Does Medicaid Cover Dental Illinois

Medicaid in Illinois provides comprehensive dental coverage for all eligible individuals. This coverage includes preventive services such as regular checkups, cleanings, and fluoride treatments. It also covers restorative services such as fillings, crowns, and bridges. In addition, Medicaid covers oral surgery, including extractions and root canals. Individuals who are eligible for Medicaid in Illinois can access dental care through a variety of providers, including private dentists, community health centers, and public health departments. Medicaid dental coverage ensures that low-income individuals in Illinois have access to essential dental care.

Illinois Medicaid Dental Coverage Eligibility

Medicaid is a state and federal health insurance program for people with low incomes and limited resources. In Illinois, Medicaid dental coverage is available to adults and children who are eligible for Medicaid.


To be eligible for Medicaid dental coverage in Illinois, you must meet the following requirements:

  • Be a resident of Illinois.
  • Be a U.S. citizen or legal immigrant.
  • Have a Social Security number.
  • Meet the income and asset limits.
  • Be pregnant, have a child under 19, or be age 65 or older.

The income and asset limits for Medicaid dental coverage in Illinois are:

Family SizeIncome LimitAsset Limit
Each additional person$541$1,000

If you meet the eligibility requirements, you can apply for Medicaid dental coverage online, by mail, or in person at your local Medicaid office.

Covered Dental Services Under Illinois Medicaid

Medicaid is a health insurance program that provides coverage for low-income individuals and families. In Illinois, Medicaid is administered by the Department of Healthcare and Family Services (HFS). Medicaid covers a wide range of health care services, including dental care. The following are some of the dental services that are covered under Illinois Medicaid:

  • Exams
  • Cleanings
  • X-rays
  • Fillings
  • Extractions
  • Root canals
  • Crowns
  • Bridges
  • Dentures
  • Orthodontic treatment

The amount of coverage that Medicaid provides for dental services varies depending on the individual’s age and income. Children under the age of 21 are eligible for full coverage of all medically necessary dental services. Adults are eligible for limited coverage of dental services, which includes exams, cleanings, and x-rays. Adults may also be eligible for coverage of other dental services, such as fillings and extractions, if they meet certain criteria.

To find a dentist who accepts Medicaid, you can contact your local Medicaid office or visit the HFS website. You can also search for a dentist online using the HFS dentist directory.

Dental ServiceAgeCoverage
ExamsAll agesFull coverage
CleaningsAll agesFull coverage
X-raysAll agesFull coverage
FillingsAdultsLimited coverage
ExtractionsAdultsLimited coverage
Root canalsAdultsLimited coverage
CrownsAdultsLimited coverage
BridgesAdultsLimited coverage
DenturesAdultsLimited coverage
Orthodontic treatmentChildren and adultsLimited coverage

Application Process for Illinois Medicaid Dental Coverage

To apply for Illinois Medicaid dental coverage, you can follow these steps:

  • Determine your Eligibility: Check if you meet the income and asset requirements for Illinois Medicaid. You can find more information on the Illinois Department of Healthcare and Family Services (HFS) website.
  • Gather Necessary Documents: Prepare the required documents, such as proof of income, proof of identity, proof of residence, and proof of citizenship or legal residency. The exact list of documents may vary depending on your specific situation.
  • Complete the Application: You can apply for Medicaid online through the HFS website or by visiting your local Medicaid office. The application form requires information about your household, income, and assets.
  • Submit the Application: Submit your completed application along with the required documents to your local Medicaid office or mail it to the address provided on the application.
  • Attend an Interview (if Required): In some cases, you may be required to attend an interview with a Medicaid representative to provide additional information or to verify your eligibility.
  • Receive a Decision: After reviewing your application, HFS will send you a decision regarding your Medicaid eligibility. The processing time can vary, but you should generally receive a response within 45 days.
  • Enroll in a Dental Plan: If your Medicaid application is approved, you will need to choose a dental plan from the list of providers that participate in the Illinois Medicaid Dental Program.

Once you are enrolled in the Illinois Medicaid Dental Program, you will have access to a range of dental services, including preventive care, diagnostic services, restorative services, and emergency services. The specific benefits covered under the program may vary depending on your age and circumstances.

It is important to note that the application process and eligibility criteria for Illinois Medicaid dental coverage may change over time. For the most up-to-date information, it is recommended to visit the Illinois Department of Healthcare and Family Services website or contact your local Medicaid office.

Illinois Medicaid Dental Coverage Eligibility Criteria
CategoryIncome LimitAsset Limit
Adults (19-64)138% of the Federal Poverty Level (FPL)$2,000 for individuals, $3,000 for couples
Children (0-18)138% of the FPL$2,000 for individuals, $3,000 for couples
Pregnant Women138% of the FPLNo asset limit
Disabled Individuals138% of the FPL$2,000 for individuals, $3,000 for couples
Elderly Individuals (65+)138% of the FPL$2,000 for individuals, $3,000 for couples

Resources for Illinois Medicaid Dental Coverage

Illinois Medicaid provides dental coverage to eligible children, adults, and pregnant women. The program covers a wide range of services, including preventive care, restorative care, and oral surgery. To learn more about Illinois Medicaid dental coverage, you can visit the following resources:

  • Illinois Department of Healthcare and Family Services (HFS): The HFS website has a wealth of information about Medicaid dental coverage, including eligibility requirements, covered services, and how to apply. You can also find contact information for the HFS customer service center.
  • Illinois Medicaid Managed Care Organizations (MCOs): MCOs are private health insurance companies that contract with the state to provide Medicaid coverage. Each MCO offers its own dental coverage plan, so it’s important to compare plans before choosing one. You can find a list of MCOs that offer Medicaid dental coverage in Illinois on the HFS website.
  • Local health departments: Local health departments can also provide information about Medicaid dental coverage. They can help you find a dentist who accepts Medicaid and can also assist you with the application process.

Thanks for sticking with me to the end of this article; I hope you found the information helpful. I know dental work can be expensive, and it’s not always easy to find affordable options. But there are resources out there to help. Medicaid is one option, and there are also many free and low-cost clinics that offer dental care. If you’re struggling to pay for dental care, don’t give up. There are people who can help. And remember, your oral health is important. Taking care of your teeth and gums can help you stay healthy overall. Be sure to visit again later for more helpful articles just like this one!