"Does Medi-Cal for kids cover dental"

Does Medi-Cal for Kids cover Dental?

One of the most often asked questions about Medi-Cal is whether there is dental coverage for kids. In this post, we will provide details about Medi-Cal Dental Benefits for Kids, including what is covered. Find out who is eligible, how to find a Medi-Cal dentist, and if there is a yearly maximum on services available to kids.

Table of Contents:

  • Does Medi-Cal cover Dental Benefits for Kids?
  • Do I qualify for Medi‑Cal dental services?
  • What Dental Services are covered for Kids?
  • What is the yearly limit to Medi-Cal dental?
  • How can I find a Medi-Cal Dentist

"Medi-Cal Dental Benefits for Kids"

Does Medi-Cal cover Dental Benefits for Kids?

Yes, Medi-Cal covers a wide range of dental services for kids. This benefit is included with your Medi-Cal coverage at little to no cost to you.

Do I qualify for Medi‑Cal dental services?

The Medi‑Cal program offers a variety of benefits to members including covered dental services.

To receive dental coverage through Medi‑Cal, you must be eligible for Medi-Cal.

Your Medi-Cal eligibility determines the types of benefits you have access to through Medi‑Cal.

However, you do not need to apply separately for dental coverage because it is a part of the Medi‑Cal program.

To apply for Medi-Cal, see our post on Medi-Cal application.

For details on Medi-Cal dental program for adults, see our Medi-Cal Dental Guide.

What Dental Services are covered for Kids?

Below is a list of Dental Services covered by Medi-Cal for kids based on age:

Kids 5-12

The Medi-Cal Dental Program provides the following free or low-cost services for kids:

  • Dental exams (every 6 months)
  • X-rays
  • Teeth cleaning (every 6 months)
  • Fluoride varnish (every 6 months)
  • Molar sealants
  • Fillings
  • Root canals
  • Tooth removal
  • Emergency services
  • Outpatient services
  • Sedation (if medically necessary)

Teens 13-17

The Medi‑Cal Dental Program provides the following free or low-cost services for teens:

  • Dental exams (every 6 months)
  • X-rays
  • Fluoride varnish (every 6 months)
  • Molar sealants
  • Teeth cleaning (every 6 months)
  • Orthodontics (braces) for those who qualify
  • Fillings
  • Crowns (Crowns on molars or premolars (back teeth) may be covered in some cases)
  • Root canals
  • Partial and full dentures
  • Scaling and root planing
  • Tooth removal
  • Emergency services
  • Outpatient services
  • Sedation (if medically necessary)

What is the yearly limit to Medi-Cal dental?

Great news, kids are covered and there is no annual maximum for covered dental service.

Also, adults who live in a nursing facility also have no maximum.

However, for adults 21 years of age or older, there is no limit for medically necessary treatments but for other services, there is an $1800 maximum per year of benefits.

How can I find a Medi-Cal Dentist?

You can find a dentist by visiting the Medi‑Cal Dental provider website, or you can call the Telephone Service Center Phone Line at 1‑800‑322‑6384.

Can Adults Get Dental Benefits under Medi-Cal?

Yes, the video below explains the range of Medi-Cal dental coverage for adults.

Medi-Cal Dental Benefits for Kids Summary

We hope this post on Medi-Cal Dental Benefits for Kids was helpful.

Questions?

If you have further questions about Medi-Cal, please let us know in the comments section below.

Be sure to check out our other articles about Medi-Cal and California Medicaid program, including:

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