Benefits and Services

What are the dental benefits?

All Dental Wellness Plan members will receive full dental benefits in their first year of eligibility.
 
Comprehensive / full benefits:
  • Diagnostic / Preventive Dental Services
  • Exams
    • Cleanings
    • X-rays
    • Fluoride
  • Restorative Services
  • Non-Surgical Periodontal
  • Endodontic Care
  • Crowns
  • Tooth Replacement
  • Periodontal Surgery

How do I know if a service is covered or not?

All Dental Wellness Plan members will receive full dental benefits in their first year of eligibility. Members who complete their Dental Healthy Behaviors each year will continue to receive full benefits. Members who do not complete their Dental Healthy Behaviors may be charged a $3.00 monthly premium. Members who do not pay their monthly premium after 90 days, depending on their income, will have reduced benefits only.
 
Your provider will work with the dental carriers to determine if the service is covered.
 
For further information on your available benefits, you may:
  1. Go to the Dental Wellness Plan 'Benefits' webpage
  2. Speak with your provider directly
  3. Contact your dental carrier by phone or email (Dental carrier contact information)

Do I have a copay?

Iowa Medicaid adults do not have dental copays for services.
 

Can I receive Non-Emergency Medical Transportation (NEMT) for my upcoming dentist appointment?

Non-Emergent Medical Transportation (NEMT) services to dental appointments are available to eligible members.
 
Eligible
  • Traditional Medicaid
  • Medically Exempt
  • Home- and Community-Based Waiver
Not Eligible
  • Iowa Health and Wellness Plan

How do I arrange a ride for a dental appointment?

Iowa Medicaid Fee-for-Service (FFS) Members:
Access2Care
525 SW 5th Street, Ste. E
Des Moines, IA 50309-4501
Phone: 866-572-7662 (Toll Free)
Fax: 866-584-7601
 
IA Health Link Members:
Even though your MCO does not cover your dental services, they will cover transportation for your dental services. Each of the MCOs has selected an NEMT transportation vendor. Members may contact the NEMT transportation vendor of their assigned MCO at the numbers listed below to schedule their NEMT services:
  • Amerigroup Iowa, Inc.
Contact Information:
Logisticare
Phone: 1-844-544-1389
  • UnitedHealthcare Plan of the River Valley, Inc.
Contact Information:
MTM
Phone: 1-888-513-1613
 

Iowa Medicaid Member Services (Monday to Friday from 8 a.m. to 5 p.m.)
1-800-338-8366 (Toll Free) 
515-256-4606 (Des Moines Area)
515-725-1351 (Fax)
 
For telephone accessibility assistance if you are deaf, hard-of-hearing, deaf-blind, or have difficulty speaking, call Relay Iowa TTY at 1-800-735-2942.
 
Llame al 1-800-735-2942, a Relay Iowa TTY (teléfono de texto para personas con problemas de audición, del habla y ceguera) si necesita asistencia telefónicamente.