As the impact of the coronavirus grows, we would like to provide some important updates and to assure you that you are our top priority. During the public health emergency, we have made proactive outreach attempts and updated our online directories with the information received. However many providers did not respond and we have provided the results of our best efforts. If you need dental, eye care or hearing services and cannot locate a provider, please call us and we will assist you in finding a provider that is seeing patients during this public health emergency. Click here to learn more.
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Member Dental FAQs

  • How-to Questions

  • How do I get an ID card?

    If you are in need of dental care services and your Avēsis ID Card has not yet arrived in the mail, you can print off a temporary ID card. Simply log in as a member, select "Print ID Card," and print!

  • How can I use my benefits?

    Your Avēsis dental benefits are outlined in your group’s Summary Plan Booklet. At any time, additional items beyond the covered plan allowance are available to you at a substantial discount.

  • How do I submit a claim to Avēsis for reimbursement?

    If you use an in-network provider, you never have to file a claim. Members who choose out-of-network providers must make full payment at the time of service. For reimbursement up to plan allowances, fill out the form found here, and mail it with your detailed receipt for services to:

    Avesis Third Party Administrators, Inc.
    Dental Claims Department
    P.O. Box 7777
    Phoenix, AZ 85011-7777

  • Provider-Related Questions

  • Do I have to select a dentist when I sign up for a dental plan?

    No. Once you are eligible for the plan's covered services, simply select a dentist from our Provider Directory. When you make an appointment, please let the provider's office know that you are a member of the Avēsis program. You'll need only your name and member ID; they'll take care of the rest!

  • What is the difference between participating provider benefits and non-participating provider benefits?

    You’ll save a great deal more when electing a provider who participates in the Avēsis program. But we want you to enjoy the flexibility to choose any provider you like. When visiting an out-of-network provider, you’ll pay in full at the time of service, then submit a claim to us for reimbursement up to your covered amounts. (See your benefit summary for details).

    Click here for a claim form. Fill it out and mail it with your detailed receipt for services to:

    Avesis Third Party Administrators, Inc.
    Dental Claims Department
    P.O. Box 7777
    Phoenix, AZ 85011-7777

  • Can I go to any provider?

    Absolutely! Depending on the plan, you could stand to save a great deal on out-of-pocket costs by visiting a provider in your plan’s network. But regardless, you have the freedom to see any dentist. Reimbursement is based upon your group’s out-of-network benefit schedule.

  • I want to keep my doctor who's not a participating provider. What can I do?

    You have the complete freedom to see the doctor of your choice, and some amount will still be covered under out-of-network benefits. You’ll need to pay your provider in full at the time of service, then submit a claim. (See above.)

    But you can also seek to add that provider to our list! Send us your provider’s name, address, and phone number, and our Network Development Department will contact the provider for recruitment. To help Avēsis start the recruitment process, fill out this form with as much information as possible.

  • Plan Questions

  • What is covered under the plan?

    Most Avēsis dental plans are comprehensive and include checkups, cleanings, and fillings upon payment of any applicable copayments. Copay amounts and other details vary, so check your exact benefits by logging in. Should you choose options that are not covered within your plan allowance, a discount may be applied.

  • Can I receive dental care without an ID card?

    Yes! You need only your name and date of birth when scheduling your appointment. Tell the provider’s office that you’re an Avēsis plan member, and they'll do the rest.

  • If I have questions about my Avēsis plan, whom shall I call?

    Our Customer Care Center, at (800) 828-9341, is staffed with seasoned, well-trained, and courteous representatives. Reach them between 7:00 AM and 8:00 PM EST, Monday through Friday.

    Avēsis prides itself on impeccable member service and responds to all answering machine messages within 24 business hours.