There is generally No coverage for implants. Medi – Cal generally does not cover implants.
However, check out Dental for Everyone they have plans that will cover implants! Remember though, there is no free lunch. Insurance Companies have to take in more money in premiums than the pay in claims… MLR Medical Loss Ratio and all.
Also check these plans:
- Delta Dental No Wait plan and
- Renaissance Dental Max Choice Plan
- Click on the button below to get quotes and details.
- Check out alternatives to Implants Like Dentures.
- Check out Medicare Advantages plans – some may offer $400/quarter that rolls over quarterly, but not annually and may also offer “essential extra’s” like a $500 flex card
Try turning your phone sideways to see the graphs & pdf's?
Liberty Dental Plan!
Liberty Dental DHMO plan features large group type benefits, but is not rated by age or zip code, and individuals and/or groups with no participation requirements!
Benefits Include:
No Annual Maximums, No Claim Forms, Coverage for Pre-Existing Conditions, No Waiting Periods, Orthodontia, Dental Implants and More.
Brochure and Enrollment Kit
- Brochure
- Liberty Provider Directory
- Liberty Dental Enrollment Forms
- Copayment Schedule of Benefits
- Implants Page 7
- Liberty Online Provider Directory *
*When using the online provider link, select the CA-400 plan (not to be confused with the CA-400-R Plus) from the Benefit Plan /Network drop down. You will have to scroll down about half way to find it. Then select Zip Code, Country, State and City and click on the Search button.
Dental For #Everyone,
has an excellent website with full brochures, Instant online quoting and enrollment
- One of our colleagues on how Dental for Everyone Works.
- Some of our webpages on dental
- VSP Vision
What are Dental #Implants?
Dental implants (ADA Codes) may be thought of as artificial tooth roots which allow the fabricated teeth to be firmly attached to the mouth. One may consider the jaw bone as a piece of wood and a dental implant as a screw
Learn more from REAL Dentists:
- American Academy of Implant Dentistry
- VIDEO – Dr. Kuzma
- southland dental care.com/the-myth-are-dental-implants-really-necessary
- dr palani.com/video-library
Write implants off your Taxes – using Health Savings Accounts
The average cost of placing a single dental implant ranges from $1,600 to $2,200, not including the cost of a restoration. Redd Road *
Implants may be covered under health insurance, if there is a “medical necessity” like cancer, major accident or skeletal deformity. View sample Delta policy page 40 #32.
You can include in medical expenses the amounts you pay for dental treatment. This includes fees paid to dentists for X-rays, fillings, braces, extractions, dentures, etc. including artificial teeth (IRS Publication 502 Page 5 & 7)
Implants are done when one doesn’t want a bridge because it more permanent and look better even in the back of the mouth and in view of this it’s considered cosmetic.
Unfortunately, implants are not generally a covered benefit. However, it is possible that Delta would provide an allowance for the covered benefit. It’s best that the enrollee ask their dentist to submit a pre-determination to Delta so that Delta can determine the covered benefit (if any) and the enrollees responsibility for payment in advance. Alternatives for Implants
Limitations:
The replacement of lost or stolen dentures, crown and bridge work, dental procedures and charges incurred as part of implants (placement or removal) and prosthetic devices placed on implants (fixed or removable, for example: bridges, crowns) are not covered. Smile Saver Brochure
Implants
Blue Shield Small Group Dental Plans – Dental Implant Explanation
#Delta1 Dental No Wait
- Delta Dental offers implant coverage for both groups and individuals:
- Group-sponsored Delta Dental PPO™ plans vary and may include implant coverage.
- Groups with DeltaCare® USA coverage can choose the i‑series plans for comprehensive implant coverage.
- For individuals, the Delta Dental PPO Premium Plan covers implants at 50%, after a 12-month waiting period.
#Delta Dental Direct
Delta Dental - Get Quotes & Enroll
Be sure to put in our AGENT # 2094784
Delta Dental – Covered CA Plans
California
- California Brochures
- Delta Dental PPO Premium Plan covers implants at 50%, after a 12-month waiting period.
- Delta Dental Individual & FamilyTM Delta Dental PPOTM Family Dental Plan 669 KB
- Delta Dental PPOTM Children’s Dental PPO for Small Businesses 790 KB
- Delta Dental PPOTM Family Dental PPO for Small Businesses 794 KB
- Delta Dental Individual & FamilyTM DeltaCare® USA Family Dental HMO 872 KB
- DeltaCare® USA Children’s Dental HMO for Small Businesses 837 KB
- Members Resource WebPage
- Broker ONLY
#Understanding Medicare Advantage Plans (PDF) #12026
Insurance Companies get a fee from the Federal Government, when you enroll in an MAPD plan. MAPD Plans must cover all A & B services Medicare.Gov *
That's why the premium is very low or ZERO!
