Does Priority Health Medicaid Cover Dental

Priority Health Medicaid does cover dental services for eligible members. The dental benefits provided by Priority Health Medicaid include preventive care like regular checkups, cleanings, and fluoride treatments. It also includes basic restorative care, such as fillings and crowns. In addition, Priority Health Medicaid covers some major dental procedures, such as root canals and dentures. The specific dental benefits covered by Priority Health Medicaid may vary depending on the member’s age and the type of Medicaid plan they are enrolled in. Members can check their plan documents or contact Priority Health Medicaid directly to learn more about the dental benefits available to them.

Dental Coverage Options Under Priority Health Medicaid

Priority Health Medicaid, a managed care health plan, offers comprehensive dental coverage for children, pregnant women, and adults in Michigan. The coverage covers various dental procedures, including preventive care, basic restorative treatments, and major dental work. Let’s explore the dental benefits provided by Priority Health Medicaid in more detail:

Preventive Care

Regular Checkups: Yearly routine dental exams and cleanings are crucial for maintaining oral health. Priority Health Medicaid covers these routine checkups, enabling members to receive necessary preventive care.
Fluoride Treatments: Fluoride helps strengthen tooth enamel and prevent cavities. Priority Health Medicaid covers fluoride treatments to protect members’ teeth from decay.
Sealants: Sealants are thin coatings applied to the chewing surfaces of molars and premolars to prevent cavities. Priority Health Medicaid covers sealants to help children and adults maintain healthy teeth.

Basic Restorative Treatments

Fillings: Cavities, if left untreated, can cause tooth decay and pain. Priority Health Medicaid covers fillings to restore decayed teeth, preventing further damage.
Extractions: In cases where a tooth is severely damaged or infected, extraction may be necessary. Priority Health Medicaid covers tooth extractions when deemed medically necessary.
Root Canals: Root canals involve removing infected pulp from a tooth, saving it from extraction. Priority Health Medicaid covers root canals to preserve natural teeth.
Crowns: Crowns are used to restore the shape and strength of a damaged or weakened tooth. Priority Health Medicaid covers crowns when necessary to protect a tooth from further damage.
Bridges: Bridges are used to replace missing teeth, restoring functionality and aesthetics. Priority Health Medicaid covers bridges to help members maintain a healthy smile.

Major Dental Work

In addition to preventive care and basic restorative treatments, Priority Health Medicaid also covers major dental work for members with complex dental needs. Examples of major dental work covered include:

Implants: Implants are artificial tooth roots surgically placed in the jawbone to support crowns or bridges. Priority Health Medicaid covers implants in specific circumstances.
Periodontal Treatment: Periodontal disease, if left untreated, can lead to tooth loss. Priority Health Medicaid covers periodontal treatment to prevent and manage gum disease.
Orthodontics: Orthodontic treatment, such as braces or aligners, is sometimes medically necessary to correct severe bite issues. Priority Health Medicaid may cover orthodontics in these cases.

Read : Is Medicaid Blue Cross Blue Shield

Note: The coverage for major dental work may vary based on individual circumstances and medical necessity. Members should contact Priority Health Medicaid or their healthcare provider for more information about their specific coverage.

Priority Health Medicaid Dental Coverage Summary
Dental Service	Coverage
Regular Checkups & Cleanings	Covered
Fluoride Treatments	Covered
Sealants	Covered
Fillings	Covered
Extractions	Covered
Root Canals	Covered
Crowns	Covered
Bridges	Covered
Implants	Covered in specific circumstances
Periodontal Treatment	Covered
Orthodontics (braces/aligners)	Covered in medically necessary cases

Eligibility Requirements for Dental Coverage

To be eligible for dental coverage through Priority Health Medicaid, you must meet certain requirements. These requirements include:

Being a resident of the state of Michigan
Being a U.S. citizen or legal resident
Meeting the income and asset limits set by the state
Being enrolled in a Medicaid program, such as Healthy Michigan

In addition to these general requirements, there may be specific eligibility requirements for certain types of dental services. For example, some services may only be covered for children, while others may only be covered for adults.

Note: Availability of services may vary depending on your location within the state.

Here are some additional information about eligibility:

Income limits: The income limits for Medicaid eligibility are based on the federal poverty level (FPL). For a family of four, the income limit is 138% of the FPL. This means that a family of four can earn up to $36,620 per year and still be eligible for Medicaid.
Asset limits: The asset limits for Medicaid eligibility are also based on the FPL. For a family of four, the asset limit is $2,000. This means that a family of four can have up to $2,000 in assets and still be eligible for Medicaid.

Medicaid programs: There are a number of different Medicaid programs available in Michigan, including Healthy Michigan, Medicaid for Children, and Medicaid for Adults.

To apply for Medicaid, you can contact the Michigan Department of Health and Human Services (MDHHS) or visit their website at www.michigan.gov/mdhhs.

Dental Services Covered by Priority Health Medicaid

Priority Health Medicaid covers a wide range of dental services, including:

Preventive services, such as cleanings, exams, and fluoride treatments
Basic restorative services, such as fillings, crowns, and bridges
Major restorative services, such as dentures and root canals
Orthodontic services, such as braces and retainers

The specific services that are covered may vary depending on your age, income, and type of Medicaid program.

For more information about the dental services covered by Priority Health Medicaid, you can contact your local Medicaid office or visit the MDHHS website.

