Bright Health Delta Dental Provider Directory This directory is current as of 09/20/2018.

Bright Advantage (HMO) H8280-001 Bright Advantage Plus (HMO) H8280-002 This directory is for the service area of: Jefferson and Shelby Counties, Alabama This directory provides a list of Bright Advantage and Bright Advantage Plus current Delta Dental Insurance Company (Delta Dental) network providers. To access the most up-to-date Bright Advantage and Bright Advantage Plus Dental provider directory, you can visit BrightHealthPlan.com/Medicare or please call our Member Services at (844) 202-4129, 8am-8pm, local time, 7 days a week, Oct. 1 – Feb. 14; Monday-Friday Feb. 15 – Sept. 30 TTY: 711. If you would prefer us to send you information in a language other than English or in another format (e.g. braille, large print or audio tape), please call Member Services. Y0127_H8280-MA-DIR-600

Bright Health Delta Dental Provider Directory Current as of 09/20/2018. Table of Contents:

Section 1:

• Introduction • Delta Dental Benefits • Get Started • Make Sure you are Covered • Network Providers • Out-of-Network Providers • Emergency Care • Service area for Bright Advantage and Bright Advantage Plus • How to find an in-network Delta Dental dentist in your area

Section 2:

• List of network Delta Dental providers

Section 1: Introduction This directory provides a list of Bright Advantage and Bright Advantage Plus Delta Dental Insurance Company (Delta Dental) network providers. To get detailed information about your healthcare coverage, please see your Evidence of Coverage. Delta Dental Benefits The network of providers listed in this directory have agreed to provide you, as a Bright Advantage or Bright Advantage Plus member, with your dental services. You may go to any in-network dentist listed in this directory. Bright Health has an agreement with Delta Dental to offer you dental services. Delta Dental offers a wide range of dental care through a network of dentists who contract through Delta Dental Insurance Company. You can also find a list of in-network dental providers online at BrightHealthPlan.com/Medicare. Get Started As a Bright Health member, you may go to any in-network dentist listed in this directory. To make an appointment, simply call your chosen in-network dentist’s office and let them know you’re a Bright Health Medicare Advantage plan member with Delta Dental benefits. If you want to change dentists, you can do so at any time. Simply choose a new dentist from this directory and call Delta Dental’s customer service at (800) 546-9658, (TTY: 711), Monday-Friday 8am-5pm ET. Make sure you are covered If you want your dental care to be covered, you must get your dental care from an in-network Delta Dental dentist. Network Providers The in-network dental providers listed in this directory have agreed to provide you with your dental services. You may go to any of the in-network dental providers listed in this directory. Out-of-Network Providers In most cases, if you choose to get dental care from an out-of-network provider, you will pay for the full cost of the service. Neither Medicare, Delta Dental nor Bright Health will be responsible for the cost. If you have been going to an out-of-network provider, you will need to find an in-network provider in order for your dental costs to be covered. You can find a Delta Dental provider in this directory or online at BrightHealthPlan.com/Medicare.

Emergency Care If you need emergency dental care, call your Delta Dental dentist or Delta Dental’s customer service at (800) 546-9658 (TTY: 711) Monday-Friday 8am-5pm ET, Monday through Friday 8am to 6pm. Covered emergency care is limited to care needed to stabilize your condition and relieve your pain. If you get emergency dental care from a dentist who is not a Delta Dental network provider, your services will not be covered.

What is the service area for Bright Advantage and Bright Advantage Plus? The service area for Alabama is: Jefferson and Shelby Counties, Alabama How do you find Bright Advantage and Bright Advantage Plus Delta Dental Provider in your area?

Use this directory Go online to BrightHealthPlan.com/Medicare or

Give Bright Health a call: (844) 202-4129, 8am-8pm, local time, 7 days a week, Oct. 1 – Feb. 14; Monday-Friday, Feb. 15 – Sept. 30, TTY: 711.