- Set a phone or Skype Meeting
- #Intake Form - We can better prepare for the meeting
- HMO - Narrow Networks?
- Do I just sign up with a Medicare Advantage Company and automatically get * Parts A & B or do I have to get those from Medicare.Gov * VIDEO
- Get Quotes, Full Information and Enroll
- MANDATED wording!: Think Advisor * ‘‘We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1–800–MEDICARE to get information on all of your options.’’
- We disagree with the above wording, as we can use the same tools on Medicare.gov as they do!
- FYI a 4.27.2022 HHS Office of the Inspector General report found that MAPD plans denied 13% of prior authorizations that would have been covered under original Medicare (Conversely, Medi Gap, just follows what Medicare pays.)
- 88% of MAPD enrollees are happy
-
MAPD plans often include Dental & Part D - Rx Prescriptions and often have NO premiums! How is that possible? The Federal Government pays them around $700/month to handle your medical care. You must continue to pay your Medicare Part B premium of about $170/month. It's best to apply when you turn 65 for the supplement plans or advantage plans, as that's the main "Open Enrollment" period, guaranteed issue for any plan.
-
Medicare Advantage Plans also have an annual open enrollment now known as AEP Annual Election Period October 7 to December 15th.
-
Additional Coverage is important as Medical Bills are increasing Seniors Credit Card Debt or leading to possible bankruptcy?
Try turning your phone sideways to see the graphs & pdf's?
Highlights
Full Brochure
implants
Be sure to click on the button below to get a quote and the most current coverage information!
#Importance of Dental Coverage
Dental & General Health
Insurance 101?
We suggest that you check out Life Insurance, Disability, Long Term Care and Retirement as these risks may cause much more financial devastating to your budget than dental bills.
Picture of Oral Health
- Dental care reduces likelihood of hospitalization for people with diabetes or coronary artery disease Medical Press 5.6.2022
- The 2022 State of America’s Oral Health and Wellness Report Commissioned by Delta Dental Plans Association
- What drives buyers of individual Delta Dental plans?
- 77 Million Adults Do Not Have Dental Insurance
Steve on buying, shopping and best use of premium dollars
Dental Insurance VIDEO
MORE VIDEOS
- What dental Insurance... should I buy???
VIDEO the dentist attempts to give you some guidance about things to consider before buying a dental insurance plan, finance plans available, negotiating with your dentist - Sacramento Truck driver sudden dealth from tooth infection Sacramento Bee 1.31.2017
- Health Savings Accounts?
- Video - how bad sugary drinks are for you
Oral Health for #Seniors
Justice in Aging - Advocates Guide
- Justice in Aging - Webinar Oral Health Coverage for Low Income Seniors
- Denti-Cal under Medi Cal
- National Institute for Dental Research - Caregiver information
- Health.Gov tips for older adults
- nia.nih.gov/taking-care-your-teeth-and-mouth
All our plans are Guaranteed Issue with No Pre X Clause
Quote & Subsidy #Calculation
There is No charge for our complementary services
Watch our 10 minute VIDEO
that explains everything about getting a quote
- Our Quote Engine Takes all the complexity out of using pencil and paper to figure out the premiums per the Obamacare/ACA rules under CFR §1.36B-3 *
- Get more detail on the Individual & Family Carriers available in CA
FAQ’s Medi Cal & Dental #Implantsx
- Do you have an “OFFICIAL” explanation from Medi Cal on how implants are covered or not?
- Hi Steve,
- A Medi-Cal member is eligible for dental services provided by the Medi-Cal Dental Program. Eligibility for benefits is determined by the member’s local county social services office and reported to the State of California. The State, in turn, issues a Medi-Cal Benefits Identification Card (BIC) to members who are eligible for Medi-Cal Benefits. Limitations or restrictions of dental services may apply in certain situations.
- Medi-Cal offers a broad base of dental benefits, please refer to SmileCalifornia.org for information about Medi-Cal’s dental benefits.
- With respect to your specific question regarding full mouth implants, implant services are a benefit only when exceptional medical conditions are documented, and those conditions are reviewed by the Medi-Cal Dental Program for medical necessity (as defined by law) for prior authorization. Some of those exceptional medical conditions are:
- Cancer of the mouth requiring extensive surgery such that a conventional denture can no longer be worn.
