Dental Coverage Is Included on Select Plans

Basic, routine dental services are included on plans 006, 008, 009 and 014 only. Basic dental services include yearly cleaning, oral exam, dental x-rays, and fluoride treatment.

It does not include services in connection with filling, removal, or replacement of teeth. For other dental services that are not considered routine care, you will pay 20% of the actual cost.

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.

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.

Dental Benefits by Plan

MA Plan 006

Routine and Supplemental Dental Care: This includes annual cleaning and basic dental services. Maximum benefit allowance of $500. You pay any cost over the $500 allowance.

MA Pharmacy Plan 008

Routine and Supplemental Dental Care: This includes annual cleaning and basic dental services. Maximum benefit allowance of $500. You pay any cost over the $500 allowance.

MA Pharmacy Plan 009

Routine and Supplemental Dental Care: This includes annual cleaning and basic dental services. Maximum benefit allowance of $500. You pay any cost over the $500 allowance.

MA Extra Plan 010
Dental is not a covered benefit on this plan.

MA Special Needs Plan 014
Annual routine cleaning and basic dental services are covered at no cost. For other routine preventive and comprehensive services, there is a total maximum benefit of up to $1,800 each year. 

MA Value Plan 016
Dental is not a covered benefit on this plan. 

DID YOU KNOW...?

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One of our community health center partners, HealthPoint has many locations across King County. Their approach to health care is to bring together all the services someone needs to be healthy, in one place. We support their model of whole person care and together, our goal is healthier people and a healthier community.

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We are now 
Community Health Plan of Washington
Medicare Advantage


With a new name comes new benefits.
Our  2020 Medicare Advantage plan details
will be available on October 1st, 2019.

 

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