Understanding CHP Dental Insurance Costs and Coverage

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Patient at Dental Clinic during Procedure
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CHP dental insurance costs can be broken down into several categories, including monthly premium payments, annual maximums, and out-of-pocket expenses.

On average, the monthly premium for CHP dental insurance is around $30-$50 per person.

The annual maximum for CHP dental insurance varies depending on the plan, but it's typically around $1,000-$2,000.

With CHP dental insurance, you can expect to pay around 20-30% of the total dental bill out-of-pocket.

One of the benefits of CHP dental insurance is that it often covers routine cleanings and exams at no additional cost.

Available Services

As a CHP dental insurance member, you're entitled to a range of services to keep your teeth and gums healthy.

Diagnostic services are available, including annual exams and x-rays, which are essential for detecting any potential issues early on.

Preventive services like annual cleaning, fluoride, and sealants can help prevent problems from arising in the first place.

Basic restorative services such as fillings and stainless steel crowns are also covered, which can help repair any damage that's already been done.

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Oral surgery services, including some extractions, are also available, although some may require prior approval.

Some dental care requires prior approval before getting treatment, so it's essential to check with your insurance provider first.

CHP+ members may receive up to $1,000 of covered dental benefits each calendar year for the covered services listed above.

Here's a breakdown of the services included in your BCCHP health plan:

Members over the age of 21 are entitled to two teeth cleanings per 12 months, with an extra cleaning available annually as part of member value-added benefits.

Cost and Coverage

Higher income families may be required to pay a small fee or co-payment when they receive services through CHP+.

There are no fees for diagnostics and preventive services, which is a significant cost savings for those who enroll in the program.

You won't be charged co-payments for dental services if you're a CHP+ Prenatal woman.

Cost

Higher income families may be required to pay a small fee or co-payment when they receive services.

There are no fees for diagnostics and preventive services.

Prenatal women will not be charged co-payments for dental services.

If you have any questions about CHP+ dental benefits, you can call DentaQuest at 1-888-307-6561, TTY: 711.

Services Not Covered

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Some dental services are not covered by this plan. You won't have to worry about getting approval from your primary care physician (PCP) for dental care, but there are certain services that require prior approval.

Cosmetic dentistry is not covered by this plan. This includes procedures that are primarily for aesthetic purposes rather than health reasons.

Tooth bleaching and whitening are also not covered. This means you'll have to pay out of pocket for these services.

Implants are not covered, which means you'll have to pay for them yourself.

Here's a list of services not covered by this plan:

  • Cosmetic dentistry
  • Tooth bleaching and whitening
  • Implants

Oral Health and Prevention

Oral Health and Prevention is a top priority for Child Health Plan Plus (CHP+). Providers conduct a New Member Oral Health Assessment to identify potential risks.

Prevention and education are key components of oral health care. CHP ensures that all patients receive linguistically and culturally appropriate education on oral hygiene and preventive care. This customized care approach helps patients understand what they need to do to maintain good oral health.

You can earn rewards for taking good care of your oral health through the Healthy Behavior Rewards program. Simply go to the dentist for care and start earning rewards.

See a Dentist Urgently Anywhere

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You can see a dentist anywhere, anytime for urgent care with your DentaQuest dental plan. This plan has a new benefit that allows you to access a dentist 24/7, 365 days a year.

To request a visit with a dentist, go to https://bit.ly/COCHP-teledentistry or call 866-302-0905. This service is provided by Teledentistry.com and is available 24/7 across the USA.

You can meet with a dentist via video conference using your smartphone or computer. This is a simple option for emergency dental care.

Just remember, this service is only available to DentaQuest members through Teledentistry.com.

Oral Health Assessment

Regular dental check-ups are crucial for maintaining good oral health. You can get one cleaning per 6 months, or two total per year, as part of your BCCHP health plan.

A new member oral health assessment is also available, which includes an oral health risk screening. This is a great opportunity to catch any potential issues early on.

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Dental exams are a must, and with your BCCHP health plan, you can get one oral exam per 6 months, or two total per year. This helps your dentist identify any problems before they become major issues.

Fluoride treatments are also covered, with one per 6 months, or two total per year. This helps strengthen your teeth and prevent decay.

Here are some of the other dental services included in your BCCHP health plan:

Don't forget, regular dental care is key to maintaining a healthy smile.

Prevention and Education

Prevention and education are key to maintaining good oral health. At Child Health Plan Plus (CHP+), they ensure that all patients receive linguistically and culturally appropriate education with regard to oral hygiene and preventive care.

Customized care is provided to each patient, taking into account their individual needs. This approach helps patients understand how to properly care for their teeth and gums.

Gum disease can sneak up on you, but knowing its signs can help you address it early on. Periodontal disease can be prevented with proper oral hygiene and regular dental check-ups.

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You can earn rewards for keeping your smile healthy by going to the dentist for care. The Healthy Behavior Rewards program offered by DentaQuest and CHP+ encourages patients to prioritize their oral health.

CHP outreach staff conduct publicized health screenings and education in accessible locations throughout the community. This includes town halls, libraries, and community centers, making it easier for people to access dental care.

Frequently Asked Questions

What insurance is CHP?

CHP stands for Community Health Plans, a type of insurance that focuses on community-centered healthcare and wellness solutions. It aims to provide high-quality, affordable healthcare to its members.

Is chp+ considered Medicaid?

No, CHP+ is not considered Medicaid, but rather a separate program for low-income families who make too much to qualify for Medicaid. It's a distinct option for those who don't meet Medicaid's income guidelines.

Tommy Weber

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Tommy Weber is a seasoned Assigning Editor with a keen eye for detail and a passion for storytelling. With extensive experience in assigning articles across various categories, Tommy has honed his skills in identifying and selecting compelling topics that resonate with readers. Tommy's expertise lies in assigning articles related to personal finance, specifically in the areas of bank card credit and bank credit cards.

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