Warrior Family Dentistry Thomas Church 205 Caldwell Dr Warrior, AL 35180 Phone: 205-647-3181 County: Jefferson

Warrior Family Dentistry Sarah Flanagan 205 Caldwell Dr Warrior, AL 35180 Phone: 205-647-3181 County: Jefferson

Warrior Family Dentistry Adam Graham 205 Caldwell Dr Warrior, AL 35180 Phone: 205-647-3181 County: Jefferson

Warrior Family Dentistry Mi Young Kim 205 Caldwell Dr Warrior, AL 35180 Phone: 205-647-3181 County: Jefferson

Warrior Family Dentistry Jing Li 205 Caldwell Dr Warrior, AL 35180 Phone: 205-647-3181 County: Jefferson

Warrior Family Dentistry T Blake Maddox 205 Caldwell Dr Warrior, AL 35180 Phone: 205-647-3181 County: Jefferson

Warrior Family Dentistry Colby Thomson 205 Caldwell Dr Warrior, AL 35180 Phone: 205-647-3181 County: Jefferson

Acton Road Family Dentistry Thomas Church 2409 Acton Rd Ste 117 Vestavia, AL 35243 Phone: 205-823-2258 County: Jefferson

Acton Road Family Dentistry Sarah Flanagan 2409 Acton Rd Ste 117 Vestavia, AL 35243 Phone: 205-823-2258 County: Jefferson

Acton Road Family Dentistry Adam Graham 2409 Acton Rd Ste 117 Vestavia, AL 35243 Phone: 205-823-2258 County: Jefferson

Acton Road Family Dentistry Mi Young Kim 2409 Acton Rd Ste 117 Vestavia, AL 35243 Phone: 205-823-2258 County: Jefferson

Acton Road Family Dentistry Kristin LeMaitre 2409 Acton Rd Ste 117 Vestavia, AL 35243 Phone: 205-823-2258 County: Jefferson

Acton Road Family Dentistry Jing Li 2409 Acton Rd Ste 117 Vestavia, AL 35243 Phone: 205-823-2258 County: Jefferson

Acton Road Family Dentistry T Blake Maddox 2409 Acton Rd Ste 117 Vestavia, AL 35243 Phone: 205-823-2258 County: Jefferson

Acton Road Family Dentistry Colby Thomson 2409 Acton Rd Ste 117 Vestavia, AL 35243 Phone: 205-823-2258 County: Jefferson

Last updated 09/20/2018

Sumiton Family Dentistry Thomas Church 385 Bryan Rd Ste 300 Sumiton, AL 35148 Phone: 205-648-6054 County: Walker

Sumiton Family Dentistry Sarah Flanagan 385 Bryan Rd Ste 300 Sumiton, AL 35148 Phone: 205-648-6054 County: Walker

Sumiton Family Dentistry Adam Graham 385 Bryan Rd Ste 300 Sumiton, AL 35148 Phone: 205-648-6054 County: Walker

Sumiton Family Dentistry Mi Young Kim 385 Bryan Rd Ste 300 Sumiton, AL 35148 Phone: 205-648-6054 County: Walker

Sumiton Family Dentistry Jing Li 385 Bryan Rd Ste 300 Sumiton, AL 35148 Phone: 205-648-6054 County: Walker

Sumiton Family Dentistry T Blake Maddox 385 Bryan Rd Ste 300 Sumiton, AL 35148 Phone: 205-648-6054 County: Walker

Sumiton Family Dentistry Colby Thomson 385 Bryan Rd Ste 300 Sumiton, AL 35148 Phone: 205-648-6054 County: Walker

Sarrell Regional Dental Center for Public Health Christopher Riley 6662 Highway 75 Ste 114 Pinson, AL 35126 Phone: 205-693-0100 County: Jefferson

Sarrell Regional Dental Center for Public Health Shanaz Soltani 6662 Highway 75 Ste 114 Pinson, AL 35126 Phone: 205-693-0100 County: Jefferson

Sarrell Regional Dental Center for Public Health Lacey Sullivan 6662 Highway 75 Ste 114 Pinson, AL 35126 Phone: 205-693-0100 County: Jefferson

Midfield Dental Center Associate Stephen Bolt 114 Brookwood Rd E Midfield, AL 35228 Phone: 205-923-6828 County: Jefferson

Midfield Dental Center Associate Anthony Engle 114 Brookwood Rd E Midfield, AL 35228 Phone: 205-923-6828 County: Jefferson