- A skeletal deformity that precludes the use of a conventional denture.
- Traumatic destruction of jaw, face or head which makes a conventional denture impossible to wear.
- Furthermore, single tooth implants are not a benefit of the Medi-Cal Dental Program. If the member has an exceptional medical condition, the assigned dental and medical providers will need to get together and fully document the medical and dental needs in writing.
- Providers shall submit a complete case documentation (to include such items as radiographs, scans, operative reports, craniofacial panel reports, diagnostic casts, intraoral/extraoral photographs and tracings) necessary to demonstrate the medical necessity of the requested implant services.
- If the member has existing dentures that do not fit, there are ways to modify them (such as tissue conditioners and relining them) to aid in their retention. This is a conversation the member will need to have with their regular dentist. Modification of existing dentures and even fabrication of new dentures (a benefit once in a five-year period) are benefits of the Medi-Cal Dental Program with prior approval.
- Providers shall submit a complete case documentation (to include such items as radiographs, scans, operative reports, craniofacial panel reports, diagnostic casts, intraoral/extraoral photographs and tracings) necessary to demonstrate the medical necessity of the requested implant services.
-
Thank you,
Monique Garcia
Chief of Provider and Beneficiary Services Section
Medi-Cal Dental Services Division
- Can I get implants from iehp? Medi Cal? Denti-Cal?
-
- I’m In need for dental implants and am low income. Two pair of dentures that don’t fit properly. Can’t chew food without teeth.
- REPLY
- See below or to the right for the Denti Cal – Medi Cal Member Handbook. I’ll grant, that I don’t see on that page anything about implants, so here’s our research.
- The Denti-Cal provider handbook does mention Implants, so I guess it’s covered. I suggest you ask your dentist. Your question is beyond my pay grade! (Zero, as Medi Cal doesn’t pay agents)These are the “codes” in the provider manual that related to implants:
- Here’s why I don’t like to guess or answer questions on the phone. I checked with justice in aging.org/ and said
- “Single tooth implants are not a benefit of the Medi-Cal Dental Program” Some legal advocates have attempted to make compelling medically necessary arguments, and the provider manual allows for that “Implant services are a benefit only when exceptional medical conditions are documented and shall be reviewed for medical necessity.”But generally speaking not a benefit and not one we want to promote as available to Medi-Cal beneficiaries since they are so limited. they pointed out this section in the provider handbook:
- Implant Services General Policies (D6000-D6199)a) Implant services are a benefit only when exceptional medical conditions are documented and shall be reviewed by the Medi-Cal Dental Program for medical necessity for prior authorization. Exceptional medical conditions include, but are not limited to:
- i) cancer of the oral cavity requiring ablative surgery and/or radiation leading to destruction of alveolar bone, where the remaining osseous structures are unable to support conventional dental prostheses.
- ii) severe atrophy of the mandible and/or maxilla that cannot be corrected with vestibular extension procedures or osseous augmentation procedures, and the patient is unable to function with conventional prostheses.
- iii) skeletal deformities that preclude the use of conventional prostheses (such as arthrogryposis, ectodermal dysplasia, partial anaodontia and cleidocranial dysplasia).
- iv) traumatic destruction of jaw, face or head where the remaining osseous structures are unable to support conventional dental prostheses.
- b) Providers shall submit complete case documentation (such as radiographs, scans, operative reports, craniofacial panel reports, diagnostic casts, intraoral/extraoral photographs and tracings) necessary to demonstrate the medical necessity of the requested implant services.
- c) Single tooth implants are not a benefit of the Medi-Cal Dental Program.
- d) Implant removal, by report (D6100) is a benefit. Refer to the procedure for specific requirements.They also told me about this guide for dental care for older adults
- Do you have Medicare? We could look into MAPD Medicare Advantage plans that might offer implant coverage or a quartley spending account that could be used for implants?
- See below or to the right for the Denti Cal – Medi Cal Member Handbook. I’ll grant, that I don’t see on that page anything about implants, so here’s our research.
-
- I’m not in CA. Can you help me with questions on Medicaid or Medicare Advantage plans in my state.
- Sorry no. Try the NAHU National Assoc. of Health Underwriters Agent finder, of course try your EOC evidence of coverage or the SHIP State Health Insurance Assistance Program finder
- 1. Searching for a reasonable rate plan for bone grafting…?
