Our goal at EmblemHealth is to provide you with access to high-quality care, which is why we have contracted with DentaQuest to manage the dental needs of our EmblemHealth VIP Medicare members. DentaQuest has a robust network of participating dentists and specialists.
We offer HMO and HMO-POS dental benefits, depending on the plan you choose. HMO dental benefits are available with EmblemHealth VIP Gold and VIP Gold Plus (HMOs); and VIP Dual, VIP Dual Enhanced, and VIP Dual Reserve (HMO D-SNPs). With HMO dental, you must see a network dentist for your services. With HMO-POS plan, like VIP Value, you can see providers outside of our dental network, too.
Both plan types cover preventive services like cleanings, x-rays, exams, and fluoride treatments at $0 cost to you.
For HMO plans’ comprehensive dental services, like crowns, bridges and dentures, you pay $0 to $150 depending on the service. Special Needs Plan (HMO D-SNP) members pay $0. There is no annual maximum our plan pays towards your dental benefits.
For HMO-POS plan’s comprehensive dental services, you pay 50% of the cost. Our plan will pay the rest up to your annual maximum of $2,000.
EmblemHealth Dental Brochure
Dental Reimbursement Form
List of Covered Dental Services
For more information about dental services and participating dentists and specialists, please call 844-776-8749 (TTY: 711). From Oct. 1 to March 31, you can call us seven days a week from 8 a.m. to 8 p.m. From April 1 to Sept. 30, you can call us Monday through Friday from 8 a.m. to 8 p.m.
