MassHealth offers dental benefits to eligible children and adults. Covered Services for Children (under age 21) Anesthesia. Braces (if qualified) Cleanings (2 times per calendar year) Crowns . Dentures. Extractions ( tooth-pulling ) Fillings. Fluoride (every 90 days)
Do you accept Medicaid/Medicare, etc.? Aspen Dental offices do not work with these programs. They do , however, accept most other insurance plans, and offer a range of flexible, affordable payment plans. Or contact your local Aspen Dental office and they can assist you.
Frequently Asked Questions. Does MassHealth cover dental implants , root canals, crowns or dental bridges? No, not for adults. Comfort Dental Care of Brookline, however, will work with you to create dental implant payment plans or “whatever you need done” affordable dental care payment plans.
Still, access to dental care remains a major problem for the poor. While the Health Safety Net does not cover all dental services, it does reimburse for many of the procedures MassHealth does not cover , including root canals , crowns and bridges for some teeth, as well as partial and full dentures.
For example, the cost of just one implant can range between $1,000 and $3,000 . In contrast, the cost of full mouth dental implants can range between $7,000 and $90,000 . This puts the nationwide average for a full set of dental implants at around $34,000.
To apply for MassHealth Dental , visit the MassHealth health insurance application page, which includes a comprehensive collection of forms, numbers, required information, and much more.
MassHealth covers dental services for both children and adults with MassHealth Standard, CarePlus, CommonHealth or Family Assistance. Only children and youth under 21 are covered for some dental services like orthodontics (braces).
Pricing tends to vary from case to case, but on average , the per-tooth cost of dental implants can range from $3,000 to $4,500, depending on the aforementioned factors.
MassHealth covered services
|Durable medical equipment (includes oxygen and respiratory therapy equipment)||✔||✔|
|Early and periodic screening, diagnosis and treatment (EPSDT) services||✔|
|Emergency Inpatient and Outpatient Hospital Services||✔||✔|
Dentures are back For the first time in 5 years, MassHealth is once again covering dentures in the adult dental program effective today May 15.
Dental Care Under MassHealth As for adults , diagnostics and preventative dental services, extractions, emergency dental treatments, and all types of fillings for all teeth are covered . However, if you need additional services that are medically necessary, you may have to acquire prior authorization.
2020 MassHealth Income Standards and Federal Poverty Guidelines
|Family Size||MassHealth Income Standards||150% Federal Poverty Level|
Described below are the six MassHealth coverage types offered to eligible individuals, families, and people with disabilities: Standard, CommonHealth, CarePlus, Family Assistance, Premium Assistance, and Limited.
A prescription from your physician is required. Non-brand- name (generic) OTC medications will be dispensed unless otherwise approved by the Plan. As a member, you pay $0 for your covered over-the-counter ( OTC ) medications . covered by MassHealth without prior authorization.
HSN pays for some health services provided by acute care hospitals or community health centers for certain low income, uninsured and underinsured patients. It is not insurance and cannot be used at tax time to show you were covered by health insurance.