Utah Medicaid does generally cover some dental services for adults, but there are limits and restrictions on what is covered. Medicaid may cover basic dental services, like exams, cleanings, and fillings. More extensive dental work, like root canals, crowns, and bridges, are less likely to be covered. You need to check with your state Medicaid office to find out exactly what dental services are covered under Utah Medicaid. And you need to have a dental provider who accepts Medicaid.
Utah Medicaid Dental Coverage Eligibility
The state of Utah provides Medicaid dental coverage to eligible individuals and families. This coverage includes a wide range of services, including preventive care, basic treatments, and major dental work. To qualify for Medicaid dental coverage in Utah, you must meet certain eligibility requirements. These requirements include:
- Income: Your income must be below a certain level to qualify for Medicaid. The income limit varies depending on the size of your household.
- Residency: You must be a resident of Utah to qualify for Medicaid. You must also be a U.S. citizen or a qualified non-citizen.
- Age: Children under the age of 19 and pregnant women are automatically eligible for Medicaid. Adults aged 19 to 64 may also be eligible if they meet certain income and disability requirements.
- Disability: If you are disabled, you may be eligible for Medicaid regardless of your income or age. To qualify, you must meet the Social Security Administration’s definition of disability.
In addition to these general eligibility requirements, there are also specific eligibility requirements for dental coverage under Medicaid. These requirements include:
- Dental emergencies: If you are experiencing a dental emergency, you may be eligible for Medicaid coverage even if you do not meet the general eligibility requirements.
- Children’s dental care: Children under the age of 21 are eligible for Medicaid dental coverage regardless of their parents’ income or eligibility.
- Pregnant women: Pregnant women are eligible for Medicaid dental coverage regardless of their income or eligibility.
To apply for Medicaid dental coverage in Utah, you can contact the Utah Department of Health. You can also apply online at the Utah Department of Health website.
Utah Medicaid Dental Coverage Services
The Utah Medicaid dental coverage program provides a wide range of services, including preventive care, basic treatments, and major dental work. Some of the services that are covered include:
- Cleanings
- Exams
- X-rays
- Fillings
- Crowns
- Bridges
- Dentures
- Root canals
- Extractions
The Utah Medicaid dental coverage program also covers certain specialty dental services, such as orthodontics and oral surgery. However, these services are only available to children under the age of 21.
Utah Medicaid Dental Coverage Costs
The cost of Utah Medicaid dental coverage varies depending on your income and the type of services that you receive. However, most Medicaid recipients do not have to pay any premiums or copayments for dental care.
Following is a table that summarizes eligibility criteria for Utah Medicaid Dental coverage:
| Category | Income Eligibility |
| Adults | 138% of the federal poverty level |
| Children | 138% of the federal poverty level |
| Pregnant Women | 138% of the federal poverty level |
| Disabled Adults | SSI recipient or 138% of the federal poverty level |
| Individuals with Breast or Cervical Cancer | 200% of the federal poverty level |
For more information, please visit the Utah Department of Health website.
Utah Medicaid Dental Services Covered
Medicaid is a government-sponsored health insurance program that provides coverage to low-income individuals and families. Dental coverage is an essential part of overall health, and Utah Medicaid offers a comprehensive range of dental services to its enrollees. This article provides an overview of the dental services covered by Utah Medicaid, including eligibility requirements and any applicable cost-sharing.
Eligibility Requirements
To be eligible for Utah Medicaid dental coverage, individuals must meet certain income and asset limits. Children under the age of 19 are automatically eligible for Medicaid coverage regardless of their family’s income. Adults may also qualify for Medicaid coverage if they meet certain income and asset limits, or if they are pregnant, disabled, or blind. More information on eligibility requirements can be found on the Utah Medicaid website.
Covered Dental Services
Utah Medicaid covers a wide range of dental services, including:
- Regular checkups and cleanings
- Fluoride treatments
- X-rays
- Fillings
- Root canals
- Extractions
- Dentures
- Crowns
- Bridges
- Periodontal disease treatment
- Oral surgery
The frequency and extent of coverage for each service may vary depending on the patient’s age and individual needs. For more information on covered services, refer to the Utah Medicaid Dental Services Covered document.
