Welcome Illinois Providers!

Participating Plans

  • Ambetter of Illinois (Marketplace) *
  • Meridian (Medicaid)
  • Wellcare By Meridian (Dual Align)–New for 2026!++
  • Wellcare (Medicare Advantage)–New for 2026!++
  • YouthCare HealthChoice Illinois (Medicaid)

* 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, 8 a.m. to 5 p.m. local time.


Ambetter of Illinois (Marketplace)

Ambetter of Illinois

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

+ optional dental coverage for subscribers

Ambetter of Illinois Premier sample member ID card

Provider Services for Ambetter

855-586-1415

Members: call the number on the back of your ID card or visit your plan's website.


Meridian (Medicaid)

Meridian

Meridian in Illinois provides government-sponsored managed care services to families, children, seniors and individuals with complex medical needs through Medicaid across the state.

Meridian member ID

Provider Services for Medicaid

833-522-0132

Members: call the number on the back of your ID card or visit your plan's website.


Wellcare By Meridian (Dual Align)

effective January 1, 2026

Wellcare By Meridian

Dual Align plan that combines Medicare and Medicaid coverage.

Wellcare By Meridian Dual Align Member ID card

 

Provider Services for Dual Align

Before calling: check the Medicare Benefit Summary

833-522-0132

Extended hours (January - March): Monday - Sunday, 8 a.m. to 8 p.m. local time

Members: call the number on the back of your ID card or visit your plan's website.


Wellcare (Medicare Advantage)

effective January 1, 2026

Wellcare

Medicare Advantage plans for seniors and those with disabilities.

Dental coverage card for Wellcare members

Wellcare member ID card

Provider Services for Wellcare

Before calling: check the Medicare Benefit Summary

855-586-1415

Extended hours (January - March): Monday - Sunday, 8 a.m. to 8 p.m. local time

Members: call the number on the back of your ID card or visit your plan's website.


YouthCare HealthChoice Illinois (Medicaid)

YouthCare HealthChoice Illinois

YouthCare is a specialized model of foster care designed to improve the existing system of care for current and former Department of Children and Family Services (DCFS) youth.

YouthCare Health Choice Illinois member ID 

Provider Services for Medicaid

855-586-1415

Members: call the number on the back of your ID card or visit your plan's website.