Your Medicaid dental coverage
Babies, children, and adults should see a dentist twice a year. Brushing, flossing, and avoiding sugary food and drinks can help keep your teeth and gums healthy.
Babies, children, and adults should see a dentist twice a year. Brushing, flossing, and avoiding sugary food and drinks can help keep your teeth and gums healthy.
Part of being healthy is oral health care. Problems with your teeth can affect your overall health. Tooth problems can cause problems like:
Regular visits with your dentist can help prevent problems before they develop. If you have problems with your teeth or gums, a dentist can diagnose and treat you.
Medicaid recipients in Florida can pick from three statewide dental plans:1
To pick or change a dental plan:
Once enrolled in a plan, the plan itself can help you:
Once you pick a dental plan, your dental plan will send you a dental ID card. This ID card will not come with your health plan member ID card. Your Florida Medicaid Choice Counselor or the dental plan you pick can talk to you more about when to expect your dental ID card to come in the mail.
Florida Medicaid wants to help keep children healthy. Children with Medicaid in Florida get the following dental services at no cost:
Some services require your dental plan’s permission. This is called prior authorization. Services must be medically necessary for a dental plan to pay. Your dental plan can tell you if a service your dentist suggests is covered.
For Florida Medicaid members who are 21 and older, your dental plan will cover emergency-based dental services, including:
Some services require your dental plan’s permission. This is called prior authorization. Services must be medically necessary for a dental plan to pay. Your dental plan can tell you if a service your dentist suggests is covered.
You may be eligible to receive additional services. For example, our pregnant members who are 21 and older may be able to get extra dental services to help with a healthy pregnancy. Ask your dental plan if it provides any or all of the following services:
Your dental plan will cover most of your dental services, but we may cover some dental services for you. The following table will help you to decide which plan pays for a service.
1 Agency for Health Care Administration. Florida Medicaid Dental: Dental Care for Your Health