Ameritas Life Insurance Corp. (Ameritas Group) continually recruits new dentists and specialists to join their Participating Provider Organization (PPO). If you are a member who has the PPO benefit and your dentist is not an active participating provider, you may request that an application packet be sent to their office for consideration of our program. Please complete the Provider Nomination in its entirety to ensure the appropriate information is sent to the office.
* = Required
It is helpful if we are able to share the name of the person who nominated the provider
to participate in our network. May we use your name when contacting this provider?
Thank you for providing the above information. The provider application and credentialing process generally takes about 2 weeks once the dentist has decided to join the network. Ameritas Group will make
every effort to add nominated providers to the network. Please understand that nominating
a provider does not guarantee they will become an active participant in the Ameritas PPO