Dental - Community Health Plan of Washington - Medicare Advantage

Dental Coverage Is Included on All Plans

Preventive dental services

Routine, preventive dental services are included on all plans. Preventive dental services include:

  • Cleanings
  • Oral exam
  • Dental X-rays
  • Fluoride treatment

Comprehensive dental services

Comprehensive dental services are covered on select plans with a $500 benefit limit per year. $3,000 benefit limit per year for MA Dual Plan (HMO SNP) in 2021. Comprehensive dental services include:

  • Non-routine services
  • Diagnostic services
  • Restorative Services
  • Endodontics/Periodontics/Extractions
  • Prosthodontics, other oral/maxillofacial surgery
  • Diagnostic dental X-rays
  • Dentures
  • Other services
Getting Care

Medical Dental services

Medical Dental services require prior authorization. Copays and Coinsurance amounts depend on the specific services rendered. Medical services can include surgery of the jaw or related structures, setting fractures of the jaw or facial bones, extraction of teeth to prepare jaw for radiation treatment of neoplastic cancer disease, or services that would otherwise be covered when provided by a physician.

Getting Care

Dental Network

Members can choose to see any dentist, with no restrictions. Check with your current dentist if they accept CHPW Medicare Advantage insurance and your provider will work with us directly for billing purposes. If your dentist does not accept our insurance, you may still see them. You will need to pay up front for services and submit a claims form for reimbursement. Call Customer Service for more information about that process.

2021 Dental Benefits by Plan

DID YOU KNOW...?

Stay on Top of Your Prescriptions

Woman grabbing a prescriptionDid you know that certain prescription medicines are available as a 90-day supply? Medicine that you take on a long-term basis to manage your health is called a “maintenance drug.” A 90-day supply makes it easier to keep taking the medicine you need to feel your best. You may also be eligible to receive your long-term medications through free home delivery.

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