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Comprehensive Guide: Understanding Medicaid Dental Coverage in Pennsylvania

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Understanding Your Dental Coverage under Pennsylvania Medicd

Mntning optimal oral health is crucial for overall well-being, with regular dental visits serving as a key preventive measure. However, many individuals may hesitate to undergo needed procedures due to budgetary concerns. For those relying on public insurance like Medicd, a common query is whether the program covers dental services.

At Penn Dental Medicine, we understand the importance of accessible and affordable comprehensive care for all patients. Our goal is to provide clarity on what dental services are included in Pennsylvania's Medicd plan Medical Assistance and address other frequently asked questions related to dental coverage under this program.

Who Is Eligible for Medicd Coverage in Pennsylvania?

Medicd, also known as Medical Assistance, exts benefits primarily to:

  1. Adults aged 19-64: Eligibility deps on income at or below 133 of the Federal Poverty Income Guidelines FPIG.

  2. Elderly, blind, and disabled individuals

  3. Families with children under age 21

  4. Individuals with special medical assistance conditions

To qualify:

For the most current information or to assess eligibility, visit Benefits.gov or connect with Pennsylvania's Department of Services.

What Dental Services Are Covered Under Medicd in Pennsylvania?

While coverage varies by state, Pennsylvania Medicd requires service provision for children under the program and Children’s Health Insurance Program CHIP. Here are some commonly covered services:

  1. Preventative Care: Cleaning teeth, X-rays, cavity fillings, crowns.

  2. Specialized Services for Kids: Additional treatments may be included based on specific plan limitations.

Adults receiving Medicd benefits in Pennsylvania have coverage limited to medically necessary dental care including:

There's a limit on diagnostic and preventive services to once every 180 days per adult recipient. Additional procedures like root canals, crowns, require prior authorization.

Does Medicd Cover Dentures or Dental Implants?

Unfortunately, Pennsylvania Medicd:

  1. Covers Dentures: One set for adults over their lifetime as long as medically necessary.

  2. Does Not Include Implants

  3. Excludes Adult Orthodontics

Understanding these limitations can help guide expectations and planning when seeking dental care under the Medicd program.

What Can Penn Dental Medicine Offer?

As part of our commitment to enhancing access to quality dental care, Penn Dental Medicine:

To explore how we can help make dental work more manageable financially, download our free eBook: Dental Work Without the Stress. This guide is designed to alleviate anxiety around treatment costs and provide peace of mind for patients undergoing necessary care.

In , Pennsylvania Medicd offers essential coverage for dental needs but with . Penn Dental Medicine stands ready to support you by clarifying your benefits and providing affordable services, making quality oral health care more accessible than ever before.


Contact Information

Robert Schattner Center

University of Pennsylvania School of Dental Medicine

240 S. 40th Street Philadelphia, PA 19104

Phone: 215-898-8965

Eml: [email protected]

Contact Us Today for Assistance with Your Dental Needs.


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