Dental, Vision, and Hearing
Dental
Don’t worry, CareSource also covers preventive dental services with a $0 copay to keep you smiling!
The types of dental care that may be covered by your CareSource Dual Advantage plan can include teeth cleanings, exams, x-rays and other services. CareSource has partnered with DentaQuest® to administer dental benefits. Included in your plan is a $3,000 to $4,500 allowance.
Enhanced coverage for our CareSource Dual Advantage™ (HMO D-SNP) plan also includes dentures! No deductible, no waiting period!
To find a DentaQuest dental provider near you, visit FindADoctor.CareSource.com. Click on Get Started and fill out location information. Under the Choose Plans page, scroll to your state and filter the results under Medicare by selecting Dual Special Needs from the list. Lastly, filter the Specialty column by selecting Dentistry. You can also call DentaQuest a 1-855-209-3945 (TTY: 711). can also call DentaQuest. The phone numbers are state specific, so navigate to your state for the DentaQuest phone number.
2023 Dental Coverage
CareSource Dual Advantage™ (HMO D-SNP)
Diagnostic and Preventive Services | |
|---|---|
Services include: routine oral evaluations, x-rays, cleanings, dental sealants and fluoride treatments. These services help your dentist monitor your oral health, promote healthy habits, prevent, identify and treat early dental issues before they get worse. | |
Benefits | Coverage/Limits |
Oral evaluations (e.g., Periodic and comprehensive oral evaluations) | Routine periodic evaluations and limited/problem focused review. Limit: one every six months Comprehensive oral evaluations Limit: one every three calendar years |
Prophylaxis routine dental cleanings | Routine Dental Cleanings Limit: one every six months |
Radiographs (x-rays) | Routine periodic bitewing x-rays Limit: one set every calendar year Comprehensive full set of x-rays Limit: one set every three calendar years Problem-focused x-rays Limit: two every calendar year |
Fluoride treatment | Limit: one every six months |
Comprehensive Dental Services | |
|---|---|
Dental services include basic and major services such as fillings, crowns, root canals, periodontal (gum) treatment, dentures/partials, dental implants, extractions and other oral surgery, and dental sedation or anesthesia services. | |
Benefits | Coverage/Limits |
Restorations (e.g., fillings and crowns) | Visit the Plan documents page for coverage frequency and limitations. |
Endodontics (e.g., root canals) | Visit the Plan documents page for coverage frequency and limitations. |
Periodontics Includes surgical and non-surgical gum treatment (e.g., Periodontal cleanings) | Visit the Plan documents page for coverage frequency and limitations. |
Prosthodontics (e.g., Fixed bridges, partials, dentures and dental implants) | Visit the Plan documents page for coverage frequency and limitations. |
Oral Surgery (e.g., Routine and surgical extractions and some other oral surgical services) | Visit the Plan documents page for coverage frequency and limitations. |
Adjunctive Services (e.g., Dental sedation and general anesthesia services) | Visit the Plan documents page for coverage frequency and limitations. |
You can view a complete overview of your dental benefits in your plan documents. Visit our Plan Documents page for more information or call Member Services.
Vision
CareSource has partnered with EyeMed Vision Care® to bring vision benefit that offers more!
- EyeMed’s Insight network has the right mix of independent providers, national retail and regional retail providers, including:
- Independent Provider Network
- LensCrafters®
- Pearle Vision®
- Target Optical®
- EyeMed’s service is always open to new patients and available without an appointment.
- Locations have extended evening and weekend hours in convenient locations.
- Online solutions allow members and their caregivers to evaluate options at home and reduce stress at the provider office.
- Benefit options that offer more flexibility, choice and savings
- EyeMed’s Insight network has the right mix of independent providers, national retail and regional retail providers, including:
2023 Vision Benefits
CareSource Dual Advantage™ (HMO D-SNP) | |
|---|---|
Routine Exam with Dilation as Necessary | $0 copay, one per year |
Exam to Diagnose and Treat Diseases and Conditions of the Eye | $0 copay (Cost-sharing for Medicare-covered benefits is based on level of Medicaid eligibility) |
| Eyewear & Contact Lenses | $300 – $450 allowance per year toward eyeglass frames, eyeglass lenses or contact lenses |
Call EyeMed at 1-866-299-1425 (TTY: 711) to learn more, find a network provider or file a claim.
Additional Savings…
- 20% off additional purchases (included frames, lens, and lens options)
- 40% off packages including frames, lens and lens option purchased as a complete pair
- 15% off retail or 5% off promotional price LASIK
- 15% off conventional contact lenses once funded benefit has been used.
Hearing
CareSource has partnered with TruHearing to provide you with high-quality hearing aids and local professional care at a fraction of the cost. Traditional Medicare doesn’t offer a hearing aid benefit, leaving you to pay $2,000 to $3,000 per hearing aid on the retail market. Your plan covers up to one per ear per year.
2023 Hearing Benefits
In-Network | CareSource Dual Advantage™ (HMO D-SNP) |
|---|---|
Routine Hearing Test | $0 copay, one every year |
Exam to diagnose and treat hearing and balance issues | $0 copay (Cost-sharing for Medicare-covered benefits is based on level of Medicaid eligibility) |
Hearing aid fitting/evaluation | $0 copay, unlimited provider visits within the first year of hearing aid purchase |
Hearing Aids | $1,000 allowance per hearing aid; one aid per ear per year |
Call TruHearing 1-833-759-6826 (TTY: 711) learn more, find a network provider or file a claim.