States That Cover Dental Implants Through Medicaid

Medicaid covers dental implant procedures for adults when there is a medically necessary reason, and claims are adjudicated by a Managed Care Organization (MCO). MCOs are third-party companies that process claims for the health insurance component.

Does Medicaid pay for dental implants?

Medicaid coverage for dental implants varies by state, as each state determines its own benefits. It is necessary to visit the state's website or contact its Medicaid agency to determine if dental implants are covered.

How many states cover dental services?

According to a report by the Medicaid and CHIP Payment and Access Commission (MACPAC), a total of 32 states provide coverage for restorative services such as fillings, crowns, and root canals, while preventive services such as cleanings and fluoride application are covered by 32 states. Additionally, periodontal services, including scaling and root planing, are covered by 31 states. Therefore, it can be stated that the number of states that cover dental services varies depending on the specific type of service being considered.

Does Medicaid cover adult dental services?

Medicaid programs are not required to cover dental services for adults, although they are required to cover such services for children and youth under the age of 21. However, poor oral health is prevalent among adults with low incomes in the United States, highlighting the need for coverage of adult dental services under Medicaid.

Does Medicaid cover dental care in Alaska?

Yes, Medicaid in Alaska covers dental care for adults who are 21 years and older. The coverage includes preventive dental care such as exams and cleanings, as well as restorative procedures like fillings, crowns, root canals, and dentures.

39 states and Washington, DC provide comprehensive dental coverage through Medicaid, while all states cover dental services for pregnant Medicaid beneficiaries.

How many states have dental coverage limits?

Approximately one-third of states, or 13, have annual dollar and service limits on Medicaid coverage for dental services. Some states also have specific policies for certain populations, such as providing more comprehensive care for pregnant women.

Does Medicaid cover dental services?

Medicaid coverage for dental services varies by state. Privately insured patients typically receive more dental procedures than publicly insured patients. It would cost an estimated amount to introduce an adult Medicaid dental benefit in all states that currently do not have one. More information can be found on the American Dental Association's website.

How many dentists are there in the US?

In the US, there were approximately 200,419 active dentists in 2019, with a ratio of 61 dentists per 100,000 civilians. Unfortunately, dental services' high cost prevents many Americans from receiving necessary dental care.

What percentage of Americans have no dental insurance?

In 2015, 29% of people in the United States had no dental insurance, which increased to 62% for older adults.

Medicaid does not cover dental implant services, as it only provides limited coverage for routine care, oral exams, cleanings, fillings and extractions. Thus, Medicaid's dental coverage is insufficient and does not extend to elective dental procedures like implantations. However, basic procedures such as fillings and tooth extractions may be covered.

Are dental implants covered under Medicaid?

Medicaid does not cover dental implants as they are considered cosmetic and not essential treatment.

When will health insurance pay for implants?

Health insurance will only pay for dental implants if the procedure is deemed medically necessary due to an accident, injury, or certain medical conditions. Coverage is generally not provided for cosmetic purposes.

Will my insurance cover my dental implants?

It is possible that your insurance coverage for dental implants may require using both medical and dental insurance, depending on the reason for their necessity. Careful review of your policy documents can provide more information about coverage for this dental procedure.

Following the conclusion of the dental program on October 1st, 2019, Alaska Medicaid implemented an emergency dental program to ensure continued availability of dental services for Medicaid beneficiaries.

Which dentist accepts Medicaid?

Medicaid insurance program is only accepted by dentists who are affiliated with the state-funded program. However, there are only a few dentists in the Medicaid program.

Does Alaska Medicaid cover dental?

Yes, Alaska Medicaid provides coverage for dental services, including routine check-ups, cleanings, X-rays, and necessary treatments such as fillings, dentures, and root canals for Medicaid beneficiaries who are 21 years old or older.

Are there dentists that take Medicaid?

Kool Smiles is a Medicaid dentist with nationwide locations that accepts Medicaid.

Is Alaska a Medicaid state?

Alaska is a Medicaid state, and Medicaid eligibility is determined by the Division of Public Assistance (DPA), in accordance with federal and state regulations as set forth in the Alaska Medicaid state plan. In 2021, there are income and asset limits that applicants must meet to qualify for Alaska Medicaid.

Medicaid does not provide coverage for cosmetic dental procedures for adults in any state. Such procedures aim to improve the appearance and symmetry of one's teeth and gums rather than their function and health.

Can adults get dental implants with Medicaid?

Medicaid coverage for dental implants for adults over 21 years varies according to the US state of residence. States have different programs that offer dedicated dental procedures for eligible patients.

What dental services are covered by Medicaid?

Medicaid covers a range of dental services for children between ages 0-20 and adults 21 and older. For children, two preventive visits per year, including cleanings, exams, x-rays, fluoride treatment, restorative fillings, crowns, periodontics, endodontics, orthodontics (braces), tooth replacement (bridges, implants, dentures, partials), and oral surgery (extractions, jaw surgery, TMJ treatment) are covered. Adults are covered for similar services as well.

What does DentaQuest Medicaid cover for adults?

DentaQuest's Medicaid plan for adults covers preventive and diagnostic dental services, including two dental exams, x-rays, and cleanings each year. These services are covered at 100% without waiting periods, deductibles, or co-pays.