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.
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).
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.
Currently, MassHealth covers fillings for the most visible six front teeth on the top and bottom, as well as extractions of all teeth . Starting in January, coverage will expand to include fillings of all teeth , but implants will still not be covered nor will dentures , root canals or crowns.
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 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||✔||✔|
MassHealth pays for many important health-care services including doctor visits, hospital stays, rehabilitation and therapeutic services, and behavioral health and substance use disorder services. To get more specific information, call the MassHealth Customer Service Center.
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.
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.
2020 MassHealth Income Standards and Federal Poverty Guidelines
|Family Size||MassHealth Income Standards||150% Federal Poverty Level|
The Direct Cost of Dental Implants You’ll see astronomical rates between $1,000 and $3,000 for just one implant. And that’s before adding the abutment and crown, which could bring your total for one implant up to $6,000.
It’s also important to note that MassHealth only covers orthodontic treatment for children under 21. While some MassHealth coverage does include dental benefits for adults , the benefits don’t extend to braces or orthodontic treatment over the age of 21.
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.
The MassHealth agency pays for only the comprehensive eye exam .