What Does Delta Dental Medicaid Cover

Delta Dental Medicaid provides a wide range of dental services to eligible individuals. Services include preventive care, such as cleanings, exams, and fluoride treatments; basic restorative care, such as fillings, crowns, and bridges; and major restorative care, such as dentures and implants. These benefits help ensure that Medicaid recipients can access affordable dental services to maintain good oral health. Preventive care is especially important because it can help prevent more serious and costly problems from developing in the future. Cleanings and exams help identify and address problems early on, while fluoride treatments help strengthen teeth and prevent decay. Basic restorative care helps restore damaged teeth to good function, while major restorative care helps replace missing teeth. With Delta Dental Medicaid, eligible individuals can receive the dental care they need to maintain good oral health and smile confidently.

Services and Treatments Covered by Delta Dental Medicaid

Delta Dental Medicaid offers a range of dental services and treatments to children, adults, and pregnant women enrolled in the Medicaid program. These services are designed to prevent, diagnose, and treat dental problems.

The specific coverage varies from state to state, but Delta Dental Medicaid plans typically cover the following services:

  • Routine dental exams and cleanings
  • Fluoride treatments
  • X-rays
  • Fillings
  • Root canals
  • Extractions
  • Dentures
  • Braces (in some states)
  • Dental emergencies

Delta Dental Medicaid plans also cover a variety of preventive dental services, such as:

  • Dental sealants
  • Mouth guards
  • Nutritional counseling
  • Tobacco cessation counseling

To find out what services are covered by your state’s Delta Dental Medicaid plan, contact your local Medicaid office or visit the Delta Dental Medicaid website.

In addition to medically necessary services, Delta Dental Medicaid plans may also offer coverage for cosmetic dental services. These services are not typically covered by Medicaid, but they may be available to Delta Dental Medicaid members at a reduced cost.

Type of Service Covered by Delta Dental Medicaid?
Routine dental exams and cleanings Yes
Fluoride treatments Yes
X-rays Yes
Fillings Yes
Root canals Yes
Extractions Yes
Dentures Yes
Braces (in some states) Yes
Dental emergencies Yes
Dental sealants Yes
Mouth guards Yes
Nutritional counseling Yes
Tobacco cessation counseling Yes
Cosmetic dental services May be available at a reduced cost

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How Delta Dental Medicaid Coverage Works

Delta Dental Medicaid provides comprehensive dental coverage to low-income children, adults, and families. The exact benefits covered vary by state, but typically include:

  • Preventive care: cleanings, fluoride treatments, and sealants
  • Basic restorative care: fillings, crowns, and root canals
  • Major restorative care: dentures, bridges, and implants
  • Orthodontia: braces and retainers

Delta Dental Medicaid covers most of the cost of covered services, with enrollees typically paying a small copayment or coinsurance. The program also offers a variety of preventive care benefits, such as free or low-cost dental cleanings and screenings, to help enrollees maintain good oral health.

How to Enroll in Delta Dental Medicaid

To enroll in Delta Dental Medicaid, you must be a resident of the state in which you are applying and meet the income and eligibility requirements. You can apply for Delta Dental Medicaid online, by phone, or in person at your local Medicaid office.

  • Online: You can apply for Delta Dental Medicaid online through the state Medicaid website.
  • By phone: You can call the state Medicaid office to apply for Delta Dental Medicaid. The phone number for the Medicaid office can be found on the state Medicaid website.
  • In person: You can apply for Delta Dental Medicaid in person at your local Medicaid office. The address for the Medicaid office can be found on the state Medicaid website.

When you apply for Delta Dental Medicaid, you will need to provide information about your income, assets, and household size. You will also need to provide proof of your identity and citizenship status.

Delta Dental Medicaid Coverage Table

Service Coverage Copay/Coinsurance
Preventive care Covered None
Basic restorative care Covered Small copay
Major restorative care Covered Small copay or coinsurance
Orthodontia Covered Small copay or coinsurance

Dentures and Extractions

Delta Dental Medicaid covers most dental procedures, including:

  • Exams
  • Cleanings
  • Fillings
  • Root canals
  • Crowns
  • Bridges
  • Dentures
  • Extractions

Orthodontics

Delta Dental Medicaid also covers some orthodontic procedures, such as:

  • Braces
  • Retainers
  • Headgear

Cost of Delta Dental Medicaid

The cost of Delta Dental Medicaid varies depending on the state in which you live. However, the average cost of Delta Dental Medicaid is around $25 per month.

Eligibility for Delta Dental Medicaid

To be eligible for Delta Dental Medicaid, you must be a Medicaid recipient. You can apply for Medicaid through your state’s Medicaid agency.

Benefits of Delta Dental Medicaid

Delta Dental Medicaid offers a number of benefits, including:

  • Access to a network of dentists
  • Coverage for a wide range of dental procedures
  • Low cost

How to Find a Delta Dental Medicaid Dentist

To find a Delta Dental Medicaid dentist, you can use the Delta Dental Medicaid website or call the Delta Dental Medicaid customer service number.

Table of Dental Procedures Covered by Delta Dental Medicaid

Procedure Covered
Exams Yes
Cleanings Yes
Fillings Yes
Root canals Yes
Crowns Yes
Bridges Yes
Dentures Yes
Extractions Yes
Braces Yes
Retainers Yes
Headgear Yes

Hey everyone, thanks for taking the time to read about what Delta Dental Medicaid covers. I hope you found this article informative and helpful. If you have any more questions, feel free to reach out to Delta Dental Medicaid directly. In the meantime, keep smiling and keep those pearly whites healthy! And don’t forget to check back later for more informative and engaging articles like this one. We’re always adding new content, so there’s always something new to learn.