SUN HEALTH & DENTAL FAQ

Sun Health & Dental Providers FAQ

How can providers confirm if a member's policy is active?

Providers can verify the status of a member’s policy by visiting our website at sunhealthdental.com. Simply navigate to the “Providers” section and select “Verify Coverage.” From there, enter the member ID of the patient, and you’ll be able to see the current status of their policy. If you find that the policy is terminated or canceled, we kindly request that the member contact our customer service team for further assistance.

What happens if the provider's office does not offer lab services or is not contracted with Sun Health for lab services, but the patient needs to get labs done?

In the event that the provider’s office does not offer lab services or is not contracted with Sun Health for lab services, we ensure that patients receive the necessary care by providing them with a prescription specifying the required labs. Patients can then contact our customer service team to schedule an appointment with an in-network laboratory. Our team will assist the patient in finding a suitable facility and scheduling their appointment, ensuring they receive the required lab tests in a timely manner.

What happens if the provider's office does not offer diagnostic services or is not contracted with Sun Health for diagnostic services, but the patient needs to get tests done?

Similarly to the process for lab services, if the provider’s office does not offer diagnostic services or is not contracted with Sun Health for such services, the provider will provide the patient with a prescription containing all necessary details for the specific test required. Subsequently, the patient can reach out to our customer service team to facilitate scheduling with an in-network diagnostic center promptly and efficiently. Our team will work diligently to ensure the patient’s testing needs are met in a timely manner.proach to healthcare for individuals.

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Disclaimer

Sun Health & Dental is not insurance but is licensed and regulated by the Florida Department of Insurance. Sun Health & Dental provides discounted, fixed pricing at all Contracted Provider locations. Sun Health & Dental Members pay for the services that are provided directly to the contracted provider. Sun Health & Dental does not pay providers directly for any services rendered. Sun Health & Dental assumes no liability or responsibility for any services rendered by contracted providers. Sun Health & Dental is a Licensed DMPO and is administered at 15150 NW 79th Ct suite 201, Miami Lakes, Fl 33016