Dental coverage is included on all plans. You may be eligible for up to $5,000 in preventive and comprehensive dental benefits.
You can use your CHPW dental benefit with any dentist who will bill CHPW. If you are a member and have paid for dental services yourself, contact our Customer Service team to find out about reimbursement.
Preventive and Comprehensive Dental Coverage
- Preventive dental services include:
- Cleanings
- Oral exam
- Dental X-rays
- Fluoride treatment
- 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
Medical Dental Coverage
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
- Services that would otherwise be covered when provided by a physician
Dental Benefits by Medicare Advantage (MA) Plan
2023 MA Plans
| MA Dual Plan (HMO SNP) | $0 copay, up to $5,000 per year for preventive and comprehensive services combined. |
| MA Plan 1 (HMO) | $0 copay, up to two preventive visits per year. |
| MA Plan 2 (HMO) | $0 copay, unlimited preventive visits, up to $500 per year for comprehensive services. |
| MA Plan 3 (HMO) | |
| MA Plan 4 (HMO) | |
| MA Freedom Plan (HMO) |
Dental limits are per year for supplemental non-OM (non-Original Medicare) services.
We’re here to help.
To ask questions, request print copies of materials, and more, contact Customer Service at 1-800-942-0247 (TTY: 711), 8:00 a.m. to 8:00 p.m., 7 days a week.
Did 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.
