Dental Care
Hoosier Healthwise - Package A and Package C (CHIP)
The following listed dental services are covered:
- Two oral exams every 12 months for children under 21
- One oral exam every 12 months for adults 21 and over
- One cleaning every 6 months
- Two fluoride treatments every 12 months for members through age 20
- One complete bitewing x-ray series per member every 12 months
- Full-mouth radiograph series or panoramic x-rays once every 36 months
- Periodontal services including scaling and root planing
- Sealants for members up to age 20 (one per tooth, per lifetime)
- Minor restorative services, such as fillings
- Major restorative services, such as crowns
- Tooth extractions (based on medical necessity)
- Orthodontia for members through age 20 (based on medical necessity)
- Dentures, partials, and repairs (with limits)
- Dental surgery (with limits)
- Emergency dental services
Some dental services must be approved in advance, including dentures and dental surgery. Your dentist can help you get approval.
Envolve Dental Medicaid Plan Specifications (PDF)
Find a Network Dentist
Use our Find a Provider tool or call MHS Member Services at 1-877-647-4848.