Verifying Insurances
How to Find Your Insurance Information
A Quick Guide for Patients Before Scheduling
To help us verify your benefits and provide the most accurate estimate, please have the following information ready when scheduling your appointment.
Step 1: Find Your Insurance Card
You may have:
✅ A physical insurance card in your wallet
✅ A digital insurance card in your insurance company's mobile app
✅ An insurance card available through your employer's benefits portal
Step 2: Determine if You Have Dental Insurance or Medical Insurance
Dental Insurance
Dental insurance cards usually say:
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Dental
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Dental Plan
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Dental Benefits
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Dental PPO
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Dental HMO
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DMO
Common dental insurance companies include:
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Delta Dental
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Cigna Healthcare
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MetLife
-
Guardian Life
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Humana
-
UnitedHealthcare
-
Aetna
Medical Insurance
Medical insurance cards usually say:
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Medical
-
Health Plan
-
Health Insurance
Step 3: Locate the Insurance Carrier
The insurance carrier is the company providing your insurance coverage.
Examples:
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Delta Dental
-
Cigna
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Aetna
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Humana
-
MetLife
-
Guardian
-
UnitedHealthcare
Example
-
Delta Dental PPO
Insurance Carrier = Delta Dental
Most common dental insurance carriers for Medicaid are:
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DentaQuest
-
Delta Dental
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Liberty Dental
Step 4: Find Your Member ID
Your Member ID is your personal identification number with the insurance company.
Look for:
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Member ID
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Subscriber ID
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ID Number
-
Member Number
Example
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Member ID: ABC1234567
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Member ID = ABC1234567
For Medicaid, look for both:
-
MMIS / Medicaid ID
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Plan ID
Step 5: Find Your Group Number
Your employer often provides a Group Number.
Look for:
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Group Number
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Group #
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Group ID
Example
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Group Number: 789456
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Group Number = 789456
If you cannot find a Group Number, that's okay—many plans do not have one.
Step 6: Find Your Group Name
Some insurance cards include:
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Employer Name
-
Group Name
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Plan Sponsor
Example
-
Employer: ABC Manufacturing
-
Group Name = ABC Manufacturing
Not every insurance card includes a Group Name.
Step 7: Determine Your Plan Type
Look for the plan name on your card.
PPO (Preferred Provider Organization) - Accepted
-
Examples:
-
Delta Dental PPO Cigna PPO
-
PPO plans generally allow you to see any dentist whether they are in network or out of network, although benefits may vary.
HMO / DHMO / DMO - Not Accepted
-
Examples:
-
Dental HMO
-
These plans often require you to select a specific dental office.
Medicaid
Your card may include:
-
Medicaid
-
Medicaid Managed Care
-
CareSource
-
Molina
-
Buckeye
-
Humana Healthy Horizons
-
AmeriHealth
If you are unsure whether your plan is Medicaid, simply tell us the insurance company and we can help identify it.
Step 8: Take a Picture of Your Insurance Card
Please send:
✅ Front of card
✅ Back of card (if available)
This helps us verify your benefits more accurately.
Questions? You may send a copy of your insurance card at: Info@hwdentalohio.com
Scheduling Script for Patients
When calling or completing an online form, please provide:
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Insurance Carrier:
-
Example: Delta Dental
-
-
Member ID:
-
Example: ABC1234567
-
-
Group Number (if available):
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Example: 789456
-
-
Group Name (if available):
-
Example: ABC Manufacturing
-
-
Plan Type:
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PPO, HMO, DHMO, DMO, or Medicaid
-
-
Patient Name:
-
Example: John Smith
note: If the primary subscriber is different from patient, please include patient and primary subscriber name as well as relationship to subscriber.
Example:
Primary Subscriber: John Smith
Patient: Jane Smith
Relationship to Subscriber: Spouse
-
-
Patient Date of Birth:
-
MM/DD/YYYY
note: If the primary subscriber is different from patient, please include patient and primary subscriber date of birth.
Example:
Primary Subscriber: John Smith
DOB: 12/31/1999
Patient: Jane Smith
DOB: 11/20/1998
Relationship to Subscriber: Spouse
-
Don't Have Your Insurance Card?
No problem.
Please provide:
-
Insurance company name
-
Employer name (if applicable)
-
Your full name
-
Date of birth
Our team will do our best to help verify your coverage before your appointment.
Need help finding your insurance information? Contact our office and we'll walk you through it.
Here is a basic overview of insurances we do and do not accept
What We Accept
What we accept:
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Delta Dental (In network)
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Medicaid - CareSource, DentaQuest, Buckeye, Molina, Anthem
-
All Other PPO Plans (out of network)
-
Self pay
What we don't accept:
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HMO,DMO,DHMO Plans
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Paramount Medicaid
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United Healthcare Commpunity Medicaid Plan
-
Molina Marketplace
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CareSource Marketplace
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DentaQuest Marketplace
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Ambetter Marketplace
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DeltaCare
Westerville
What we accept:
-
Delta Dental (In network)
-
Medicaid - CareSource, DentaQuest, Buckeye, Molina, Anthem
-
All Other PPO Plans (out of network)
-
Self pay
What we don't accept:
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HMO,DMO,DHMO Plans
-
Paramount Medicaid
-
United Healthcare Commpunity Medicaid Plan
-
Molina Marketplace
-
CareSource Marketplace
-
DentaQuest Marketplace
-
Ambetter Marketplace
-
DeltaCare
Sawmill
Clintonville
What we accept:
-
Delta Dental (In network)
-
Medicaid - CareSource, DentaQuest, Buckeye, Molina, Anthem
-
All Other PPO Plans (out of network)
-
Self pay
What we don't accept:
-
HMO,DMO,DHMO Plans
-
Paramount Medicaid
-
United Healthcare Commpunity Medicaid Plan
-
Molina Marketplace
-
CareSource Marketplace
-
DentaQuest Marketplace
-
Ambetter Marketplace
-
DeltaCare
What we accept:
-
Delta Dental (In network)
-
Medicaid - CareSource, DentaQuest, Buckeye, Molina, Anthem
-
Metlife PDP
-
Principal
-
All Other PPO Plans (out of network)
-
Self pay
What we don't accept:
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HMO,DMO,DHMO Plans
-
Paramount Medicaid
-
United Healthcare Commpunity Medicaid Plan
-
Molina Marketplace
-
CareSource Marketplace
-
DentaQuest Marketplace
-
Ambetter Marketplace
-
DeltaCare
Polaris