Cost-Sharing
Utah Medicaid does not charge premiums or deductibles for dental coverage. However, there may be some cost-sharing for certain services, such as copayments or coinsurance. The amount of cost-sharing varies depending on the service and the patient’s income and family size. More information on cost-sharing can be found on the Utah Medicaid website.
| Service | Covered | Copayment |
|---|---|---|
| Regular checkup and cleaning | Yes | $0 |
| Fluoride treatment | Yes | $0 |
| X-rays | Yes | $0 |
| Fillings | Yes | $5 |
| Root canal | Yes | $10 |
| Extraction | Yes | $15 |
It’s important to note that this information is for general informational purposes only and may not be complete or up-to-date. For the most accurate and up-to-date information, please refer to the Utah Medicaid website or contact the Utah Medicaid office.
Applying for Utah Medicaid Dental Coverage
To apply for Utah Medicaid dental coverage, you can:
- Apply online through the Utah Department of Health website.
- Call the Utah Medicaid office at 1-800-662-9675.
- Visit your local Utah Department of Health office.
You will need to provide the following information when you apply:
- Your name, address, and date of birth.
- Your Social Security number.
- Proof of income.
- Proof of citizenship or legal residency.
Once you have applied, the Utah Medicaid office will review your application and determine if you are eligible for coverage. If you are approved, you will receive a Medicaid card in the mail. You can use this card to get dental services from any Medicaid-approved dentist.
| Service | Covered | Not Covered |
|---|---|---|
| Routine checkups and cleanings | Yes | No |
| X-rays | Yes | No |
| Fillings | Yes | No |
| Root canals | Yes | No |
| Crowns | No | Yes |
| Bridges | No | Yes |
| Dentures | No | Yes |
Note: This table is only a general guide. The specific services that are covered by Utah Medicaid may change.
What Dental Services Does Utah Medicaid Cover?
Utah Medicaid offers comprehensive dental coverage for eligible individuals. Here’s a list of covered dental services:
- Exams and Checkups: Regular dental exams, including cleaning, X-rays, and fluoride treatments.
- Restorations: Fillings, crowns, bridges, dentures, and root canals.
- Extractions: Simple and surgical extractions.
- Periodontal Services: Gum disease treatment, including scaling and root planing.
- Endodontic Services: Root canal therapy and apicoectomy.
- Oral Surgery: Complex extractions, jaw surgery, and corrective jaw surgery.
- Emergency Dental Services: Relief of severe pain, infection control, and treatment of traumatic injuries.
Who Qualifies for Utah Medicaid Dental Coverage?
To be eligible for Utah Medicaid dental coverage, you must meet certain requirements, including:
- Being a Utah resident.
- Meeting income and asset limits.
- Being a citizen or qualified non-citizen.
How to Find a Utah Medicaid Dental Provider
To find a Utah Medicaid dental provider, you can:
- Contact your local Medicaid office.
- Use the Utah Medicaid Provider Directory.
- Ask your primary care provider for a referral.
Utah Medicaid Dental Coverage Costs
Utah Medicaid covers the full cost of covered dental services for eligible individuals. There are no deductibles, copays, or coinsurance.
Utah Medicaid Dental Coverage Contact Information
For more information about Utah Medicaid dental coverage, you can contact the Utah Medicaid office at 1-800-662-9675 or visit the Utah Medicaid website.
| Service | Covered | Cost |
|---|---|---|
| Exams and Checkups | Yes | No cost |
| Restorations | Yes | No cost |
| Extractions | Yes | No cost |
| Periodontal Services | Yes | No cost |
| Endodontic Services | Yes | No cost |
| Oral Surgery | Yes | No cost |
| Emergency Dental Services | Yes | No cost |
Thanks for hanging out, and giving this article about dental coverage under Utah Medicaid a read. I hope it’s been helpful for figuring out what’s covered, what’s not, and other options that could be available to you. If you still have questions or are looking for more personalized guidance, you can reach out to the Utah Medicaid office directly or schedule an appointment with your dentist. Stay tuned for more updates and information in the future – until then, keep smiling!