The search for a dentist who accepts Medicaid and never cuts corners on the quality treatment you deserve is over! Our team is pleased to say that there is Medicaid Cover for Dental Services in Middletown OH at University Dental. It helps to have a dental partner experienced with nine different Medicaid programs in Ohio to navigate your benefits. Cost should never be a barrier to the confidence-boosting smile and oral health that is so tied to the quality of life and overall wellness.
Medicaid, for Buckeyes
Almost 3 million of the 66.3 million people covered by Medicaid reside in Ohio. Ohioans who have benefited from Medicaid coverage include:
- Eligible adults who meet financial qualifications
- Infants and youth
- Expectant mothers
- Older adults
- Disabled individuals
The State of Ohio administers the program, which receives joint federal and state funds. A range of health care services are covered, including emergency treatment, durable medical equipment, mental health treatment, outpatient and inpatient hospitalization, and vision care.
Quality dentistry made affordable
At 130,000 active practitioners, a growing number of medical providers are accepting Medicaid in Ohio. Yet, the American Dental Association Health Policy Institute notes only 38% of all dentists in the United States accept either Medicaid or the Children’s Health Insurance Program, which insures 9 million kids nationwide.
Covered dental services are generally put into six categories:
- Orthodontic treatment (braces)
- Preventive (check-ups and professional cleanings)
- Restorative (fillings, crowns, and extractions)
- Medical dental services and oral surgery
- Root canal therapy
If your child is under the age of 21, he or she may be eligible for orthodontic treatment with braces at no additional costs or co-pays. Since there are many (costly) oral and medical conditions associated with tooth decay and gum disease, preventive services such as routine exams and cleanings at University Dental are frequently covered at no cost to you, or with a modest copay.
The restorations used to resolve infections and bring your mouth back to health may also be covered but are subject to prior authorization and “based upon medical necessity.” There may be a small co-pay per visit for adults aged 21 and older who are: a.) not pregnant or b.) aren’t residents of a nursing care center or rehab facility. The same types of co-pay requirements apply for dentures-related coverage, which includes replacement and is based on medical need. Your dentures may need to be replaced around every five to 10 years to assure proper fit and, in turn, proper function as the bone required to adequately support the denture plate shrinks over time.
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The medical and surgical services offered at University Dental are vast. So, this category means a lot of different things to different patients; for instance, you may be a candidate for dental implants to replace a single tooth or many teeth. Implants are placed as part of a straightforward, in-office surgical procedure. Likewise, back molars or wisdom teeth may fail to erupt fully, if at all, leading to a condition known as “impaction,” which also requires a straightforward, in-office surgical procedure. Root canal therapy may be the only way to save a tooth with a bad infection. Medicaid, too, covers this treatment among eligible patients with a medical need for it. Pregnant women and adults in nursing and care facilities aren’t subject to the small copays per visit.
Covered services related to your visit
Our team appreciates that dental expenses aren’t limited to the cost of the procedures themselves; for instance, there may be the headaches and expenses related to arranging transportation to get to and from treatment. For this reason, emergency and non-emergency transportation are a covered benefit through the County Department of Job and Family Services. Additional covered ancillary services include medically-necessary laboratory and diagnostic testing such as X-rays, and prescription medications for beneficiaries who aren’t otherwise eligible to receive coverage through Medicare Part D. Some programs may also offer discounted or free hygiene products. So, it pays to get to know your benefits and partner with a dental provider that understands Ohio Medicaid and its many programs.
Your teeth and gums support critical functions. When you can’t chew without pain, nutrition suffers. Sleep suffers. Productivity at work and play diminishes. Don’t let the fear of dental expenses stand in the way of getting the care you need for a happy, healthy active life. Call your Medicaid provider in Middletown OH at (855) 908 3676.