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).
Call the MassHealth Customer Services Center at 1-800-841-2900 (TTY: 1-800-497-4648 for people who are deaf, hard of hearing, or speech disabled) or 1-877-MA ENROLL (877-623-6765). Visit a MassHealth Enrollment Center (MEC) to apply in person.
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.
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.
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.
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.
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||✔||✔|
2020 MassHealth Income Standards and Federal Poverty Guidelines
|Family Size||MassHealth Income Standards||150% Federal Poverty Level|
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.
To be eligible for Massachusetts Medicaid, you must be a resident of the state of Massachusetts, a U.S. national, citizen, permanent resident, or legal alien, in need of health care/insurance assistance, whose financial situation would be characterized as low income or very low income.
Applying for MassHealth coverage You can easily apply for MassHealth at www.MAhealthconnector.org.
Most members will need to resubmit an application to MassHealth every year so that they can confirm that you still qualify for healthcare coverage. In the event that you do not submit an application to MassHealth they will cancel your coverage and you will lose your BMC HealthNet Plan benefits.
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.