Does Michigan Medicaid Cover Dental

Medicaid in Michigan provides dental coverage to low-income individuals and families. Adults aged 21 and over are only eligible for dental coverage if they are pregnant, have a disability, or require treatment for an emergency dental condition. Medicaid provides coverage for a range of dental services, including exams, X-rays, cleanings, fillings, and extractions. Some services, such as dentures and implants, are covered only when medically necessary. Medicaid also covers certain oral surgeries, such as tooth removal and root canals. To be eligible for Medicaid dental coverage, individuals must meet income and asset limits.

Medicaid Dental Coverage in Michigan

Medicaid is a government-sponsored health insurance program that provides health care coverage to eligible low-income individuals and families. It also covers dental care, depending on the recipient’s age and other factors. In Michigan, Medicaid dental coverage is available to eligible children, pregnant women, and adults. However, the extent of coverage may vary depending on the individual’s situation.

Michigan Medicaid Dental Benefits

  • Routine preventive care: This includes regular checkups, cleanings, and X-rays.
  • Basic restorative care: This includes fillings, crowns, and root canals.
  • Oral surgery: This includes tooth extractions and other minor surgical procedures.
  • Orthodontic care: This may be available for children with severe dental problems.

Who Is Eligible for Medicaid Dental Coverage in Michigan?

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

  • Be a Michigan resident.
  • Be a U.S. citizen or legal resident.
  • Have income and assets below certain limits.
  • Meet other eligibility requirements, such as age or disability status.

How to Apply for Medicaid Dental Coverage in Michigan

To apply for Medicaid dental coverage in Michigan, you can apply online, by mail, or in person at your local Michigan Department of Health and Human Services (MDHHS) office.

Michigan Medicaid Dental Coverage Costs

Medicaid dental coverage in Michigan is free for most eligible individuals. However, some adults may have to pay a small co-payment for certain services.

Michigan Medicaid Dental Providers

You can find a list of Michigan Medicaid dental providers by visiting the MDHHS website or by calling the MDHHS Medicaid Customer Service line.

Michigan Medicaid Dental Benefits Table
ServiceCovered?Co-Payment
Routine preventive careYesNone
Basic restorative careYesNone
Oral surgeryYesNone
Orthodontic careYesMay apply

Eligibility for Dental Coverage Under Michigan Medicaid

Under Michigan Medicaid, dental coverage is available to specific groups of individuals. Eligibility is determined based on factors such as age, income, and disability status.

Children

  • All children under the age of 21 who are enrolled in Medicaid are eligible for dental coverage.
  • This includes preventive, restorative, and orthodontic services.

Pregnant Women

  • Pregnant women who are enrolled in Medicaid are eligible for dental coverage.
  • This includes preventive, restorative, and orthodontic services.

Adults

  • Adults who are enrolled in Medicaid are eligible for limited dental coverage.
  • This includes preventive services, such as cleanings and exams, as well as some restorative services, such as fillings and root canals.
  • Adults are not eligible for orthodontic services.

Individuals with Disabilities

  • Individuals with disabilities who are enrolled in Medicaid are eligible for comprehensive dental coverage.
  • This includes preventive, restorative, and orthodontic services.

In addition to the above groups, certain other individuals may also be eligible for dental coverage under Michigan Medicaid. These individuals include:

  • Individuals who are receiving Supplemental Security Income (SSI)
  • Individuals who are enrolled in the Medicare Savings Program
  • Individuals who are enrolled in the Medicaid Buy-In Program

To learn more about eligibility for dental coverage under Michigan Medicaid, you can visit the Michigan Department of Health and Human Services website or contact your local Medicaid office.

Dental Services Covered by Michigan Medicaid
ServiceChildrenPregnant WomenAdultsIndividuals with Disabilities
Preventive ServicesYesYesYesYes
Restorative ServicesYesYesLimitedYes
Orthodontic ServicesYesYesNoYes

Who is Eligible for Michigan Medicaid Dental Coverage?

To qualify for Michigan Medicaid dental coverage, individuals must meet specific eligibility requirements. Generally, coverage is available to:

  • Children under the age of 21
  • Pregnant women
  • Adults receiving Supplemental Security Income (SSI)
  • Individuals with disabilities who qualify for Medicaid

Dental Services Covered by Michigan Medicaid

Michigan Medicaid provides coverage for a wide range of dental services, including:

  • Cleanings
  • Fluoride Treatments
  • X-rays
  • Fillings
  • Extractions
  • Root Canals
  • Crowns
  • Bridges
  • Dentures
  • Orthodontic Treatment (in some cases)

Where to Find Dental Providers Who Accept Medicaid

Individuals enrolled in Michigan Medicaid can find dental providers who accept Medicaid by:

  • Contacting the Michigan Medicaid office
  • Visiting the Michigan Medicaid website
  • Searching for “Medicaid dentists near me” online

Applying for Michigan Medicaid Dental Coverage

To apply for Michigan Medicaid dental coverage, individuals can:

  • Visit the Michigan Medicaid website
  • Call the Michigan Medicaid hotline
  • Visit a local Medicaid office

Individuals will need to provide information such as their income, household size, and proof of identity.

Helpful Resources

ResourceWebsite
Michigan Medicaidhttps://www.michigan.gov/mdhhs/001/medicaid
Michigan Medicaid Dental Providershttps://www.michigan.gov/mdhhs/001/medicaid/benefits/dental
Michigan Medicaid Applicationhttps://www.michigan.gov/mdhhs/001/medicaid/apply

What Dental Services Are Covered by Michigan Medicaid?

Michigan Medicaid provides comprehensive dental coverage for eligible recipients. Here are some of the dental services covered by the program:

  • Routine preventive care, such as cleanings, X-rays, and fluoride treatments
  • Restorative care, such as fillings, crowns, and bridges
  • Periodontal care, such as gum disease treatment
  • Endodontic care, such as root canals
  • Oral surgery, such as tooth extractions and wisdom tooth removal
  • Orthodontic care, such as braces and retainers

How to Access Dental Care Under Michigan Medicaid

To access dental care under Michigan Medicaid, you must first be enrolled in the program. You can apply for Michigan Medicaid online, by mail, or through a local office. Once you are enrolled, you can choose a dentist who accepts Medicaid. You can find a list of dentists who accept Medicaid on the Michigan Medicaid website.

When you visit the dentist, bring your Medicaid card and a photo ID. The dentist will need to verify your eligibility for Medicaid before they can provide you with care.

Cost of Dental Care Under Michigan Medicaid

The cost of dental care under Michigan Medicaid is typically low. For most services, you will only be responsible for a small copayment. The amount of your copayment will depend on your income and the type of service you are receiving.

For example, the copayment for a routine cleaning is $1 for adults and $0.50 for children. The copayment for a filling is $5 for adults and $2.50 for children. The copayment for a root canal is $10 for adults and $5 for children.

ServiceAdult CopaymentChild Copayment
Routine Cleaning$1$0.50
Filling$5$2.50
Root Canal$10$5

Additional Information

For more information about dental coverage under Michigan Medicaid, please visit the Michigan Medicaid website or call the Michigan Medicaid Customer Service Line at 1-800-642-3195.

Thanks for taking the time to read about Medicaid dental coverage in Michigan. I hope you found the information helpful. If you have any more questions about Medicaid or dental care, feel free to reach out to your local Medicaid office or dental clinic. And don’t forget to check back here again soon for more up-to-date information on Medicaid coverage in Michigan. We’ll be posting new articles regularly, so you can stay informed about all the latest changes and updates.