Midfield Dental Center Associate Wm Jefferson Graves 114 Brookwood Rd E Midfield, AL 35228 Phone: 205-923-6828 County: Jefferson

Midfield Dental Center Associate Harry Haring 114 Brookwood Rd E Midfield, AL 35228 Phone: 205-923-6828 County: Jefferson

Midfield Dental Center Associate Jo Anne Jackson 114 Brookwood Rd E Midfield, AL 35228 Phone: 205-923-6828 County: Jefferson

Last updated 09/20/2018

Midfield Dental Center Associate Leslie Nichols 114 Brookwood Rd E Midfield, AL 35228 Phone: 205-923-6828 County: Jefferson

Midfield Dental Center Associate Bradley Reynolds 114 Brookwood Rd E Midfield, AL 35228 Phone: 205-923-6828 County: Jefferson

Midfield Dental Center Associate Victor Szymela 114 Brookwood Rd E Midfield, AL 35228 Phone: 205-923-6828 County: Jefferson

Michelle K Davis DMD PC Michelle Davis 7800 Parkway Dr Leeds, AL 35094 Phone: 205-633-8583 County: Jefferson

Seale Family Dental Andrew Seale 1209 6th St Leeds, AL 35094 Phone: 205-699-2731 County: Jefferson

Family Care Dental Cristina Burkes 3325 Lorna Rd Ste 5 Hoover, AL 35216 Phone: 205-379-0550 County: Jefferson

Family Care Dental Pasha Mostofi 3325 Lorna Rd Ste 5 Hoover, AL 35216 Phone: 205-379-0550 County: Jefferson

Family Care Dental Margaret Toups 3325 Lorna Rd Ste 5 Hoover, AL 35216 Phone: 205-379-0550 County: Jefferson

Family Care Dental Linh Tran 3325 Lorna Rd Ste 5 Hoover, AL 35216 Phone: 205-379-0550 County: Jefferson

Family Care Dental Shaheen Upton 3325 Lorna Rd Ste 5 Hoover, AL 35216 Phone: 205-379-0550 County: Jefferson

Northcutt Dental Practice Kara Ward 1598 Montgomery Hwy Hoover, AL 35216 Phone: 205-582-8570 County: Jefferson

Northcutt Dental Practice Aaron Yarnell 1598 Montgomery Hwy Hoover, AL 35216 Phone: 205-582-8570 County: Jefferson

Gh Ascarzadeh DMD Pc Gholamabbas Ascarzadeh 3397 Helena Rd Helena, AL 35080 Phone: 205-620-4300 County: Shelby

Northcutt Dental Practice Kara Ward 4685 Highway 17 Ste C Helena, AL 35080 Phone: 205-624-4450 County: Shelby

Northcutt Dental Practice Aaron Yarnell 4685 Highway 17 Ste C Helena, AL 35080 Phone: 205-624-4450 County: Shelby

Last updated 09/20/2018

Family Care Dental Cristina Burkes 1810 Decatur Hwy Ste 212 Fultondale, AL 35068 Phone: 205-383-1387 County: Jefferson

Family Care Dental Pasha Mostofi 1810 Decatur Hwy Ste 212 Fultondale, AL 35068 Phone: 205-383-1387 County: Jefferson

Family Care Dental Margaret Toups 1810 Decatur Hwy Ste 212 Fultondale, AL 35068 Phone: 205-383-1387 County: Jefferson

Family Care Dental Linh Tran 1810 Decatur Hwy Ste 212 Fultondale, AL 35068 Phone: 205-383-1387 County: Jefferson

Family Care Dental Shaheen Upton 1810 Decatur Hwy Ste 212 Fultondale, AL 35068 Phone: 205-383-1387 County: Jefferson

Gardendale Family Dentistry Thomas Church 2619 Decatur Hwy Fultondale, AL 35068 Phone: 205-631-7301 County: Jefferson

Gardendale Family Dentistry Sarah Flanagan 2619 Decatur Hwy Fultondale, AL 35068 Phone: 205-631-7301 County: Jefferson