2. How does dental cal, provide for patients that need bone grafting before implants…?- See above, doesn’t look like Denti Cal will cover it.
- What about alternatives to Implants?
- What Type of Dentist Should I See for Dental Implants?
- See our FAQ and comments section below for more FAQ’s or to ask a question
Gum Disease Treatment
If you have a tooth that is loose and may be “hopeless,” it might still be saved with gum disease treatment . If the gums are receding and there has been bone loss around the tooth, that doesn’t mean that the tooth is guaranteed to be lost.
With gum disease treatment, we can clean out the infection around your tooth, and hopefully the tooth will heal. Sometimes we might splint the loose tooth or teeth to natural teeth that are stable. This can help stabilize the loose teeth and give them time to heal. Then you’ll still have your natural tooth for longer, potentially the rest of your life. This costs significantly less than a dental implant. And Pinhole ® Gum Therapy can be used to restore the natural contour of your gums.
Caveats: For a tooth that is designated “hopeless,” the success rate is lower than that for dental implants. And because we’re preserving your natural tooth, it will continue to look as it had, so if you’re unhappy with the appearance of this threatened tooth, it might not be the best choice. Plus, sometimes the infection is so serious that we want to remove teeth to better control the risk that the infection could spread to other parts of your body.
Root Canal Therapy
If your tooth is threatened by an infection inside the tooth, we can use root canal therapy to clean out the tooth and make it stable again. The tooth will be reinforced and topped with a dental crown . The success rate for root canal therapy is comparable to that for dental implants, and it has the benefit of retaining your natural tooth. Plus the dental crown means that the appearance of the tooth will be improved, too. If you later need to replace the treated tooth, you will usually be able to get a dental implant, and in the meantime, you get to enjoy the benefits of having a natural tooth rather than an implant. Cost is slightly less than for a dental implant.
Caveats: Whether a root canal is appropriate or not depends on the state of your tooth. If the tooth root is damaged, a root canal is not recommended. Sometimes an infected tooth can be a serious risk and needs to be extracted right away. Extraction is best for badly damaged or seriously infected teeth.
Dental Bridge
If you can’t save the tooth with either gum disease treatment or root canal therapy, you can often get a dental bridge that will perform the same function as a dental implant. With a dental bridge, the replacement tooth is supported by dental crowns on teeth next to the missing tooth.
Dental bridges are fully fixed in your mouth. They’re not loose and won’t slip out, so your diet won’t be impacted, and they can look as good as dental implants. Plus the dental crowns on neighboring teeth can be very helpful if they have been damaged.
Caveats: Dental bridges don’t stimulate your jawbone and gums the way a dental implant does. This may not matter, but it can potentially cause collapse of the gums under the replacement tooth. And if the supporting teeth aren’t fully healthy and strong, they may be put at risk by having a dental bridge placed over them. That’s because two teeth are now being asked to do the work of three. Because of this restriction, we only recommend dental bridges in limited situations where they don’t cause much increased risk to your natural teeth.
The Denture Fountain of Youth®, which replaces all your natural teeth. This type of denture looks natural and encourages better biting and chewing function. While not as good as implant-supported dentures, they are close. Kuzma *
Experts say 90% of patients with complete tooth loss opt for dentures. Ivy Rose *
VIDEOS
- Denture FOY Fountain of Youth VIDEO’s High End Dentures – Better than what your Parents wore
- Interviews – Testimonials VIDEO –
Learn More
Links & Resources
- American Academy of Implant Dentistry – Implants vs Dentures & Bridges They have nice explanatory pictures too!
- Dental Implant Cost Guide
- Health Savings Accounts?
MAGI - Medi Cal Renewal Form - MC 216
You'll be getting the MAGI Medi Cal Renewal Form - MC 216 (ONLINE pdf) soon, say March 2023 Cal Matters * CMA Docs.org * hhs.gov * , when the COVID Public Health Emergency ends. During COVID you couldn't be terminated, from Medi Cal Disability Rights * Footnotes * .
The renewal is usually automatic and done through the Federal Hub. So, if you get the MC 216 form, that means Medi Cal couldn't automatically renew you. So you have to fill out the form or risk losing your coverage.
dhcs.ca.gov/keep-your-medi-cal Website
- If you're earning too much $$$ for Medi Cal, get Covered CA quotes with subsidies here.
