Medicare Dental Coverage | EmblemHealth

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Medicare Dental Coverage

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Your Smile Matters

We’re happy to offer quality dental services to our EmblemHealth VIP Medicare members. Having healthy teeth is part of staying healthy.

Our goal at EmblemHealth is to provide you with access to high-quality care, which is why we have contracted with Healthplex to manage the dental needs of our EmblemHealth VIP Medicare members. Healthplex has a large network of participating dentists and specialists.

 

As an EmblemHealth VIP Medicare member, you will pay $0 for preventive services like cleanings, x-rays, exams, and fluoride treatments. For comprehensive dental services, you will pay a $0 to $150 copayment depending on the service. There is no annual dollar limit.

 

Most of our EmblemHealth VIP Medicare Plans include preventive dental services. Plans that include Comprehensive Dental Benefits are EmblemHealth VIP Gold (HMO), EmblemHealth VIP Gold Plus (HMO), EmblemHealth VIP Rx Saver (HMO), EmblemHealth VIP Dual (HMO D-SNP), EmblemHealth VIP Dual Reserve (HMO D-SNP) and EmblemHealth VIP Dual Enhanced (HMO D-SNP).

As a member of EmblemHealth VIP Dual (HMO D-SNP), EmblemHealth VIP Dual Reserve (HMO D-SNP), and EmblemHealth VIP Dual Enhanced (HMO D-SNP), you pay $0 for both preventive and comprehensive dental services.

Get the EmblemHealth Preventive and Comprehensive Dental Brochure

 

2025 Dental Brochure 

Download PDF

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For more information about dental services and participating dentists and specialists, please call EmblemHealth Dental at 855-933-4033, 8 a.m. to 8 p.m., Monday to Friday. If you use a TTY, please call 800-662-1220, 8 a.m. to 8 p.m., Monday to Friday.

Our goal at EmblemHealth is to provide you with access to high-quality care, which is why we have contracted with Healthplex to manage the dental needs of our EmblemHealth VIP Medicare members. Healthplex has a large network of participating dentists and specialists.

 

As an EmblemHealth VIP Medicare member, you will pay $0 for preventive services like cleanings, x-rays, exams, and fluoride treatments. For comprehensive dental services, you will pay a $0 to $150 copayment depending on the service. There is no annual dollar limit.

 

Most of our EmblemHealth VIP Medicare Plans include preventive dental services. Plans that include Comprehensive Dental Benefits are EmblemHealth VIP Dual (HMO D-SNP), EmblemHealth VIP Rx Saver (HMO), EmblemHealth VIP Gold (HMO), EmblemHealth VIP Dual Reserve (HMO D-SNP) and EmblemHealth VIP Gold Plus (HMO).

As a member of EmblemHealth VIP Dual (HMO D-SNP) and EmblemHealth VIP Dual Reserve (HMO D-SNP), you pay $0 for both preventive and comprehensive dental services.

Get the EmblemHealth Preventive and Comprehensive Dental Brochure

 

2024 Dental Brochure 

Download PDF

---------------------------

 

For more information about dental services and participating dentists and specialists, please call EmblemHealth Dental at 855-933-4033, 8 a.m. to 8 p.m., Monday to Friday. If you use a TTY, please call 800-662-1220, 8 a.m. to 8 p.m., Monday to Friday.

Disclaimers:

Prior authorization is required for some services. Implants are not covered by our plan.

Last Update 10/01/2024

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