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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.
For adults
We work with [Dental plan provider] to provide adults [(ages 21 and over)] with dental and oral health care. Some covered services include:
- [Check-ups (twice a year)
- Cleaning (every six months)
- X-rays (once a year)
- Dental restorative services (fillings, implants and crowns), with a $500 annual limit]
For children
Children [under 21] can get covered services through [DentaQuest or Managed Care of North America (MCNA) Dental]. Some covered services include:
- [Check-ups (twice a year)
- Cleaning (every six months)
- X-rays (once a year)
- Dental restorative services (fillings, implants and crowns), with a $500 annual limit]
You can find a dentist:
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Online
Just visit the [Dental plan provider] website.
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By phone
Call [Dental plan provider] at [dental plan phone]. You can reach them [dental plan hours]. You can also call us at ${member_services_phone}. We’re here for you ${member_services_hours}.
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, just call [Dental plan provider] at [dental plan phone]. You can reach them [dental plan hours].
For emergency dental care, you can see any dentist. They don’t have to be in the network. You don’t need a referral or approval for emergencies.
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]
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 call [Dental plan provider] at [dental plan phone].
They can help you find a dentist and arrange your care.