Welcome Ohio Providers!

Participating Plans for Envolve Dental

  • Ambetter from Buckeye Health Plan (Health Insurance Marketplace) *
  • Buckeye Health Plan (Medicaid)
  • OhioRISE by Buckeye Health Plan (Medicaid)
  • Wellcare (Medicare Advantage) **
  • Wellcare by Allwell (Medicare Advantage) **

* includes network access for United Concordia Advantage Plus 
** includes network access for United Concordia National Medicare Advantage

Resources for You

Thank you for being part of our network of dentists and oral healthcare professionals. For the most up-to-date, detailed information, we encourage you to join our provider network and register for our Provider Web Portal, where you can check member eligibility, dental benefits, online code tool and clinical policies, in addition to submitting authorizations and claims.

You also can call our IVR system for automated member eligibility verification 7 days a week, 24 hours a day. Or speak with one of our knowledgeable team members by calling our Provider Services line Monday through Friday, 7 a.m. - 8 p.m. EST.


Ambetter from Buckeye Health Plan


Health Insurance Marketplace plans for individuals and families who may not qualify for Medicaid or other government coverage

+ optional dental coverage for subscribers


Provider Services for Ambetter

844-621-4581

Members: call the number on the back of your ID card or go to the plan site.


Buckeye Health Plan (Medicaid)

Effective 2/1/2023 - Dental claims to continue current submission process – Next Gen FI process delayed.. Click here to see the latest.

Established to deliver quality healthcare through local, community-based partners, Buckeye Health Plan improves the health of its members through focused, compassionate and coordinated care, offering Medicaid and Medicare-Medicaid products across Ohio.

Medicaid FAQs for In- and Out-of-Network



Provider Services for Medicaid

844-464-5634

Members: call the number on the back of your ID card or go to the plan site.


OhioRISE by Buckeye Health Plan (Medicaid)

New 7/1/22 benefit for Buckeye Medicaid members who receive medical, behavioral, dental and vision benefits.

 

Provider Services for Medicaid

844-464-5634

Members: call the number on the back of your ID card or go to the plan site.


Buckeye Health Plan – MyCare Ohio (MMP)

MyCare Ohio (Medicare-Medicaid Plan) is designed for members 18 and older, who are eligible for both Medicare and Medicaid (dual demonstration). Members may opt-out of the Medicare portion of MyCare Ohio and stay with their current Medicare Advantage plan or traditional Medicare.

 

Provider Services for MMP

855-659-6663

Members: call the number on the back of your ID card or go to the plan site.


Wellcare by Allwell (Medicare Advantage)


Medicare Advantage plans for seniors and those with disabilities


Provider Services for Wellcare by Allwell

Before Calling: Check the Medicare Benefit Summary

844-464-5634

Members: call the number on the back of your ID card or go to the plan site.