You can find a Medi – Cal dentist on the Medi – Cal Dental Provider Referral List, or by calling 1-800-322-6384.
After you have applied and have been approved for Medi – Cal , you should receive an enrollment packet from Medi – Cal allowing you to choose your health and dental plans. For Dental Services, you can choose Medi – Cal Dental, known as Denti – Cal , or a Managed Care Dental Plan.
For example, as we saw in Maggie’s story, Denti – Cal covers full dentures but not partial dentures , bridges or implants , leaving many older adults with the choice of either pulling out all their teeth or getting no treatment.
Coverage Cap . Denti – Cal will only provide up to $1800 in covered services per year. Some services are not counted towards the cap , such as dentures, extractions, and emergency services. Your dental provider must check with Denti – Cal to find out if you have reached the $1800 cap before treating you.
Many of these people fear they will have to repay Medi – Cal for the months they were really ineligible for the no cost health insurance. Do you have to repay Medi – Cal after your income increases and you were no longer eligible? The short answer is usually not.
Medi – Cal covers most medically necessary care. This includes doctor and dentist appointments, prescription drugs, vision care, family planning, mental health care, and drug or alcohol treatment. Medi – Cal also covers transportation to these services .
Eligibility . For automated messages providing member eligibility information, phone the Automated Eligibility Verification System (AEVS) at (800) 456-2387. When prompted, enter the information found on the Benefits Identification Card (BIC ID).
Medi – Cal Dental, also known as Denti – Cal , is the program that provides free or low-cost dental services to eligible children and adults. The Medi ‑ Cal Dental Program provides free or low‑cost dental services to children and adults who receive Medi ‑ Cal , California’s Medicaid program.
Contact the Provider Telephone Service Center at 1-800-423-0507 to receive an application packet by mail or; Download and print applications from the Provider Enrollment page of the Medi- Cal Dental website at www.dental.dhcs.ca.gov – Providers/Application Forms.
One option is to consider medical insurance as a reimbursement option. Many procedures performed in the dental office, including implants , may qualify for medical insurance . Medical insurers may reimburse for implants if oral disease complicates or causes other medical problems.
In general, however, single dental implants cost $1,500 to $2,000 per implant . Not per procedure—but per implant . Some patients are only going to need a single implant , whereas others will need several because they’re missing multiple teeth . Note that this is only the cost of the dental implant itself.
Medi – Cal Dental Program Tooth extractions; Fillings; Root canal treatments (anterior/posterior); Crowns (prefabricated/laboratory);
Starting in January, all teeth will be eligible for root canal coverage , Abelson says. For patients with gum disease, Denti-Cal also will cover “scaling and root planing,” which is a deep cleaning below the gum line that can help reduce infections in the mouth, Abelson says.
So, when most insurance providers deem dental work as medically necessary to repair your teeth and mouth after a traumatic injury, they pay for services.