Smile, you have dental care. · 2020. 8. 10. · Smile, you have dental care. * Benefits are...

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Smile, you have dental care. * Benefits are offered to CDPHP Medicaid Select Plan, Medicaid HARP, Child Health Plus, and Essential Plan 3 & 4 members. ** Covered for members between ages 6 months and 6 years. *** Covered for members ages 1-20. Covered for members ages 5-15. Restrictions apply. CDPHP will cover braces for children up to age 21 who have a severe problem with their teeth, such as not being able to chew food due to severely crooked teeth, cleft palate, or cleft lip. COVERED SERVICES KIDS ADULTS Dental exams (every six months) Teeth cleaning (every six months) Fluoride application with varnish (every three months)** Fluoride application without varnish (every six months)*** X-rays Fillings Root canals Tooth removal Emergency services Molar sealantsScaling and root planing Crowns Partial and full dentures Denture relines Sedation (if medically necessary) Orthodontics (if medically necessary) As a CDPHP® member,* your plan includes most regular and routine dental services for free or at low cost to you. Regular dental visits at all ages help keep your gums and teeth strong. Find the dentist that’s right for you at AllSmilesWelcome.com or by calling Delta Dental’s Customer Service Line at 1-800-542-9782. The call is free, and Delta Dental representatives are available to assist you Monday through Friday, between 8 a.m. and 8 p.m. Need help finding a dentist or scheduling an appointment? Visit AllSmilesWelcome.com and use the “Find a dentist” tool to find a dentist near you! (20-14491)

Transcript of Smile, you have dental care. · 2020. 8. 10. · Smile, you have dental care. * Benefits are...

Page 1: Smile, you have dental care. · 2020. 8. 10. · Smile, you have dental care. * Benefits are offered to CDPHP Medicaid Select Plan, Medicaid HARP, Child Health Plus, and Essential

Smile, you have dental care.

* Benefits are offered to CDPHP Medicaid Select Plan, Medicaid HARP, Child Health Plus, and Essential Plan 3 & 4 members.** Covered for members between ages 6 months and 6 years.*** Covered for members ages 1-20.† Covered for members ages 5-15. Restrictions apply.‡ CDPHP will cover braces for children up to age 21 who have a severe problem with their teeth, such as not being able to chew

food due to severely crooked teeth, cleft palate, or cleft lip.

COVERED SERVICES KIDS ADULTS

Dental exams (every six months)

Teeth cleaning (every six months)

Fluoride application with varnish (every three months)**

Fluoride application without varnish (every six months)***

X-rays

Fillings

Root canals

Tooth removal

Emergency services

Molar sealants†

Scaling and root planing

Crowns

Partial and full dentures

Denture relines

Sedation (if medically necessary)

Orthodontics (if medically necessary)‡

As a CDPHP® member,* your plan includes most regular and routine dental services for free or at low cost to you. Regular dental visits at all ages help keep your gums and teeth strong.

Find the dentist that’s right for you at AllSmilesWelcome.com or by calling Delta Dental’s Customer Service Line at 1-800-542-9782. The call is free, and Delta Dental representatives are available to assist you Monday through Friday, between 8 a.m. and 8 p.m.

Need help finding a dentist or scheduling an appointment? Visit AllSmilesWelcome.com and use the “Find a dentist” tool to find a dentist near you!

(20-14491)