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Dental care

A healthy smile is linked to a healthy body. So you’ll want to see your dentist every six months. Just be sure to show your member ID card at every visit. 

Dental benefits

You don’t need a referral to see a dentist in the network. And you can change your dentist or dental group any time during treatment. Here are some facts about dental services:

 

  • They must be medically necessary
  • You may need prior authorization (PA) — approval from your health plan in advance, or afterward in emergencies).
  • You must go to an in-network dentist.

  • We cover these dental services for members age 21 and over:
     

    • Teeth cleanings (1 each year)
    • Periodic oral exams (1 each year)
    • Restorations
    • Complete dentures
    • Crowns
    • Extractions
    • Sedation

  • We cover these dental services for members under age 21:
     

    • Teeth cleanings (1 every 6 months)
    • Dental services provided in school dental programs
    • Oral exams (1 every 12 months)
    • Fluoride treatments (1 every 6 months, ages 3 to 20) 
    • Oral surgery

  • You can also get these dental services before the birth of your baby:
     

    • Teeth cleaning (1 every 6 months)
    • Periodic oral exams (1 every 6 months)
    • Periodontal work (care of the gums and bone supporting your teeth)

You can find a dentist:

 

Online

 

Find an in-network dental provider that’s close to you.

By phone

Call us at 1-800-416-9185.

Help for dental emergencies

Just call your dentist. Go to the emergency room for medical emergencies when your life is in danger.

 

Find a dentist in emergencies

 

Is your dentist office closed? Or maybe you don’t have a dentist? To find a dentist:
 

For emergency dental care, you still need to see an in-network dentist. Your services may also need prior authorization (PA) or approval from your health plan afterward.

Special settings

Sometimes people need to be in a hospital setting or surgical center for dental care. This may happen for:
 

  • People with special health care needs
  • Children under age 5.

If your dentist can’t provide this service, you can:
 

They can help you find a dentist and arrange your care.

 

Types of dental emergencies

 

Some examples are:

  • A broken natural tooth
  • A lost filling or crown
  • A permanent tooth is knocked out
  • Very bad pain in the gum around a tooth
  • Mouth or face swelling or infection

Dental visit tips

  • Be 15 minutes early for your first appointment with the dentist.
  • Be 5 minutes early for all other dental visits. 
  • Call the dentist at least one day ahead if you can’t keep your appointment.
  • Bring only the family members that have an appointment to the office.
  • Stay in the waiting room during your child’s visit if your dentist asks you to.
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