- SB 260 automatic transfer to Covered CA - Bill Text * Covered CA Power Point *
- You can appoint us as your broker, no extra charge
- From Covered CA training - Click image to enlarge
- APS = Automatic Plan Overview
- APTC = Advance Premium Tax Credit = Subsidy
- Automatic Transfer to Covered CA does NOT include dental. You need to pick a dental plan
- SB 260 automatic transfer to Covered CA - Bill Text * Covered CA Power Point *
- KFF Kaiser Foundation estimates that between 5 million and 14 million people will lose Medicaid Medi Cal coverage once the PHE Public Health Emergency ends. KFF *
- If Thank Goodness you're earning more $$$ Get INSTANT, NO OBLIGATIION Covered CA QUOTES!
- Our main webpage on redetermination
- If you lose Medi Cal as your income increased and you are now eligible for advanced premium tax credits (APTC). Get INSTANT, NO OBLIGATIION Covered CA QUOTES! We can help you, no additional charge
- The Importance of Properly Terminating MAGI Medi-Cal Insure Me Kevin.com
- Email us [email protected] for the SB 260 toolkit
- If you have questions, that are not answered on this page about KEEPING your Medi Cal and not going into Covered CA with subsides, we won't be able to help you...
- Please contact Medi Cal Directly
- DHCS Keep yourself and family covered
- Tool Kit
- DHCS is committed to maximizing continuity of coverage for Medi-Cal beneficiaries through the course of the Continuous Coverage Unwinding Period as the Department works with local county offices to resume normal eligibility operations. DHCS.gov Unwinding *
Instructions
- VIDEO - How to do a renewal
- What is MAGI Income?
- What are the income limits for Medi Cal vs Covered CA?
- Who counts in the household?
What is Medi Cal looking for?
What do they want?
- Western Poverty Law Page 240 - 6.227
- LA Care
- IEHP
- Medi-Cal Contact Information
- Please read the instructions and materials on this page, very carefully. We are NOT authorized Medi Cal agents and do not get any compensation to help you with your Medi Cal questions.
- If you no longer qualify for Medi Cal, say you're now earning more than 138% of Federal Poverty Level, we can help you get coverage from Covered CA. There is no extra charge for our expertise & assistance! We are paid by whatever Insurance Company that you choose. Get INSTANT, NO OBLIGATIION QUOTES!
- Please read the instructions and materials on this page, very carefully. We are NOT authorized Medi Cal agents and do not get any compensation to help you with your Medi Cal questions.
- What is MAGI Modified Adjusted Gross Income?
- If you are on SSI - Medi Cal is automatic! Even when you change to SSDI Pickle Amendment
- More references & Links
- MEDI-CAL COVID-19 PUBLIC HEALTH EMERGENCY AND CONTINUOUS COVERAGE OPERATIONAL UNWINDING PLAN
- 10 Things to Know About the Unwinding of the Medicaid Continuous Enrollment Provision KFF
- Medicaid Enrollment Nears 100 Million, But Millions May Lose Access In April KFF
- Millions of people who enrolled in Medicaid during the COVID-19 pandemic could start to lose their coverage on April 1 if Congress passes the $1.7 trillion spending package leaders unveiled Tuesday.The legislation will sunset a requirement of the COVID-19 public health emergency that prohibited states from booting people off Medicaid. Learn More AP News *
- Medicaid Programs Scramble With Coverage for Millions at Risk
- Medi-Cal Renewal Broker Resource Toolkit Anthem
- Covered CA vs Medi Cal Monthly Income Kevin Knauss
- Transitions from Medi-Cal to get Covered CA
- 10 Things to Know About the Unwinding of the Medicaid Continuous Enrollment Provision KFF
- A paltry 3% of people got Affordable Care Act exchange coverage within a year after leaving Medicaid or the Children’s Health Insurance Program, a new study found, 2017 to 2019 Fierce Health Care *
- Click on Image to enlarge
Medical Tourism
We are not advising or recommending. We just have an expansive website.
- medical tourismco.com/dental-implants-in-mexico
- algodones dental implants.com/dental-implants
- beyond borders dental.com/50-things-you-should-know-about-getting-dental-work-in-mexico
- infomedd news.com/dental-implants-in-mexico-a-practical-guide-for-medical-tourists
- npr.org/a-reason-to-smile-mexican-town-is-a-destination-for-dental-tourism
Covered CA (& Medi Cal) - Calculate - #Countable Sources of MAGI Income 
Calculate your Covered CA MAGI Income
take #Line8b 11 Adjusted Gross income then add line 2a, 6a & 8 (Foreign Income)
- 1040 IRS Annual Tax Form
- Schedule 1 Additional Income & Adjustments to Lower your MAGI Income
- Calculate - Estimate your Taxes
- Steve's Video on MAGI Income
- Get instant quotes, subsidy calculation and coverages
- NO ASSET TEST for MAGI based subsidies in Covered CA or MAGI Medi Cal Qualification. VIDEO
- Nor is there a lien against your estate for Covered CA or MAGI Medi Cal
Medi Cal Contact Information
- Medi Cal Contact Sheet
- [email protected] regarding general Medi-Cal eligibility. If the question contains specific details the county or the district office that handles your case must answer.
