January 10, 2020
This year a Vermont law gives Medicaid members more dental coverage. All Vermont Medicaid members now get $1,000 of dental coverage per year. Also, two cleanings and two preventive dental exams are free and don’t count towards your $1,000 cap. Vermont Medicaid covers cleanings, x-rays, fillings and other services to keep your teeth healthy.
There is no cap on medically necessary dental care for Vermonters under 21 or pregnant Vermonters.
There is also a change to the copays. Now, up to two cleanings and two preventive dental exams are free ($0 copay) each year. Usually, dental visits have a $3 copay for Medicaid members. Vermonters under 21 years old and pregnant Vermonters never pay a copay with Medicaid.
Here is the list of dental care that may qualify for a $0 copay:
- Fluoride application
- Periodic oral exams
- Tobacco counseling
X-rays, fillings and other covered dental services still have a $3 copay, unless you are pregnant or under 21 years old.
Need help finding a dentist that takes Medicaid? Need other help using your Medicaid dental coverage? Visit the Medicaid section of our website or contact the Office of the Health Care Advocate at 1-800-917-7787 or HCA@vtlegalaid.org.