What's Covered?
Thank you for choosing us to be a part of your care team. We administer dental benefits for Wellcare members in Delaware, Illinois, Maine, Missouri, Nebraska, North Carolina and Ohio.
Your plan offers a member portal. Use it to check your coverage status, pay your premium, view your benefits and claims, find a dental provider and get your ID card.
Use the member portal to check what's covered for you. If you have your ID card, you may look up dental benefits using your plan information.
See a dentist
Find a local dental professional on your health plan website:
Want to check if your dentist is in-network?
Most Wellcare members will receive a dental ID card for 2026.
For Wellcare Dual Align plans (DE, IL, OH), your health plan ID card is all you need to see your dentist. You will not receive a separate dental ID card.
We suggest choosing a dentist in our network. This helps you save money.
Wellcare HMO-POS, PPO, or PFFS plans have out-of-network dental coverage. All other plan types (HMO D-SNP, HMO) must see an in-network dentist to get covered services.
If You See a Dentist Outside Our Network
If your dentist is not in our network and does not take payment from Centene Dental Services, you can send us a claim form (PDF).
Ask your dental office if they take direct payment.
Keep in mind: You may still owe money even after we pay our part.
How We Pay Out-of-Network Claims
We use:
- The plan's in-network fees
- Your plan's maximum dollar benefit
- Your share of the cost (copay or coinsurance)
You must pay the rest if the dentist charges more than what the plan covers.
Example:
- Dentist bill: $500
- Plan covers: $300
- Your coinsurance: 50%
Plan pays: $150
You pay: $350 = $150 (your coinsurance) + $200 (amount over your plan's limit)