- Medi-Cal Member & Provider helpline, at (800) 541-5555.
- California Department of Health Care Services 1-844-253-0883
- [email protected]
- Non MAGI Medi Cal 1.916.345.8675
- [email protected] Ms. Leslie Benson
- IHSS In Home Supportive Services
- Direct Phone # for Medi Cal 866.613.3777 (Anthem Blue Cross?)
Ombudsman
- Ombudsman Webpage
- Phone: 1-888-452-8609
- Email: [email protected]
- The Office of Ombudsman cannot approve/terminate/reinstate Medi-Cal eligibility; alter aid codes, change/update addresses, change/update name or initiate inter-county transfers.
Complex Questions Assistance
- Health Consumer Alliance at 1-888-804-3536.
- Disability Rights California at 1-800-776-5746.
- Covered CA Facebook Page
- HICAP – Health Insurance Counseling & Advocacy Program
- CA Health Care Advocates – 1-800-434-0222 Volunteer counselors can help you understand your specific rights and health care options
- Medi Cal Consulting Services
- National Center on Law & Elder Rights - Case Consultation for Professionals
- VITA Volunteers Income Tax Assistance
- Medi Cal - Technical Comprehensive Reference Materials
- Our webpage on education, research & tutoring for a fee
- aging.ca.gov/Medicare_& Medi Cal Counseling
- Elder Care locator
- medi helper.com
- Pdf Brochure - I was told their fee is $3k
Medi-Cal for All Children program
SB 75 Eligibility and [email protected]
Medi Cal - #County Office Lookup
See our Main Webpage on Medi Cal contact information
Medi-Cal Managed Care HMO – Health Care Options
Here you can review and choose the HMO that you want to deliver your Medi-Cal health Care.
Learn more:
- Disability Rights.org –
- What are Medi Cal Managed Care Plans? What do I need to know?
- Medi-Cal Managed Care Health Plan Directory
- Poor Care Co-Ordination? New contracting process Deficient Oversight CA Health Line *
- Disability Rights – Medi Cal provider HMO’s, what are they? What do I need to know about them?
- Medi-Cal Managed Care – Health Care Options
- EOC’s, Forms & Income Charts from Insure Me Kevin.com
- Medi-Cal Managed Care Provider Search
- Sacramento? dhcs.ca.gov//mmcd health plan dir
- Exemption from enrolling in a Health Care Plan
- health care options.dhcs.ca.gov
- health care options.dhcs.ca.gov/Med Exemption WEB
- You May Get A Medical Exemption If:
- • You have a complex medical condition; AND
• The care you get from your Regular Medi-Cal doctor for the complex medical condition
cannot be changed, because your condition could get worse; AND
• Your Regular Medi-Cal doctor is NOT part of a plan in your county. You may see
more than one Regular Medi-Cal doctor. If you do, have the form filled out by the
doctor who sees you most often. Ask your Regular Medi-Cal doctor if he or she is part
of a Plan in your county. This should be done before you submit this form.
- • You have a complex medical condition; AND
- You May Get A Medical Exemption If:
- Provider Search – Statewide Fee for Service
- See our webpage on IMR Independent Medical Review
- Medi-Cal – MAGI Income Eligibility Criteria
Medi Cal – Long Term Care & Nursing Home Estate Recovery – Strategic Planning
IHSS In Home Supportive Services
On the Individual Companies – Scroll down to the Medi Cal Section
- Aetna Individual & Family
- Blue Cross – Anthem Individual
- Blue Shield 2023 PPO & Trio
- Health Net 2023 Individual Information & Enroll
- Kaiser Permanente – Enrollment – Pay Premium ONLINE
- LA Care – Medi Cal & Covered CA
- Molina Health Care
- Oscar Health Insurance
- Sharp Health Plan – Employer & Family
- Sutter Health Insurance Individual & Employer Plans 2022
- Western Health Advantage Individual & Small Group
- Individual Plans
- Medi-Cal
- Medicare
- Dental under Medicare is very limited
- Anthem Blue Cross
- Blue Shield
- Email us [email protected] for SCAN & UHC
- Dental for Everyone
- Employer Small Group Plans
My front teeth several are missing and it’s hard to get a better job because I’m working out in public my career and my occupation holds me up because of my missing teeth .
