Dental Services

Coverage is limited, but includes with limitations:  oral exams, emergency visits, x-rays, extractions, fillings, for all ages.*  Root canal therapy, crowns, sealants and braces (for sever malocclusions) are limited to eligible members under age 21 meeting prior-authorization criteria.  Dentures and partials are not covered.  Denture repair, limited to members under age 21.

* Root canal therapy, crowns and sealants are limited to eligible members under age 21.  Braces (for sever malocclusions) are limited for eligible members under age 21 meeting prior authorization criteria.