Gardendale Family Dentistry Adam Graham 2619 Decatur Hwy Fultondale, AL 35068 Phone: 205-631-7301 County: Jefferson

Gardendale Family Dentistry Mi Young Kim 2619 Decatur Hwy Fultondale, AL 35068 Phone: 205-631-7301 County: Jefferson

Gardendale Family Dentistry Kristin LeMaitre 2619 Decatur Hwy Fultondale, AL 35068 Phone: 205-631-7301 County: Jefferson

Gardendale Family Dentistry Jing Li 2619 Decatur Hwy Fultondale, AL 35068 Phone: 205-631-7301 County: Jefferson

Gardendale Family Dentistry T Blake Maddox 2619 Decatur Hwy Fultondale, AL 35068 Phone: 205-631-7301 County: Jefferson

Gardendale Family Dentistry Colby Thomson 2619 Decatur Hwy Fultondale, AL 35068 Phone: 205-631-7301 County: Jefferson

David F Peters DMD David Peters 3351 Montgomery Hwy Ste 202 Birmingham, AL 35209 Phone: 205-423-0900 County: Jefferson

Double Oak Mountain Family Dentistry James Samford 254 Inverness Center Dr Ste 100 Birmingham, AL 35242 Phone: 205-991-8850 County: Shelby

Last updated 09/20/2018

Inverness Family Dentistry Christopher Buczek 202 Inverness Center Dr Ste 301 Birmingham, AL 35242 Phone: 205-991-8939 County: Shelby

Inverness Family Dentistry J Timothy Haywood 202 Inverness Center Dr Ste 301 Birmingham, AL 35242 Phone: 205-991-8939 County: Shelby

Inverness Family Dentistry Sangeeta Lakhanpal 202 Inverness Center Dr Ste 301 Birmingham, AL 35242 Phone: 205-991-8939 County: Shelby

Inverness Family Dentistry Charles Martin 202 Inverness Center Dr Ste 301 Birmingham, AL 35242 Phone: 205-991-8939 County: Shelby

Norman C Guillen DMD Pc Norman Guillen 3125 Independence Dr Ste 220 Birmingham, AL 35209 Phone: 205-871-6880 County: Jefferson

Sarrell Regional Dental Center for Public Health, Christopher Riley 2700 5th Ave N Bessemer, AL 35020 Phone: 205-425-1327 County: Jefferson

Sarrell Regional Dental Center for Public Health, Shanaz Soltani 2700 5th Ave N Bessemer, AL 35020 Phone: 205-425-1327 County: Jefferson

Sarrell Regional Dental Center for Public Health, Lacey Sullivan 2700 5th Ave N Bessemer, AL 35020 Phone: 205-425-1327 County: Jefferson

Last updated 09/20/2018

There. That’s Brighter. __________________________________________________________________ Some network providers may have been added or removed from our network after this directory was printed. This means some providers listed here may no longer be in our network, or there may be newer providers in our network that are not listed. For the most current list, and to access Bright Health’s online provider directory visit BrightHeatlhPlan.com/Medicare. For questions about the information contained in this directory (hardcopy or online), call Bright Health Member Services at (844) 202-4129, 8am-8pm, local time, 7 days a week, Oct. 1 – Feb. 14; Monday-Friday, Feb. 15 – Sept. 30, TTY: 711. Other Providers are available in our network. Bright Advantage and Bright Advantage Plus are Medicare Advantage plans with a Medicare contract with the Federal government. Enrollment in the plan depends on contract renewal. Our plans are issued through: Bright Health Insurance Company of Alabama, Inc.; Bright Health Company of Arizona; and Bright Health Insurance Company. This list is current as of 09/20/2018.

Nondiscrimination Notice and Assistance with Communication

Bright Health does not exclude, deny benefits to, or otherwise discriminate against any individual on the basis of sex, age, race, color, national origin, or disability. “Bright Health” means Bright Health plans and their affiliates, which are listed below.

Language assistance and alternate formats: Assistance is available at no cost to help you communicate with us. The services include, but are not limited to:

• Interpreters for languages other than English;• Written information in alternative formats such as large print; and• Assistance with reading Bright Health websites.

