Welcome Ohio Providers!
Participating Plans
- Ambetter from Buckeye Health Plan (Marketplace) *
- Buckeye Health Plan (Medicaid)
- Wellcare (Medicare Advantage) – New for 2026!++
- Wellcare Buckeye MyCare Ohio (Dual Align) – New for 2026!++
* 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 (Marketplace)
Ambetter Health: Health Insurance Marketplace plans for individuals and families who may not qualify for Medicaid or other government coverage.
Ambetter Health Solutions: Health Insurance Marketplace plans for those who receive a defined contribution from their employer to purchase individual health insurance, such as through Individual Coverage Health Reimbursement Arrangements (ICHRAs).
+ optional dental coverage for subscribers
Provider Services for Ambetter
Members: call the number on the back of your ID card or visit your plan's website.
Buckeye Health Plan (Medicaid)
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.
Provider Services for Medicaid
Members: call the number on the back of your ID card or visit your plan's website.
Wellcare (Medicare Advantage)
effective January 1, 2026
Medicare Advantage plans for seniors and those with disabilities.
Provider Services for Wellcare
Before calling, check the Medicare Benefit Summary
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 Buckeye MyCare Ohio (Dual Align)
effective January 1, 2026
Dual Align plan that combines Medicare and Medicaid coverage.
Provider Services for Dual Align
Before calling, check the Medicare Benefit Summary
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.