Insurance

At ROC Smiles, we have decided to participate in the following insurance plans:

  • Aetna PPO
  • Excellus Blue Cross Blue Shield
  • EBS-RMSCO
  • Cigna PPO
  • Delta PPO
  • Delta Premier
  • Guardian
  • Humana Dental
  • Metlife
  • HealthPlex *

* HealthPlex plans include the following plans:

  • HealthPlex
  • ElderPlan
  • MVP Adult Medicaid
  • MVP Child Medicaid
  • MVP Child HealthPlus
  • Excellus Blue Option Adult Medicaid
  • Excellus Blue Option Child Medicaid
  • Excellus Child HealthPlus
  • Excellus Family HealthPlus
  • Dental Exchange DentCare Adult
  • Dental Exchange AdultSmiles
  • Wellcare of New York HMO

For some HealthPlex patients, understanding the insurance process can be a bit confusing, but we are here to help you. HealthPlex is the claims processor for all of the plans. This means that MVP, Excellus, the Dental Exchange, and Wellcare outsourced their claims processing to HealthPlex. We participate with regular HealthPlex Dental plans as well, so normally someone with Blue Option would not normally recognize HealthPlex as they are issued Blue Option cards and given a book with participating providers. Patients can find out if their claims are processed by HealthPlex when they call or come in for an appointment.

Whether you are a new prospect patient or a current patient, please never hesitate to give us a call with any and all your insurance questions. We will do the best we can to answer any insurance questions that we can. However, there are many times that you, as the patient and subscriber, will be required to call your insurance company directly as oftentimes, the insurance companies will not work with the provider’s office regarding your policy.