To ask for help with these services, please call (844) 606-4633.

If you think that we failed to provide language assistance or alternate formats, or you were discriminated against because of your sex, age, race, color, national origin, or disability, you can send a complaint to:

Bright Health Civil Rights Coordinator PO Box 853943, Richardson, TX 75085-3943 Phone: (844) 202-2154 Fax: (800) 894-7742

You can also file a complaint with the U.S Dept. of Health and Human Services, the Office of Civil Rights:

• Online: https://ocrportal.hhs.gov/ocr/portal/lobby.jsf• Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html• Phone: Toll-free 1-800-368-1019, 800-537-7697 (TDD)• Mail: U.S Dept. of Health and Human Services. 200 Independence Avenue, SW

Room 509F, HHH Building Washington, D.C. 20201

If you need help with your complaint, please call (844) 202-2154.

"Bright Health” means Bright Health Management, Inc., Bright Health Insurance Company of Alabama, Inc., Bright Health Company of Arizona, and Bright Health Insurance Company.

Y0127_MULTI-MA-LTR-694 Accepted 10/06/2017

Section 1557 / Multi Language Insert This information is available in other formats like large print. To ask for another format, please call (844) 606-4633.

English ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Call (844) 606-4633.

Spanish (US) ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de ayuda con el idioma. Llame al (844) 606-4633.

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доступны Вам. Позвоните по телефону (844) 606-4633. Korean 주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다.

(844) 606-4633로 전화하십시오.Haitian Creole

ATANSYON: Si w pale kreyòl ayisyen, gen sèvis èd pou lang ki disponib gratis pou ou. Rele (844) 606-4633.

Italian ATTENZIONE: se parla italiano, sono disponibili per Lei servizi di assistenza linguistica gratuiti. Chiami il numero (844) 606-4633.

Yiddish רופט .אײך פאר פאראן זענען ,ָאּפצָאל פון פרײ ,סערװיסעס הילף שּפראך ,ייִדיש רעדט איר אױב אױפמערקאזמקײט׃

4633-606(844)

Bengali

মন োন োগ দি : আপদ দি বোাংলোয় কথো বনল , তোহনল ভোষো সহোয়তো পদিনষবোগুদল, দব োমূনলে, আপ োি জ েউপলব্ধ আনে। (844) 606-4633 ম্বনি ফ ো করু ।

Arabic 844) 4633-606على الرقم اتصل .مقابل دون من لك متاحة اللغوية المساعدة خدمات فإن ،العربية تتكلم كنت إذا :تنبيه).

Polish

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French (FR) REMARQUE : si vous parlez français, des services d’assistance linguistique gratuits sont à votre disposition. Appelez le (844) 606-4633.

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Navajo D&& BAA AK) N&N&ZIN: D77 bee y1n7[ti’go Din4 bizaad, saad bee 1k1’1nida’1wo’d66’, t’11 jiik’eh, n1 h0l=. Koj8’ h0d77lnih (844) 606-4633.

Urdu دستیاب بالمعاوضہ خدمات، کی اعانت متعلق سے زبان لیے کے آپ تو ہیں، بولتی/بولتے اردو آپ اگر :دیں توجہ کریں۔ کال پر (844) 606-4633 ہیں۔

Japanese ご注意：日本語をお話しになる方は、無料の言語アシスタンスサービスをご利用いただけま

す。(844) 606-4633までお電話ください。 Portuguese (BR)

ATENÇÃO: caso você fale português, há serviços gratuitos de assistência de idioma à sua disposição. Ligue para (844) 606-4633.

German ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufen Sie unter (844) 606-4633 an.

Persian Farsi (844)606- 4633 با .شماست اختیار در رایگان صورت به زبانی پشتیبانی خدمات است، فارسی شما زبان اگر :توجه .بگیرید تماس

Y0127_MULTI-MA-LTR-694 Accepted 10/06/2017

Y0127_H8280-MA-DIR-600 ALWhat is the service area for Bright Advantage and Bright Advantage Plus?How do you find Bright Advantage and Bright Advantage Plus Delta Dental Provider in your area?

AL delta dentalY0127_MULTI-MA-LTR-694 premember english