Medicare Dental
Take Care of Your Smile and Health
We’re happy to offer quality dental coverage. Having healthy teeth and gums can help prevent certain health risks caused by poor oral hygiene, like diabetes and heart disease. That’s why we contract with Healthplex to help manage the dental needs of our members. Healthplex has a large network of participating dentists and specialists.
Your plan may include preventive and/or comprehensive dental benefits. If it does not, you can buy optional supplemental dental benefits for an additional low monthly premium. There are two dental Point of Service (POS)plans or one dental indemnity plan to choose from. Each option is tailored to meet your needs.
Preventive Dental Services Include:
- One every six months: oral exams, cleanings, fluoride, standard x-rays
- One every 36 months: intraoral complete series x-rays, panoramic and vertical bitewing x-rays
Comprehensive Dental Services Include:
- Minor Restorative Services: fillings
- Major Restorative Services (Endodontics, Periodontics, Prosthodontics and Oral and Maxillofacial Surgery) – Includes Root Canal Therapy, Periodontal Scaling and Planing, Periodontal Surgery Crowns, Fixed Bridgework, Partial and Full Dentures, Denture Adjustments, Repairs to Fixed Bridges, Re-Cement of Fixed Bridges, Crowns, and Inlays, Extractions and Oral Surgery, Implants, and Maintenance
- Prior authorization may be required for some services
The dental POS plans give you the most cost savings when staying in-network. Services provided by a non-network dentist will be reimbursed according to the out-of-network allowance. After your deductible and/or cost-share amount, you will be responsible for the difference between the out-of-network allowance and the total amount billed by a non-network dentist.
The dental indemnity plan gives you the most flexibility when it comes to choosing your dentist with no Network. We will reimburse you 50% of the billed amount of any dental services you paid for, up to the plan annual maximum.
Enrolling in a ConnectiCare optional dental plan as a ConnectiCare member, you can:
- Enroll in an optional dental plan within the first three months of enrollment in a ConnectiCare plan
- Drop an optional dental plan at any time during the calendar year*
- Change to a different optional dental plan from 10/15/2024 through 03/31/2025
*Note: If you later disenroll in your optional dental plan, you can only re-enroll in that dental plan. You cannot switch to a different dental plan.
General 2025 Dental Information
Add a 2025 Dental Option to Your Plan
If not currently enrolled call 877-224-8221 (TTY: 711)
From Oct. 1 to March 31, you can call us from 8 a.m. to 8 p.m., seven days a week. From April 1 to Sept. 30, you can call us from 8 a.m. to 8 p.m., Monday through Friday.
Medicare members call 800-224-2273 (TTY: 711)
From Oct. 1 to March 31, you can call us from 8 a.m. to 8 p.m., seven days a week. From April 1 to Sept. 30, you can call us from 8 a.m. to 8 p.m., Monday through Saturday.
