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. You can find a network dental provider or dental specialist by visiting FindADoctor.caresource.com or by contacting DentaQuest directly. Enhanced coverage for our CareSource Dual Advantage™ (HMO D-SNP) plan also includes dentures! No deductible, no waiting period!
2022 Dental Coverage
Caresource Dual Advantage™ (HMO D-SNP)
| Benefits | Coverage/Limits |
| Preventive Dental (Not covered by Original Medicare) | Included; Allowance from $3,000 – $4,000 (shared with Comprehensive Dental) |
| Preventive Dental Oral Exams | Limit 1, Every 6 Months |
| Preventive Dental Prophylaxis | Limit 1, Every 6 Months |
| Preventive Dental X-Rays | Limit 1, Every Year |
| Preventive Dental Fluoride Treatment | Limit 1, Every Year |
| Comprehensive Dental | $3,000 to $4,000 yearly limit Includes coverage for Inlays, Outlays, and Crowns (allowance shared with Preventive Dental) |
| Simple Extractions | Included |
| Surgical Extractions | Included |
| Oral Surgery | Included |
| Anesthesia | Included |
| Restorations | Included |
| Periodontics | Included |
| Endodontics | Included |
| Dentures | Included |
Vision
CareSource has partnered with EyeMed Vision Care® to bring a vision benefit solution that offers more…
- Access to EyeMed’s Insight network, a vision network made up of the right mix of independent providers, national retail and regional retail providers, including:
- Independent Provider Network, LensCrafters, Pearle Vision and Target Optical
- Service that is always open to new patients and without an appointment
- Locations with extended evening and weekend hours in convenient locations
- Online solutions that 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
2022 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 – $380 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 pair discount
- 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 two hearing aids per year.
2022 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, three every year |
| Hearing Aids | $1,000 allowance per hearing aid; one aid per year |
Call TruHearing at 1-833-759-6826 (TTY: 711) to learn more, find a network provider or file a claim.