learned that I am not alone in this. MCNA Dental has a network of general and specialty dentists throughout Louisiana to make sure you can get the dental care you need. Teeth were extracted, bone graft was done, stitches and impressions were done. Kevin Stitts controversial plan to bring in private companies to manage the states Medicaid programs. DentaQuest provides outcomes-based, cost-effective dental solutions for Medicaid and LaCHIP recipients. The Agency for Health Care Administration announced that it will sign statewide contracts with MCNA Dental, DentaQuest of Florida and Liberty Dental Plan of Florida. She gave me a prescription of antibiotics which a started taking immediately. A nation where no child suffers from the pain of tooth decay. Desired outcome: We have successfully completed an independent, third-party SOC 2 audit by the AICPA of the processes and controls that ensure the security and availability of our information management systems and data. Preventistry is their inclusive approach to care and expanded access built on partnerships between patients,. Call DentaQuest at 1-800-516-0165, MCNA Dental at 1-800-494-6262 or UnitedHealthcare Dental at 1-800-822-5353. So I took it upon myself to contact Healthfirst member services myself. Save yourself the trouble and go through anybody else but MCNA!! In looking at options, I came across this complaint board. DentaQuest denied it saying it is not medically necessary. How does this happen? No materials from this website may be copied, reproduced, republished, uploaded, posted, transmitted, or distributed in any way. Copyright 2008-2023, Glassdoor, Inc. "Glassdoor" and logo are registered trademarks of Glassdoor, Inc, Ask anonymous questions on Fishbowl and get real time answers from DentaQuest and MCNA Dental Plans employees and others in your industry. x=ks8S& RdvMl*dr>@HvH D?t~[ww'w&lun8-'vz[lNOo84J"UQhx9Gq"/o0hD,*340dtGro~|d>E4t&/ o '"NtD8BdJLD)or. To speak with a choice counselor, call the Statewide Medicaid Managed Care Help Line toll free at 1-877-711-3662 (TDD 1-866-467-4970) or visit www.flmedicaidmanagedcare.com. Privacy Policy, Click to share on Facebook (Opens in new window), Click to share on Twitter (Opens in new window), Click to share on LinkedIn (Opens in new window), Click to email a link to a friend (Opens in new window), Click to share on Reddit (Opens in new window), Click to share on Pinterest (Opens in new window), Click to share on Tumblr (Opens in new window), Oak Brook dentist James DAlise took thousands for dental care, implants; charged for operating without license, Texas Did Not Ensure That Its Managed-Care Organizations Complied With Requirements Prohibiting Medicaid Payments for Services Related to Provider-Preventable Conditions. Remember, without regular dental care, your child's mouth could become unhealthy. I currently have Optima Health who partners with DentaQuest. You can choose a dentist from MCNA's online Provider Directory. endobj To learn more about these plans, you'll need to input your state to view your options and availability. Ready to chat? See all 262 reviews. We have been in business for nearly 30 years, and over 5 million members across 8 states trust their smiles to MCNA! After this experience with DentaTrust, I'm afraid of their dentists. 60 reviews from WalletHub and across the web. I thought since it was a new year that this would be acceptable and I never had it in writing otherwise. Our mission is to deliver value to our clients and providers by providing access, quality and service excellence that improves the oral health outcomes of our members. All dental services will be provided through a dental plan. Seriously they will say "their dentist" reviewed you were requested dental service and deemed it medically necessary it doesn't matter if it is causing you health issues or not apparently because they have some mystery dentist there to deny everything. Well my dentist sent out my xrays to DentaQuest to get approval and they denied the crown because the X-ray didn't show top or bottom of tooth. We also offer dental plans for private employers, individuals and families. Last fall through to this January, TDMR received a deluge of unsolicited complaints regarding problems with Medicaid dental managed care organizations. Denied request for d2740 white glass crowns, - Denied request for d2740 white glass crowns, - dental insurance through marketplace.gov, - I paid you guys thru doxo for a payment of 35.00. The dentist took x-rays and discovered that there was indeed a severe infection under the very last, bottom molar. Operations for the new contract begin Sept. 1, 2020. They are rude and unprofessional. I then spoke to a representative to confirm this and to know my portion which I was told would be $410.75. I am placed on hold and just sit there for over an hour. Share your photos and videos with others to prove the truth of your words. My contact is [protected]@karas1.com [protected] 47% of employees would recommend working at MCNA Dental Plans to a friend and 36% have a positive outlook for the business. Customer Service Representative 35 Salaries $18 / hr total Manager 15 Salaries $134,113 / yr total Senior Practice Manager 7 Salaries $50,747 / yr total Customer Service Representative Contact us! Member # [protected] Glassdoor has millions of jobs plus salary information, company reviews, and interview questions from people on the inside making it easy to find a job thats right for you. I was told to check back on T, 03/23 but I waited until 03/24/21. We have achieved the distinction of becoming the first dental plan in the country to be awarded full URAC Dental Plan Accreditation as part of our pursuit to ensure that MCNA offers exceptional services that meet all industry standards of care. In a response to theaudit, MCNA said, Considering the scale of MCNAs contract with HHSC to administer dental benefits forapproximately1.5 