How to Find a Dentist Who Accepts Priority Health Medicaid

Once you are enrolled in Priority Health Medicaid, you can find a dentist who accepts Medicaid by using the MDHHS Provider Directory.

To search the directory, you will need to provide your zip code and the type of dental services you are looking for. You can also search for dentists who speak a specific language or who have specific office hours.

Once you have found a dentist who accepts Medicaid, you should contact the dentist’s office to schedule an appointment.

Note: Some dentists may charge a copayment for Medicaid patients. A copayment is a small fee that you pay for a medical or dental service.

**Priority Health Medicaid Dental Coverage Summary**
Eligibility	Services Covered	How to Find a Dentist
U.S. citizen or legal resident Michigan resident Income and asset limits Enrolled in Medicaid program	Preventive services Basic restorative services Major restorative services Orthodontic services	MDHHS Provider Directory

Priority Health Medicaid Dental Plan: Comprehensive Coverage for Your Oral Health

Priority Health Medicaid Dental Plan offers comprehensive coverage for a wide range of dental services, ensuring that you receive the necessary care to maintain optimal oral health. Let’s explore the various services covered under this plan.

Preventive and Diagnostic Services

Preventive care is essential for maintaining good oral health, and Priority Health Medicaid Dental Plan covers a range of preventive and diagnostic services to help you achieve this. These services include:

Regular dental checkups
Professional teeth cleaning
Dental X-rays
Oral cancer screenings
Fluoride treatments
Sealants

Basic Restorative Services

The plan also covers necessary restorative services to address dental problems and maintain the health of your teeth. These services include:

Fillings
Crowns
Bridges
Root canals
Extractions

Major Restorative Services

For more complex dental issues, Priority Health Medicaid Dental Plan covers major restorative services, including:

Dentures
Partial dentures
Dental implants

Periodontal Services

Periodontal diseases are a common cause of tooth loss, and the plan covers periodontal services to maintain gum health and prevent gum disease. These services include:

Scaling and root planing
Periodontal maintenance
Gum surgery

Orthodontic Services

In certain cases, Priority Health Medicaid Dental Plan covers orthodontic treatment to correct misaligned teeth and improve oral function. Orthodontic services may include:

Braces
Invisalign

Exclusions and Limitations

It’s important to note that the Priority Health Medicaid Dental Plan may have certain exclusions and limitations. These may include:

Cosmetic procedures
Experimental or investigational treatments
Services not deemed medically necessary

Cost Sharing

Priority Health Medicaid Dental Plan typically involves cost-sharing, which means that you may be responsible for a portion of the costs associated with your dental care. This may include copayments, coinsurance, or deductibles.

Finding a Dentist

To access the services covered under your Priority Health Medicaid Dental Plan, you will need to find a participating dentist. You can find a list of participating dentists on the Priority Health website or by contacting your local Medicaid office.

Conclusion

Priority Health Medicaid Dental Plan provides comprehensive coverage for a wide range of dental services, ensuring that you receive the necessary care to maintain good oral health. With preventive, restorative, periodontal, orthodontic, and other services covered, you can be confident in receiving the dental care you need.

Priority Health Medicaid Dental Plan Services
Service Category	Covered Services
Preventive and Diagnostic	Regular dental checkups Professional teeth cleaning Dental X-rays Oral cancer screenings Fluoride treatments Sealants
Basic Restorative	Fillings Crowns Bridges Root canals Extractions
Major Restorative	Dentures Partial dentures Dental implants
Periodontal	Scaling and root planing Periodontal maintenance Gum surgery
Orthodontic	Braces Invisalign

Priority Health Medicaid Dental Coverage

Priority Health Medicaid provides dental coverage to eligible members. Dental coverage includes preventive, basic, and major services. Preventive services include cleanings, exams, and fluoride treatments. Basic services include fillings, crowns, and root canals. Major services include dentures, bridges, and implants.

Applying for Dental Coverage Under Priority Health Medicaid

To apply for dental coverage under Priority Health Medicaid, you must meet the following eligibility requirements:

Be a Michigan resident
Be a U.S. citizen or legal resident
Have a household income at or below 138% of the federal poverty level
Be pregnant, a child, a parent, or a person with a disability

You can apply for Priority Health Medicaid online, by phone, or in person at your local Michigan Department of Health and Human Services (MDHHS) office.

Dental Coverage Benefits

Priority Health Medicaid dental coverage includes the following benefits:

Preventive services: Cleanings, exams, fluoride treatments, and sealants
Basic services: Fillings, crowns, root canals, extractions, and bridges
Major services: Dentures, implants, and orthodontia

The cost of dental services varies depending on the type of service. Some services are covered at 100%, while others may have a copayment.

Service	Copayment
Preventive services	$0
Basic services	$5 per service
Major services	$10 per service

Priority Health Medicaid dental coverage is a valuable benefit that can help you maintain good oral health. If you are eligible for Priority Health Medicaid, be sure to apply for dental coverage.

And that’s a wrap on our deep dive into the ins and outs of Priority Health Medicaid and dental coverage. I hope you found all the answers you were looking for and that your pearly whites will be sparkling in no time! Remember, if you’re a Priority Health Medicaid member, preventive dental care is covered, so don’t hesitate to schedule regular checkups and cleanings. As for major dental work, there are options available, so be sure to check with your health plan or visit the Priority Health website for more details. Hey, before you go, make sure to drop by again soon, as we’re always adding new and exciting content. Until next time, keep smiling bright, friends!

Related Posts: