Using our Dental Network

CarePlus members can get dental services covered under their plan from in-network general dentists or dental specialists (e.g., oral surgeon, endodontist, periodontist, etc.) who participate in the Florida GoldPlus Dental network.

When calling to set up a dental visit, mention that you get dental benefits with your CarePlus Medicare Advantage plan. You also may be asked to say the name of the dental network.

You do not need to get preauthorization or a referral before seeing a dental provider in our network for dental services covered by your plan.

If you have any questions about your plan’s dental benefits, please call CarePlus Member Services. We are here to help.

Bring your member ID card

You received your member ID card in the mail when you enrolled in a CarePlus plan. Be sure to bring your CarePlus member ID card with you to your dental visits. Use your secure MyCarePlus account to access a digital version of your member ID card and view dental benefits and claims information 

How to File a Dental Grievance or Appeal

You can submit your grievance or appeal within 65 calendar days of the date of the denial notice. Your grievance or appeal should be sent in writing; however, we’ll accept phone submissions. Please call Member Services at 1-800-794-5907 (TTY: 711) or mail/fax your request to:

HumanaDental for CarePlus
P.O. Box 14165
Lexington, KY 40512-4638
Fax: 1-888-556-2128

Details on filing a dental grievance or appeal can be found by logging in to MyHumana.com.

How to ask us to pay you back or to pay a bill you have received:

You may request us to pay you back by sending us a reimbursement request in writing. If you send a request in writing, send your bill and documentation of any payment you have made. It’s a good idea to make a copy of your bill and receipts for your records. You must submit your dental claim to us within 12 months of the date you received the service or item.

To make sure you are giving us all the information we need to make a decision, you can fill out our claim form to make your request for payment.

You don’t have to use the form, but it will help us process the information faster. Send us your request for payment along with the following information:

• Proof of payment and Itemized bill listing the item or service received
  • Dentist order (if applicable)
  • Dental records (if applicable)
  • Any other supporting documentation

• Either download a copy of the form from our website (CarePlusHealthPlans.com/Member-Resources) or call Member Services and ask for the form.
  

Mail your request for payment together with any bills or paid receipts to us at this address:

Humana Dental Claims Office for CarePlus
PO Box 14611
Lexington, KY 40512-4611