Dental Plans

EmblemHealth offers a choice of three programs* featuring different benefit designs, network size and member and group cost-sharing responsibilities. For existing members, descriptions of our HIP plans are also available below.

* EmblemHealth dental programs are underwritten by Group Health Incorporated (GHI).


Preferred Plus Preferred Dental Access
Benefits

Traditional benefits with cost sharing and a larger network

Roll-over feature for unused annual benefits maximum

No approvals or referrals required

Paid-in-full, in-network coverage for all covered services

Roll-over feature for unused annual benefits maximum

No approvals or referrals required

Paid-in-full, in-network coverage for preventive and diagnostic care

100% coverage for crown, bridge and denture repair

Network

8,100 dentists and specialists in NY and NJ

Nationwide coverage available

6,300 dentists and specialists in NY and NJ

5,500 dentists and specialists in NY and NJ

Cost sharing

Out-of-network benefits for covered services

Out-of-network benefits for covered services.

In-network discounts for more costly services

Out-of-network benefits for covered services

HIP and CompreHealth Dental Plans

HIP offers two dental programs a HIP Preventive Dental plan and a program for HIP Medicaid/ Family Health Plus/Child Health Plus/ Dental benefits for members. HIP dental plans offer access to quality care near where you live and work.


HIP and CompreHealth Preventive
Dental Services
HIP Medicaid/Family Health Plus/
 Child Health Plus Dental Benefits
Benefits Access to a network of providers that charge discounted fees. No claims are involved. The member pays the provider at the time of service. Available to only Medicaid, Family Health Plus and Child Health Plus Members.
Network Careington International Participating Dentists Healthplex Participating Dentists
Cost sharing

Out-of-network benefits for covered services

Family Health Plus has some copays.

Medicaid and Child Health Plus have no cost sharing.

Dental Credentialing

EmblemHealth credentials and re-credentials network dentists through Dentistat, Inc., the industry's largest dental credentials verification organization. Learn More.