For adults: Medicaid will cover up to $500 a year worth of dental services excluding dentures and tooth extractions. You also don’t need to worry about paying for any services covered by your plan. Beginning January 1, 2018, the University of Arkansas System dental plan will be administered by Arkansas Blue Cross and Blue Shield. Find the right Ambetter from Arkansas Health & Wellness health plan that best fits your budget and health needs by viewing the Ambetter plan and coverage brochures. Dental care for adults is not mandatory, so states provide dental services as an optional benefit. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. If you have a dentist but want to know if your dentist is a part of your dental carrier’s network, you can check your carrier’s website. And even if you do find low-cost dental care, it can be difficult to find dentists that accept Medicaid or dentists that provide low-income options. The University of Arkansas dental plan, administrated by Arkansas Blue Cross Blue Shield, covers basic dental exams, restorative care, cleaning services, preventive dental services, and orthodontics (for children up to age 18).More intensive dental procedures including fillings, extractions, oral surgery, crowns, bridges, partials, implants and fluoride treatments are also covered. Dental coverage is included in some Marketplace health plans. Medicare Part A (Hospital Insurance) will pay for certain dental services that you get when you're in a hospital. We also provide listings for affordable dental clinics including medicaid dental … For additional information on the Arkansas Medicaid Dental Fee for Service program, enrollees can call the assistance line at 501-320-6230. The Marketplace does offer dental insurance plans, but when purchased as a stand-alone policy they are not eligible for federal subsidy tax credits. Health plans that include dental coverage. The availability of dental care depends on both age and the state you reside in. Cabun Rural Health Services, Inc. Hampton, AR 71744. You can see which plans include dental coverage when you compare them. Each plan sent a welcome packet to each member and the members were able to access plan providers starting January 1, 2018 for covered dental services. Many Medicare Advantage (Part C) plans include dental coverage, but you may need to pay a higher premium. These services will be covered by plans from either Delta Dental of Arkansas or Managed Care of North America (MCNA). How Does AR Dental Insurance Work? Delta Dental for Adults: www.deltadentalsmiles.com, Delta Dental for Kids: www.deltadentalsmilesforkids.com. What do I do now? Our dental plans and vision plans may also have waiting periods. To compare plans, you can go to either Delta Dental’s website or MCNA’s website. A Provider Friendly Program for Arkansas MCNA Insurance Company (MCNA) is a leading dental benefit management company committed to providing high quality services to state agencies and managed care organizations for their Medicaid, Medicare, and CHIP members. Disability Services After that 90 days, you will only be able to change during the annual open enrollment period or “for cause.”. Insurance plans through Arkansas Works cover health services such as wellness checkups, doctor visits, flu shots, and health tests that can help enrollees maintain or improve their health before a … Find a DHS county office near you. Dental coverage is available 2 ways. The plan or provider does not, because of moral or religious objections, cover the services that you need. Medicaid dental coverage of basic oral care for adults is more accessible across the country. Your Medicare coverage does not include oral health coverage, so you’ll pay a small monthly premium. Dental Clinics. Seniors need and deserve the best dental coverage. In addition, patients with otherwise healthy smiles utilize basic services most frequently. Division of Aging, Adult, & Behavioral Health Services, Division of Child Care & Early Childhood Education, Division of Developmental Disabilities Services, Division of Provider Services & Quality Assurance, Office of Legislative and Intergovernmental Affairs, Meet the Chief Communications & Community Engagement Officer, Meet the Division of Medical Services Director, PASSE - Provider-Led Arkansas Shared Savings Entity, Proposed Rules Up for Public Comment - DMS, Managed Care of North America, Inc. (MCNA) –. health care coverage to certain categories of people with low incomes, including children and their parents, pregnant women, the elderly, and individuals with disabilities. There are a plethora of questions surrounding healthcare and especially dental care in the US. You have a lack of access to services covered under your plan. If members want to change their assigned plan, please contact 1-800-322-5580. We serve over 4 million children and adults with the singular mission of improving Preventive Care. You can request to change “for cause” anytime for reasons that may include: To find out if you can change your plan or provider “for cause,” call Connect Care at 1-800-322-5580 to make your request. That means the state and federal government pay for your health insurance from one of three insurance companies that offer qualified health plans. 62% of Arkansans are DENTALLY uninsured. Check your plan booklet or Policy for the specifics of your coverage. You have gotten poor quality of care from the plan or the provider. If you are eligible, you will be assigned to a dental carrier, and you will get a welcome packet from your carrier within 10 business days of your plan assignment. Members or dependents with an Arkansas Blue Cross dental insurance plan provided through their employer may qualify for Dental Xtra if they have one of the qualifying conditions. In early December 2017, all Arkansas Medicaid beneficiaries who are eligible for dental benefits were randomly and evenly assigned to one of the two dental managed care plans. Medicare doesn't cover most dental care, dental procedures, or supplies, like cleanings, fillings, tooth extractions, dentures, dental plates, or other dental devices. Medicaid will cover common dental services like teeth cleanings, x-rays, crowns, and more. 501-526-2244
