Dental Benefits

Your plan includes both preventive and comprehensive dental benefits.

 
Dual Eligible
Preventive Dental
Oral exams and cleaning
Up to two per year
Bite-wing x-rays
One set per year
 
Your preventive dental visits and services do not count toward your $1,500 allowable.
Comprehensive Dental
Copay
You have no copay for up to $1,500 in comprehensive dental services during the year with network dental providers
Orthodontics & implants
Not covered
 
Call our Dental Customer Service team at 833-567-1841 to be sure your upcoming procedure is covered.
See your Evidence of Coverage for more information

Members with questions regarding their 2025 dental benefits may call 833-567-1841, TTY/TDD 833-567-1848 for more information.


Members on a Medicare Retiree group plan may have different benefits. Check your plan year benefit grid or call Customer Service with questions. Be sure to let us know what retiree group you are with.