Dental Care

If you are 21 years or older, you have covered dental services. Your dental services will have a limit of $1,000 per benefit year. Any unused benefit will not roll over to the next year. You may be billed for any services that are over the limit. Some dental services may have limits and/or prior authorization requirements. Please contact our Case Manager or Customer Care Center if you have any questions.

• All health plan members ages 20 and younger are assigned to a Dental Home, also known as a Primary Dental Provider (PDP). A Dental Home is a dentist’s office that is visited every six months for a check-up.
• All dental health checkups, cleanings and treatments are covered for health plan members ages 20 and younger.
• Children do not need to be referred by his/her PCP to see a dentist.

At 12 months of age children should begin to see a dentist for a checkup every six months. B – UFC/ALTCS sends dental checkup reminders. Dentists can help prevent cavities. They also teach you and your child how to care for teeth.

Look in the Provider Directory to choose a dental clinic near you or call our Customer Care Center for help scheduling a visit.

Use these guidelines for scheduling appointments for your child:

• Emergency dental appointments – same day appointments for extreme pain and dental emergencies.
• Urgent dental appointments – within 3 days for lost fillings, broken tooth.
• Routine dental appointments – within 45 days for routine checkups and dental cleanings.
• Make sure you take your child’s B – UFC/ALTCS Member ID card with you to the dental appointment.