Delta Dental of Arkansas Member Connection Through our website, you will find all the tools and resources you need to help manage your dental benefits. The premiums shown are samples for your initial plan comparison purposes only. Dental Xtra. The topic of Medicare and Medicaid dental coverage causes a lot of confusion for people looking for a way to help pay for dental work. All states are required to provide dental care for children that are covered by Medicaid and Children’s Health Insurance Program (CHIP).. Smoking Costs Arkansas Medicaid $795 Million Annually Access your plan information and quick start guide with My Blueprint, an online, self-service that gives you 24/7 access to your health plan information. It’s up to you to make sure Medicaid will pay for other dental care if you need it. Arkansas is one of six states that currently does not offer state Medicaid Coverage for Adult Dental Benefits. We have listed at the bottom of the page all of the cities in Arkansas, where we have located free and sliding scale dental clinics. Unless your child is in ARKids-B, you will not have a co-payment. Read More, ACHI Celebrates 20th Anniversary with Discussion Between Huckabee, Beebe With Delta Dental Smiles, you have great benefits. Call - (870) 798-4064. Suite 300 (Victory Building) What dental services does Medicaid cover? Under the Trump Administration, the state imposed a Medicaid work requirement in June 2018, causing 18,000 enrollees to lose coverage by the end of 2018. The medical director of Arkansas Blue Cross and Blue Shield has established specific coverage policies addressing certain medical procedures or technologies. We offer a full suite of dental benefits and services worth smiling about — like our broad-access network of top dentists, orthodontic coverage, maximum rollover benefit and Dental … Arkansas is one of six states that currently does not offer state Medicaid Coverage for Adult Dental Benefits. Annual open enrollment for dental services will be held November 1 – December 15 each year. In the request, please tell us the reason you want to change, and send us any information given to you by the provider showing why you want to change providers or plans. Medicaid pays for preventive dental work in 27 states. Copyright © 2020 State of Arkansas. This field is for validation purposes and should be left unchanged. So while you may have 100% coverage or no copayments for checkups and cleanings, your friend who also has a Delta Dental plan may not. Medicaid is the primary vehicle for dental coverage among adults with low incomes. Read More, COVID-19 in Arkansas: A Weekly Snapshot, Nov. 21‒29, 2020 Return to list. While state Medicaid programs are required by federal rules to cover comprehensive dental services for children, coverage for adult dental services is optional. Enrollees can use a personal AR Medicaid ID Card for various types of life improvement Medicaid coverage. Learn about Dental Xtra COVID-19 in Arkansas: A Weekly Snapshot, Nov. 21‒29, 2020, Affordable Care Act in Arkansas: Policy Decisions & Coverage Impacts, Download Medicaid Adult Dental Program Factsheet, BMI Measurement Resources for School Personnel, © 2019 Arkansas Center for Health Improvement. We’ve gathered and researched the best dental insurance for seniors in Arkansas for you to compare. President & CEO
Coverage for children in ARKids B will have an annual limit equal to five percent (5%) of the family’s annual gross income (the amount before taxes). Here’s a quick overview of how most dental coverage works. The Arkansas Medicaid and CHIP programs cover many of the costs of routine dental care. If you would like to switch plans during open enrollment, call 1-800-322-5580 Monday through Friday from 8:00 a.m. to 4:30 p.m. Any changes made to your dental coverage during open enrollment this year will go into effect on January 1, 2020. , which outlines states’ coverage of dental benefits for adults in Medicaid. Find Care online or on My Blueprint to find a primary care provider (PCP). Note: Adults living in a Human Development Centers or nursing homes and those enrolled in the Program for All Inclusive Care for the Elderly (PACE) program, will have their services paid for by the Arkansas Medicaid Fee for Service program rather than through a Delta Dental or MCNA plan. It also highlights key challenges related to oral h ealth care access and use for low-income adults, as well as opportunities for states to increase oral health care coverage and access for this population. Arkansas expanded Medicaid by usingMedicaid funds to purchase exchange plans for eligible enrollees. With a variety of plans available, you can find basic dental coverage for general dental care or choose coverage for major care, such as dental implants. Learn more. Arkansas Dental