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 ExamsLimit 1, Every 6 Months
Preventive Dental ProphylaxisLimit 1, Every 6 Months
Preventive Dental X-RaysLimit 1, Every Year
Preventive Dental Fluoride TreatmentLimit 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 ExtractionsIncluded
Surgical ExtractionsIncluded
Oral SurgeryIncluded
AnesthesiaIncluded
RestorationsIncluded
PeriodonticsIncluded
EndodonticsIncluded
DenturesIncluded

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-NetworkCareSource 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.