million children enrolled in theMedicaidand CHIP programs, we believe that our strong financialcontrols and adherence to HHSCs Cost Principles are evident in the result of this audit.. switching my insurance provider for sure this is enough they deny everything! I would not have went, if it wasn't going to covered, that's why I called to begin with. I've had awful headaches, toothaches, sinus issues, its impacted my eating and daily life on almost daily occasion, and I think even my teeth are shifting because there is not enough room. But Agency for Health Care Administration Secretary Mary Mayhew said this . Take Our Survey February 20, 2017 UPDATE, March 2: Survey is now closed. Thank you. Healthy Louisiana (previously called Bayou Health) is the way most of Louisiana's Medicaid and LaCHIP recipients receive health care services. MCNA Dental has a large network of general and specialty dentists throughout Louisiana to make sure you can get the high quality dental care you need. Desired outcome: After numerous phone calls back and forth to both DentaQuest and Wellcare. I have a literal rotting impacted wisdom tooth that needs removed and they denied me on some nonsense reason saying the route isn't fully formed like it's rotting in my mouth. The site's search ability has been disabled. I had tooth #30 extracted due to a fracture which had formed a large abscess. MCNA offers exceptional service to state agencies and managed care organizations for Medicare, CHIP, Medicaid, and also provides commercial dental plans. The x-rays submitted show the problem clearly on there but apparently not to Dentaquest. When I check the automated phone it tells me it was accepted and list all 5 codes. We have been in business for nearly 30 years, and over 5 million members across 8 states trust their smiles to MCNA! this needs resolved. When I realized that I made that mistake I went back and spoke to the office manager that I wanted to be reimbursed my $6,000. I was told yes. I am making a complaint about Denta quest is always denying services and I am walking around with a infection until Brookdale Dental will do the procedure next week. View Provider Directory Please call our Member Hotline at 1-855-691-6262 if you need help to find a dentist. Sandra Markley CONTACT: Kevin Guillory 225/342-7476 Tiffany Hayes 225/342-7877 MCNA Dental 1-855-702-6262 Visit MCNA online at www.mcnala.net DentaQuest 1-800-685-0143 need help dentaquest vs humana one. when I called the member # [protected] I listed to the prompts and it said claim [protected] was approved and listed 2950 #29 approved, 6740 #29 approved, 6245 #30 approved, 2950 #31 approved, 6740 #31 approved. We offer many Medicaid, Children's Health Insurance Programs (CHIP), Medicare, and Commercial Dental Plans for our members throughout the nation. The good thing is I have antibiotics. So I called DentaTrust back to get a different representative, which I did For DentaTrust to allow and pay for me to go to the oral surgeon to which my dentist had refered. This changewill prevent a good deal of restorative careand improve overall oral health.. In addition, this information does not originate from us and thus, we do not guarantee its accuracy. seems too cheap? You can check the profile page of each professional or company to determine whether they are a paying advertiser (indicated by the word "sponsored"). I was only sent $19.00. These certifications underscore our continuous commitment to operating under the highest quality standards in our industry and to ensuring the best service possible for our members, providers, and clients. Privacy Policy, Click to share on Facebook (Opens in new window), Click to share on Twitter (Opens in new window), Click to share on LinkedIn (Opens in new window), Click to email a link to a friend (Opens in new window), Click to share on Reddit (Opens in new window), Click to share on Pinterest (Opens in new window), Click to share on Tumblr (Opens in new window), The Incredible Tug Of War Over OCare Repeal And Medicaid Expansion, Judge: Texas cant kick Planned Parenthood out of Medicaid. After the $1300 crown was in place, I paid my portion 50%. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 21 0 R 22 0 R 23 0 R] /MediaBox[ 0 0 792 612] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> approve the bridge like the automated system sayas. Florida Medicaid officials announced plans Thursday to sign contracts with three managed-care companies to provide dental care. DentaQuest reviews 57 E ERIC BROWN1234 of US Nov 08, 2022 1:20 pm EST 8 yrs,when it use to be 5yrs to receive new dentures It's been 5yrs since I received my first dentures, regular wear and tear has them completely useless. o Oral health supplies such as They have denied for the 5th time crowns on my son's 4 front teeth. I am being under this dental quest plan for quite some time and have not got the proper dental service in addition, I being complaining I being complaining about my coverage them giving them listings that are not in network and have being able to assist me moreover, I being telling these people that I have being able to get treated for dental service. Cover the charge based on American Dental Association Guidelines which include pain. stream This DentaQuest is a very very very bad dental insurance in the USA post this on facebook, maybe someone will pay for your surgery. Currently, the SoonerCare population under age 21 [is not regularly] utilizing the preventive care benefit. DENTAL BENEFIT MANAGEMENT PLAN IMPLEMENTATION Through a competitive procurement process, the Department of Health and Hospitals' (DHH) selected Managed Care of North America Dental (MCNA) to provide dental services for 1.2 million Medicaid and LaCHIP enrollees. The audit also found that DentaQuest did not routinely review, monitor and remove unnecessary accounts that have access to Texas HHS agency sensitive or confidential information..