What Insurance Does Smilebuilderz Accept? – 2023. Detailed List


Smilebuilderz is an American dental practice offering quality, comprehensive dental care services to patients across the United States. The company proudly accepts various insurance plans, including individual and family health insurance, employer-sponsored insurance, and managed care plans.

Smilebuilderz understands that dental care can be expensive and that having adequate coverage is essential for ensuring that you and your family receive the treatments you need without breaking the bank. To make life easier for their patients, Smilebuilderz offers a wide range of insurance options to help cover the cost of their services.

Smilebuilderz

What Insurance Does Smilebuilderz Accept?

Smilebuilderz accepts a broad range of insurance plans across several categories, ensuring patients have multiple options for their dental care coverage. These insurance categories include Participating Insurances, Dentemax, Medicaid Insurances, PA Chips, and Medical Insurance.

Participating Insurances Smilebuilderz accepts various insurance plans, including:

  • A.C.A.P. (Adult Community Autism Program)
  • Aetna (PPO, DMO, HMO)
  • Aetna Dental Discount Programs – Aetna Vital Savings
  • Ameritas
  • Blue Cross Dental
  • Careington
  • Cigna Total DPPO/Advantage PPO
  • Delta Dental (P.P.O., Premier)
  • Dominion Dental (P.P.O. only)
  • Envolve Ambetter (Commercial Exchange P.P.O. only)
  • Guardian (Dental Guard Preferred)
  • Humana (P.P.O. only)
  • Metlife (including Tricare Metlife for A.D. Military Dependents)
  • Principal Financial
  • Sunlife (Assurant D.H.A. only)
  • U.C.C.I. (United Concordia) U.C.C.I. Advantage
  • United Healthcare (P.P.O.)
  • U.P.M.C. Dental Advantage P.P.O., E.H.B., and Cash Discount Plan

Insurances Accepted Under Dentemax Smilebuilderz also works with several insurances under Dentemax, including:

  • A.C.S. Benefit Services, Inc
  • A.D.N. Dental Network
  • A.F.S.C.M.E. Care Plan
  • Allied Benefit Systems
  • AlwaysCare
  • American Medical Security
  • Anthem BC
  • Automated Benefit Services
  • Avesis
  • Benefit Administrative Systems
  • Benesys Inc.
  • Best Life & Health Insurance Company
  • Blue Cross and Blue Shield of A.L., MA, MI, TN
  • Brokers National Life
  • Coalition America Inc./Aetna
  • Companion Life (BCBS of South Carolina)
  • Continental Life
  • Coresource of Ohio
  • Dearborn National
  • DeCare Dental/Securian
  • Dental Network of America First
  • Excellus
  • Gilsbar Insurance Services
  • Group Dental Services of Maryland
  • Horizon (BCBS of New Jersey)
  • Humana Dental
  • I.H.C. Health Solutions (formerly Grouplink)
  • Lincoln Financial Group
  • Medical Mutual of Ohio
  • Mutual of Omaha (Mutually Preferred Network)
  • NGS American
  • Omega Administrators (Mutual of Omaha)
  • Planned Administrators Inc.
  • Premera Blue Cross
  • Prudential
  • Shenandoah Life Insurance Company Starmount
  • U.M.R. (Darden Restaurants)
  • WellsFargo T.P.A.

Participating Medicaid Insurances The practice also accepts various Medicaid insurances, such as:

  • Aetna Better Health (for Orthodontics only)
  • AmeriHealth Caritas
  • Evolve PA Health and Wellness (only for those over 21)
  • United HealthCare Community Plan
  • UPMC-For You, For Your Advantage

PA Chips PA Chips insurance accepted by Smilebuilderz include:

  • Aetna Better Health Kids (CHIP) – Only Ortho
  • Blue Cross Dental- CHIP
  • United Healthcare Kids/ UHCCP CHIP at cost-CHIP
  • Geisinger CHIP
  • United Concordia CHIP
  • UPMC for Kids CHIP

Medical Insurance Finally, Smilebuilderz accepts specific medical insurance plans:

  • Aetna/Aetna – Administered HealthAmerica/Health Assurance
  • Capital Blue Cross
  • Keystone Health Plan
  • Highmark-Direct Blue/P.P.O.—Oral Surgery Only. Terms and conditions may vary, and patients should confirm the acceptance of their insurance plans directly with Smilebuilderz or their insurance provider.

One type of insurance Smilebuilderz accepts is individual and family health insurance plans. These plans are provided through private insurers such as Blue Cross Blue Shield and Aetna. These plans cover preventative treatments such as regular check-ups and cleanings and significant procedures like root canals or crowns if needed. They may also include additional coverage for orthodontic treatment or other specialized services.

Employer-sponsored health insurance plans are another type of coverage accepted by Smilebuilderz. These plans provide coverage for every employee who works at a qualifying business or organization that offers them. Most will provide some preventive care coverage, and some may offer additional coverage for more complex dental procedures like bridges or implants, depending on the chosen plan.

Finally, managed care plans are also accepted by Smilebuilderz to help keep out-of-pocket costs low while still providing comprehensive dental care services to their members. Managed care includes H.M.O.s (Health Maintenance Organizations) requiring referrals from primary care physicians before receiving treatment and P.P.O.s (Preferred Provider Organizations) allowing members to choose any provider they wish without prior authorization from a primary physician. With either type of plan, members typically get discounted rates on their treatments when they choose providers within their network, such as Smilebuilderz providers.

By accepting various types of insurance, Smilebuilderz aims to provide its patients with quality dental work at an affordable price so they can get the treatments they need without worrying about high out-of-pocket costs. Whether you’re covered by an individual/family health plan, employer-sponsored plan, or managed care program, Smilebuilderz has you covered!

Jason Martin

Jason Martin

Jason Martin is an experienced and knowledgeable professional in the insurance industry, with over 26 years of relevant knowledge under his belt. After completing his Bachelor's degree in Mathematics, Jason got Actuary Insurance Certification in 2005. From 2022., Jason writes educational insurance articles for Promtinsurance.com. Please read : Jason Martin biography Write email: jason@promtinsurance.com

Recent Posts