Ty so much for your time.
Sincerely , Samantha
See above on implant alternatives
What insurance will cover dental work that med-cal don’t cover?
I’m not sure that we are allowed to offer that…???
First, check what Medi Cal covers
Then, what they don’t
Then what you want coverage for
Don’t forget the Insurance Companies want to collect enough premiums to pay claims and take 20% for administration and profit
Then get quotes from the above brochures, Delta or Dental for Everyone
Need some teeth to eat. But only have medi- cal to cover cost?
A bad choice I made. Went to a “free dental”, but got left with no teeth on top and was schedule for more mis-treatment that following week.
Went back and the team had left.
F**k! I’m just looking for a way to enjoy meals. Like, apples, peanuts, corn on the cob, etc. etc. I have suffered for years and hope for a solution.
If not please just say so.
Thank you for your time. Sincerely, Larry.
Want about dentures? See alternatives to implants.
Try calling 1 800 322 6384 also see above link to Smile CA
I have medi-cal.. I have dental implant posts which I paid for on my own . One of my bridge crowns fell out and was lost . will medi-cal cover all or part of that bridge/crown?
I want the snapped in dentures. I have (medi-cal,medicare a. b. C.)
And kaiser Medi-cal
I need urgent APPOINTMENT
I don’t know.
Check the Denti Cal handbook and FAQ’s above and check with your dentist.
We are NOT Kaiser not Medi Cal authorized brokers. Please contact them Directly!
Check with Medi Cal – see their contact information above.
Check with Kaiser Medi Cal
I have medical community health I received dental implants which I paid for previously I’ve lost a bridge crown that strings from one implant post to another. Can my medi-cal cover all or part of that bridge / crown?
See the answer to the above question
Does health net cover implants?
What Health Net plan do you have or want to purchase?
See above to links to our Health Net Individual and Group Plans
How much is the premium for dental coverage?
Check the brochures and quote engines above:
Dental for Everyone
Delta Dental
3 Easy steps to great insurance
I’m exploring supplemental insurance options with Partnership Health in ca http://www.partnershiphp.org/ for full mouth implants for myself and my husband.
I have a full upper denture and partial lower, the implant sites were set at the time of tooth removal.
My husband has extensive tooth decay, broken and missing teeth .
give Medicare the power to negotiate for lower drug prices, add new benefits to Medicare
Adding dental, hearing and vision benefits to Medicare.
Making new investments in home and community-based services to “help seniors, persons with disabilities and home care workers,”
Extending a boost to ACA income-based subsidies that were included in the American Rescue Plan Act. The boosted subsidies are set to expire after the 2022 coverage year.
https://www.fiercehealthcare.com/payer/framework-for-3-5t-senate-package-seeks-to-close-medicaid-gap-add-new-medicare-benefits-and
What if I need MAJOR, EXPENSIVE Dental work and don’t have coverage.
Can I buy it now?
What are best options to open – start a dental plan to reduce this out of pocket cost?
Any restrictions such as waiting periods to obtain this care after purchasing a plan?
It would be a spreadsheet of the type of work you need done, the limitations on each procedure and the general maximum of $1k to $1,500/year maximum.
You might look at financing options.
Here’s a youtube video we did on what metal level plan might you buy if you know you’re going to have a big claim coming up.
Review the information on this page, the quotes available and our other dental pages.
This is a FAQ from a page we culled from the website
would be beneficial to me to switch to the enhanced 94 plan when I’m currently Under full scope of benefits Medi-Cal and denti-cal for about $7,000 worth of dental work that denti-cal won’t cover that needs to be performed?
Are there any available plans Under The Inn at Silver 94 which offer Dental Care better than what is normally offered through denti-cal?
Reply
I really don’t know where you can get coverage for $7k worth of dental work. Most all plans I’ve seen limit coverage to $1k or $1.5k – $1,500/year.
Silver 94 doesn’t have adult dental, other than if they call it medical services. See specimen policy page 72
Check out Dental for Everyone or Covered CA’s dental program, which I believe you can get, even if you don’t have a health plan.
What do you mean by “under the inn?”
Does iehp or Medi Cal insurance get me or cover implants?
