HIP and CompreHealth Preventive Dental Services
Through our HIP health plan and CompreHealth health plan, we give access to preventive dental services from participating dentists.
|One exam (comprehensive or periodic) every six months
||$5 per visit*|
|One prophylaxis (cleaning) every six months
||$10 per visit**|
|One topical application of fluoride (for children age 16 and under) every six months
||$5 per visit|
*Participating dentists may suggest that members get extra services and procedures consistent with generally approved dental practices. For example, a recent full mouth series of X-rays is needed at the time of exam. Frequency of X-rays depends on the practitioner’s judgment of each person’s case based upon a number of factors.
** An exam and X-rays are needed prior to a cleaning.
We also give extra services, including but not limited to X-rays, fillings, crowns or dentures, at a discounted rate subject to a fee schedule which may change from time to time. The schedules of services are based on the location of the provider's office. Therefore, members will pay different fees based on the location (region) of the dentist's office.
Specialist dental services such as endodontic, oral and maxillofacial surgery, orthodontic, pediatric, periodontic and prosthodontic procedures are also available from participating dentists. Charges for specialist services are discounted by 20 percent off the dentist's usual and customary rates. No schedule of services applies to specialist dental services.
Selecting a Participating Dentist
Both general and specialist dental services may be self-referred, referred by a participating dentist or arranged through Careington International. Members may select any participating HIP and CompreHealth dentist and may change their choice of provider at any time. Members must use participating dentists for all care under this benefit to take advantage of the discounted rates.
If you need help finding a participating dentist near you, have questions about your benefits or want a schedule of services or directory, call Careington International at 1-877-548-4447, Monday through Friday, from 8 am to 8 pm.
This benefit is not for Child Health Plus members, Medicaid members, HIP/HMO Direct subscriber, HIP/CHOICE Plus Direct subscribers, or Healthy New York members.
These benefits are for (1) members enrolled through a group or an organization, such as an employer, labor union, association or welfare fund, that acts as a remitting agent and sends HIP and CompreHealth the premium for the member's coverage and (2) members enrolled through a HIP/HMO direct payment contract before 01/01/96.EmblemHealth Medicare HMO members, please refer to our Medicare Web site for information about your plan.
Through HIP and CompreHealth’s agreements with Careington International Corporation, this program gives HIP and CompreHealth members discounts on services given by Careington.