Clinics. If you only have Medicare Part A and/or Medicare Part B, you do not have dental coverage for routine exams, cleanings, fillings, etc. For costs and complete details of coverage, call or write Humana or your Humana insurance agent or … Frequently Asked Questions I just got coverage with Arkansas Blue Cross and Blue Shield. If you are happy with your plan, you do not have to change, and your coverage will continue with the same dental carrier and with the same benefits you had last year. 62% of Arkansans are DENTALLY uninsured. For example, if a family of four has an annual gross income of $40,000 then their out-of-pocket expense can’t be more than $2,000 ($40,000 x .05 = $2,000). If you want to know what services are covered, call your provider or check your plan on your provider’s website. Make an appointment with your dentist and remember to tell them you have Delta Dental Smiles! You also have access to great dentists. Read More, 1401 West Capitol Read More, Pandemic Lesson: Risks to Underfunding Public Health The center is here to … achi@achi.net. This means that those who have been subject to the work requirement are no longer required to report work or other activities to keep their health coverage. The services covered by Arkansas Medicaid will not necessarily be the same as in other states. Delta Dental of Arkansas is a part of Delta Dental Plans Association. These services will be covered by plans from either Delta Dental of Arkansas or Managed Care of North America (MCNA). The program has been altered over time and is now called Arkansas Works. Sec. If you have been assigned to MCNA Dental, please call 1-844-341-6262. Now is the time to start using those benefits! Arkansas Works is public health coverage. Some states only provide emergency dental care services, such as extractions when an infection is present. Joseph W. Thompson, MD, MPH
And if you’re purchasing through the federal marketplace, you cannot buy just a dental plan – you also need to buy (or already have bought) full healthcare coverage from the Marketplace. Dental health is an important part of your overall health. If you have a job that offers you a way to get health insurance, that is known as Employer Sponsored Health Insurance, and it is a private insurance system. You qualify based on your family’s income. 23-86-114). Medicaid will cover common dental services like teeth cleanings, x-rays, crowns, and more. You need several services to be done at the same time and not all of those services are available in the provider’s network; or your primary care dentist thinks having the services done separately would put your health at an unnecessary risk. Arkansas dental insurance works in much the same way that medical insurance works. This factsheet includes information about the Medicaid Adult Dental Program, including the status of the program at time of publication, the program’s impact on a state level, how it works, and who administers the program. Arkansas Free and Sliding Scale Dental Clinics along with Medicaid. The Arkansas Works program helps give eligible Arkansans a better quality of life. Your Arkansas Dental Options. If a health plan includes dental, the premium covers both health and dental coverage. Arkansas law requires that every group health insurance policy providing hospital, surgical, or major medical coverage provide that an employee or spouse whose coverage under the policy would otherwise terminate due to termination of employment or a change in marital status may continue coverage for themselves and their eligible dependents for up to 120 days (AR Stat. This means that your plan is more likely to pay for the service. (501) 682-1001, TTY: 1-800-285-1131 or dial 711 for Arkansas Relay Service. Dental plans can help you plan and budget for the costs of dental care. For children under age 21: Dental services will be covered for people who get Medicaid, ARKids First-A, and ARKids First-B. This ruling does not affect your current Arkansas Works health insurance coverage. If you have been assigned to Delta Dental, please call 1-866-864-2499. We offer a variety of benefit plans, each with different features. Two Dental Managed Care carriers manage the Arkansas Medicaid Dental program: You have 90 days from when you are assigned the plan to switch plans or providers. We pay for covered dental services if: Medically needed dental services; Done by a Delta Dental Smiles network dentist NOTICE: On March 27th, a federal judge has ruled to block the work requirement in Arkansas. Separate, stand-alone dental plans. Information on Medicaid confirms that traditional services may include family planning, dental and vision care, prescription drugs, hospitalizations, surgeries and more. For a specific monthly rate(or "premium"), you are entitled to certain dental benefits, usually including regular checkups, cleanings, x-rays, and certain services required to promote general dental health. All Rights Reserved. The only time you will have to pay is if you get services not covered by your plan. Our dental plans and vision plans have exclusions, limitations and terms under which the coverage may be continued in force or discontinued. The links are listed below. The purpose of a Coverage Policy is to inform members and their physicians why certain medical procedures may or may not be covered under Arkansas Blue Cross and Blue Shield health plans. You have a lack of access to providers experienced in helping you. 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