As a Community Health Plan of Washington (CHPW) Apple Health member, you have coverage for dental services through the Washington State Health Care Authority. Use your ProviderOne card with any dentist who accepts Apple Health . In addition, CHPW covers accidental injury to teeth .
Most dental services for adults age 21 and older, children age 20 and younger, pregnant women and some adults with disabilities are covered through your Washington State Medicaid Services Card.
2021 Dental Benefits by Plan No limit to routine dental services. Comprehensive dental services are not covered .
The ProviderOne interface is an exchange of information between ACES and the Health Care Authority (HCA) ProviderOne system. ProviderOne uses this information to authorize payment for medical bills from medical providers, generate reports, and obtain federal funding.
Best Dental Insurance Providers in Washington Smart Health Dental : Best Overall. Smart Health Dental (SHD) offers multiple dental insurance and non- insurance plan options. Careington: Cheapest Dental Coverage . Aflac: Best for Families. Alpha Dental Plan: Best for Value.
|Program||Single person||4-person household|
|Apple Health for Adults (age 19 through 64 years of age)||$1,468 monthly||$3,013 monthly|
NerdWallet estimates that national average costs for root canals are $762 for a front tooth, $879 for a premolar and $1,111 for a molar. The region of the country in which you live can also determine the cost. If you live closer to the coast, expect a price higher than the national average, says NerdWallet.
As do many commercial dental benefit providers, state Medicaid programs commonly limit examinations and cleanings to one or two per year. Connecticut and Illinois limit fillings to one per year, limit crowns to one per tooth every five years, and limit root canals to one per tooth per lifetime.
Molina Healthcare covers dental services, including oral surgeons, X-rays, fillings, crowns (caps), root canals, dentures and extractions (pulling). Molina Healthcare covers dental exams every six months as a value-added service. Molina Healthcare covers one cleaning every six months as a value-added service.
The price ranges from $600 to $2,500 per tooth without insurance, with an average cost of about $1,353 . If you have dental insurance that covers the crown, you may pay between $519 and $1,140. These require a higher level of skill to craft, but they typically look more like natural, permanent teeth than other options.
The plan most people will want is the Washington Apple Health Integrated Managed Care plan (IMC). On top of its comprehensive healthcare benefits, the IMC plan offers health education, translation services, tobacco cessation, Boys & Girls Club memberships, and a healthy rewards program.
Founded in 1992 by a network of community and migrant health centers in Washington State, Community Health Plan of Washington is a community -governed, not-for-profit health plan . CHPW serves approximately 265,000 members through Medicaid and Medicare programs across the State.
The WAPlanfinder app is the easiest way to manage your Washington Apple Health ( Medicaid ) coverage on a mobile device. Now with new features, you can: Access a digital copy of your ProviderOne services card.
In Washington State, Medicaid is called Apple Health . Apple Health provides preventative care, like cancer screenings, treatment for diabetes and high blood pressure, and many other health care services.
How do I get my client number if I don’t have my card yet? Visit the ProviderOne client portal to get your client number . Give that to the provider or pharmacist. Tell a provider or pharmacist your name, date of birth, and Social Security number . They can look you up online and find your client number .