Anonymous
map-marker Holt, Michigan

Not insurance

Envolve Dental is NOT an insurance company. They are a dental administration company a dental vendor. What ever Medicare/Medicaid/Ambetter instruct them to do that's what they do. Envolve does not change up the rules it's again, Medicare, Medicaid and Ambetter that make these changes.
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Resolved
Christina R Kde
map-marker Hong Kong, Hong Kong

Resolved: Need list of provider dentists

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Updated by user Nov 20, 2023

Company fixed the issue and I have been provided with product or service ordered.

Original review Nov 20, 2023
No not upset or pissed at all I've heard only good things I'm actually too ambetter and sunshine and I really need a dentist like as soon as possible I must have hit the wrong thing but if you could help me out that would be wonderfulai
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Loss:
$1000
Pros:
  • Good reviews

Preferred solution: A all of the dental work done to my mouth which is probably going to include dentures

User's recommendation: Great assistance

Ulises Iez
map-marker Pompano Beach, Florida

It's impossible to get a dental list from this place then they say the computer generates a dentist close to you which is a bunch of Bologna they're all way too far this place needs a big improvement

I feel badly for their customer service reps they are totally untrained and take the brunt of people's anger when they can't give out information that is not supply to them to give out just awful why pay for a service that you can't obtain can't get a dentist can't get service this stinks l
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Gary S Pho

This review is from a real person who provided valid contact information and hasn't been caught misusing, spamming or abusing our website. Check our FAQ

Verified Reviewer

Crazy Stupid

Envolve dental is the dental portion of my WellCare Medicare plan. This is a farce! I looked thru their listings of dentist closest to my home. After calling 15 do dentist offices, none accepted this Medicare plan because it was an HMO. I contact Envolve and asked for a list of providers that actually accepted my insurance. They sent me names of three providers which I would need a bodyguard to go to their establishments. One of these places listed over 50 dentists at this site. Ive never seen a dentist office with 50 dentists. Don try anything affordable with this company.
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Cons:
  • No service

Preferred solution: I would like to have a dent as advertised.

User's recommendation: If Envolve is part of your Medicare advantage plan, steer clear.

1 comment
Nikiah Ofk

I had a similar experience. First I was given a list of 10 Dentists who did not provide the required care.

When I called back I was given 4 others. 1 was out of business, 2 has yet to call me back, 3 couldn't see my son for his first oral surgery appointment for a month 4 stated they could give an appointment but when I finally got the answer the let me know it would be 3 months before their first appointment.

cw w Ndc

POOR PATIENT CARE DO NOT USE THIS COMPANY

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Coming from a dental office. DO not enroll in this plan, they make it impossible to receive the proper care and help patients need. Every 6 months they come up with new rules on how not to pay. You have to pre-auth everything exclusions, denial reasons etc. They make patients get extractions out before dentures (its the only way they will pay) they do not care about the fact that the patient will not have any teeth to eat for months after healing. They absolutely do not care about patient and overall health.
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Pros:
  • No pros
Cons:
  • Does not pay

Preferred solution: help your patients

User's recommendation: run away!

Ulysee Cni

This review is from a real person who provided valid contact information and hasn't been caught misusing, spamming or abusing our website. Check our FAQ

Verified Reviewer
| map-marker Meridian, Mississippi

Need list of provider dentists

I have called multiple times to locate a list of providers. I have had no assistance from anyone that has been contacted. They just keep giving me another phone number to call. It should not be so difficult to get a list of providers. Just ridiculous!!
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User's recommendation: Be ready for confusion. You get no straight answers. Just get passed from one automated phone number to another. This is a nightmare when you need information.

1 comment
Guest

OMG, I went through the VERY same thing since April 1, 2023. It's unbelievable the customer service.

Barbara W Tge

This review is from a real person who provided valid contact information and hasn't been caught misusing, spamming or abusing our website. Check our FAQ

Verified Reviewer
| map-marker Sisseton, South Dakota

Worst benefits for my patients

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Envolve Dental is a supplementary insurance for my Medicare patients but most of them do not know that this is the worst dental insurance company I have seen in my 23 years of dental administration. My most recent case was a patient who needed a crown and it is a covered benefit but Envolve denied because they did not receive an x-ray.

I called and yes the x-ray was attached and visible but denied because it was not preapproved. The benefits for this service does not state it needs a preauthorization and treatment was necessary or loss of tooth would have occurred.

It is bad enough that they pay next to nothing for covered services but then to not pay eventhough all information needed was sent. I do not recommend paying for this insurance.

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Loss:
$100
Cons:
  • Do not pay for covered services

Preferred solution: My patient's claims paid.

User's recommendation: I DO NOT RECOMMEND

1 comment
Guest

I am also a dental provider and have had the same experience. Evolve simply returns claims asking for more information.

When sending the requested information they again ask for the same information requested before.

Tired of going in circle I will no longer accept Envolve but have a difficult time explaining the situation to patients that are paying for non existent insurance. XXX

Anonymous
map-marker Austin, Texas

Checking on a request for prior authorization

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I was not sure if the prior authorization for some work was received. My call was taken by a very sweet and well informed young lady. She was able to find my claim and she let me know it was still in review. As well about how long it would take to get my request back to the dentist..
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