We cover exams, cleanings, and fillings for all UPMC for You members. Avesis manages UPMC for You Dental benefits. Members can call Dental Member Services at 1-888-257-0474 to get a dentist’s name or to see what dental benefits they have.
Pitt’s School of Dental Medicine has been providing reduced cost general and specialty dental care to patients from the region since it was founded in 1896. The school’s Center for Patients with Special Needs provides dental care to adult and pediatric special needs patients.
If you are age 21 and older and covered by Pennsylvania’s Medical Assistance program, you likely have dental coverage. This is true whether you are covered by the ACCEESS card or a HealthChoices managed care plan.
Fixed bridgework, crowns, inlays, and onlays are covered by UPMC Dental Advantage only if initiation of treatment and preparation of teeth and placement of teeth occurs after the member is covered under the UPMC Dental Advantage plan. Otherwise, the prior dental carrier is responsible for the claim.
Travel with a Plan If you are traveling outside UPMC Health Plan’s service area and need nonemergency care, you can : Call Member Services at 1-844-881-4146. You can also call the phone number on the back of your member ID card. A Health Care Concierge can help you find an urgent care center or a participating provider.
Dental benefits include: $0 copay for one oral exam, cleaning, and x-ray every six months. A $3,000 or $5,000 yearly allowance (depending on the plan offered in your area) for additional services like dentures, bridges, root canals , crowns, fillings and simple tooth extractions.
Dental businesses generated a total income of $6.7 billion in the 2009–10 financial year. Medical specialists saw 78 patients a week, earning $271 200 of fee-for-service income. For GPs, the average fee-for-service income per practitioner was $181 600 for 124 patient contacts a week.
Take a look at these three great options for finding financial assistance for dental work. Dental financing. If you need to finance the cost of dental work, there are a few options available. Dental grants. Online fundraising. Dental schools. Public dental clinics. Smiles Change Lives. Dental Lifeline Network. United Way.
As we mentioned before, the dental implant or the “tooth root” of this procedure, can be anywhere between $1,000 to $3,000 . But the dental implant is only one piece of the cake. Other costs that should be factored in are the abutment which is usually about $300 to $500 , and the crown which is usually $1,000 to $2,000.
NCQA Health Insurance Plan Ratings 2015-2016 – Summary Report (Medicaid)
|Rating||Plan Name||Consumer Satisfaction|
|4.0||AmeriHealth Caritas Pennsylvania||3.5|
|4.0||Health Partners Plans||3.5|
|4.0||UPMC For You||3.0|
You can see any dentist that is enrolled with Medical Assistance and will accept your MA Access card .
Medicaid Services Pennsylvania covers 24 optional benefits, including prescription drugs, vision, dental, physical therapy, home health, and hospice care. It also includes the ACA’s ten essential health benefits, such as preventive care, as well as expanded mental health and substance use treatment services.
Best Dental Insurance Providers of 2021 Cigna : Best Overall. Renaissance Dental: Runner-Up, Best Overall. Spirit Dental: Best for No Waiting Periods. Humana Dental Insurance: Best Value. UnitedHealthOne Dental Insurance: Best for Families. Physicians Mutual: Best for Seniors. Delta Dental : Best for Orthodontics.
UPMC for Life plans include preventive dental coverage for oral exams, cleanings, and x-rays. Copay and dental allowance amounts vary by plan View and compare plans by county.