IEHP covered my cancer, my liver and copd
can I get implants from IEHP? Medi Cal? Denti-Cal?
*******
I’m In need for dental implants and am low income. Two pair of dentures that don’t fit properly. Can’t chew food without teeth.
See our reply in the Medi Cal Implant FAQ above
I AM 44YO ON SSDI I AM HIV HEP C
I HAVE 10 MISSING / CRACKED TEETH AND
THIS DETRAMENTAL TO MY MEDICAL HEALTH WITH ALL RISKS INVOLVED BY NOT HAVING MEDICALLY NECESSARY IMPALNTS TO REPLACE MISSING OR CRACKED TEETH
IT ALSO MAKES IT DIFFICULT TO EAT THUS I EAT LESS OR UNABLE TO EAT MEATS MAKING NUTRITION A HEALTH CONCERN ..
I RECEIVE DISABILITY INCOME AND CAN NOT AFFORD THE 15,000-20,000 BILL FOR IMPLANTS
I HAVE AETNA MEDICARE ADVANTAGE DENTAL AND HEALTH BUT ITS A JOKE ON HOW LITTLE THEY WILL COVER
WHICH LEAVES ME WITH A MOUTH FULL OF BROKEN / CRACKED/ MISSING TEETH AND
I DONT KNOW WHO TO ASK FOR HELP OR
WHAT INDIVIDUAL DENTAL POLICY I CAN BUY TO HELP MYSELF SO I CAN BE ABLE TO EAT, LIVE A HEALTHY LIFE BECAUSE STATISTICS SHOW IF I DONT DO SOMETHING ABOUT THIS NOW OR SOON IT WILL DECREASE MY LIFE EXPECTANCY AND IVE ALMOST DIED SEVERAL TIMES SO FAR IN MY LIFE SO I VALUE A LONG LIFE EXPECTANCY
SO IF YOU COULD HELP ME PLEASE OR DIRECT ME ON WHAT TO DO OR WHO TO TALK TO BECAUSE I FEEL SOO LOST NO ONE OFFERS SOLUTIONS OR OPTIONS
ONLY THAT THE MAX COVERAGE ANNAULLY IS 1500 AND NO SOLUTION ON HOW TO COME UP WITH THE REST.
I MISS EATING STEAK, PISTACHIOS, ETC..
I HATE THAT I EAT VANILLA YOGART A LOT BECAUSE ITS WHAT I CAN EAT NOT THAT I LIKE IT OR ITS A FAVORITE BECAUSE ITS NOT.
I JUST FEEL LIKE I CANT DO ANYTHING WITH IN REACH TO HELP ME
SO THIS IS WHY I AM CONTACTING YOU WITH HOPES YOU HAVE A SOLUTION.
PLEASE HELP ME. SO FAR NO ONE HAS BEEN ABLE TO AND I BEEN ASKING FOR 2 YEARS AND THE LONGER TIME GOES BY THE WORSE THINGS WILL GET AND IMPLANT OPTION BECOMES LESS OF AN OPTION WITH EVENTUAL MORE TEETH LOSS WICH MEANS THE GAW BONE MIGHT NOT EVENTUALLY BE ABLE TO ALLOW IMPLANT OPTION AND
I DONT WANT TO WAIT THAT LONG
WERE NOT THERE YET BUT EVENTUALLY IF NOT SOON IF SOMETHING ISNT DONE
I DONT KNOW WHAT TO DO SO AGAIN
I ASK OF YOU STEVE I AM A 44YO MALE ON SSDI MEDICARE ADVANTAGE PPO WITH DENTAL OPTION INCLUDED
WHAT DO I DO? I LIVE IN SAN DIEGO xxxx3 IS MY NUMBER IT WORKS WHEN I CAN CONNECT TO FREE WIFI SO PHONE CONVERSATIONS HAVE TO BE SCHEDULED..
I LOOK FOWARD TO YOUR HELP. KIND REGARDS, JOSEPH R
What about alternatives, like dentures?
do you accept Medi-Cal and Medicare for dental implant work
See above, neither Medi Cal nor Medicare really give you ANY coverage for implants.
Some Medicare Advantage Plans offer dental benefits and/or allowances that can be used for implants along with Flex Cards.
Let’s set a meeting to review.
General Information on Medicare Advantage
I have Epilepsy and have been advised not to get dentures but recommend to only receive dental implants. I only have dental through Medi-Cal. I’ve received a quote of $50,000 to receive the implants that are needed. Will Medi-Cal pay for some or all the cost of my fee’s to receive the implants?