Dental
Looking for 2023 Benefit Information?
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 $6,000 allowance.
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.
- Call DentaQuest at 1-855-388-6252 (TTY: 711).
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 your Evidence of Coverage on the Plan documents page for coverage frequency and limitations. |
Endodontics (e.g., root canals) | Visit your Evidence of Coverage on the Plan documents page for coverage frequency and limitations. |
Periodontics Includes surgical and non-surgical gum treatment (e.g., Periodontal cleanings) | Visit your Evidence of Coverage on the Plan documents page for coverage frequency and limitations. |
Prosthodontics (e.g., Fixed bridges, partials, dentures and dental implants) | Visit your Evidence of Coverage on the Plan documents page for coverage frequency and limitations. |
Oral Surgery (e.g., Routine and surgical extractions and some other oral surgical services) | Visit your Evidence of Coverage on the Plan documents page for coverage frequency and limitations. |
Adjunctive Services (e.g., Dental sedation and general anesthesia services) | Visit your Evidence of Coverage on the Plan documents page for coverage frequency and limitations. |
See a full overview of your dental benefits in your Plan Documents. Questions? Call Member Services.