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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

Dental benefits

You don’t need a referral to see a dentist in the network. And you can change your dentist or dental group anytime during treatment. 

 

For adults
 

Members 21 years and older can get up to $500 per year toward dental services. Services are handled through our partner, SKYGEN. Your covered services include:

 

  • Checkups (twice a year)

  • Cleanings (twice a year)

  • X-rays (once a year)

  • Fillings and extractions

  • Fluoride treatments

 

*Physical disability (PD), frail elderly (FE) or intellectual/developmental disabilities (I/DD) waiver programs.

 

For children
 

Children and teens (under age 19) are also covered by SKYGEN. Some covered services include:

 

  • Checkups

  • Cleanings

  • X-rays

  • Fluoride treatments 

  • Sealants

  • Fillings

You can find a dentist: 

Help for dental emergencies

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 SKYGEN at 1-855-918-2257 (TTY: 711). You can reach them Monday through Friday, 8 AM to 5 PM.

 

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 permanent tooth comes out

  • Very bad pain in the gums around a tooth with a fever

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 a certain age

 

If your dentist can’t provide this service, you can call SKYGEN at 1-855-918-2257 (TTY: 711). They can help you find a dentist and arrange your care.

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