Dental Wellness Enrollment

 


I received an enrollment packet/ enrollment letter, what do I need to do now?

If you are happy with your current dental carrier (current members), or the randomly assigned dental carrier listed on your enrollment letter (newly eligible members), you do not need to do anything.
 
If you would like to change your dental carrier, please notify Iowa Medicaid Member Services.
 
Contact Iowa Medicaid Member Services directly at 1-800-338-8366 or 515-256-4606 (when calling from within the Des Moines area), Monday through Friday, 8 a.m. to 5 p.m. 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.
 

Why does it say that I've already been assigned to a dental carrier?

Newly eligible Dental Wellness Plan members are tentatively assigned to a dental carrier in their Dental Wellness Plan enrollment packet. Tentative assignments are random and based on an algorithm that aims to keep families together. Each newly eligible member has the opportunity to choose the dental carrier that best fits their dental healthcare needs and/or the needs of their family member(s). If you do not like the dental carrier that has been tentatively assigned to you, you have 90 days from your choice period end date to change your dental carrier for any reason, and for 'Good Cause' after that. For more information about "Good Cause," please visit the "Good Cause" webpage.
 

How do I know which dental carrier is best for me?

Both dental carriers offer the same benefits and have their own network of dentists and dental providers. When selecting a provider, you will need to ensure that the provider is within your dental carrier's provider network and participates in the Dental Wellness Plan. To find out which providers are enrolled with your dental carrier, please go to the Find a Provider webpage. 
 

What is my 'Choice Period End Date'?

Your Choice Period End Date is listed on your enrollment letter within your enrollment packet. If you wish to change your dental carrier, or are selecting your dental carrier, you must do so by this date for your selection to take effect the following month. You will also have 90 days from the date your dental coverage begins to change your dental carrier for any reason. 
 

How do I turn in my dental carrier choice?

Members can make their dental carrier choice one of the following ways:
  • Call Iowa Medicaid Member Services at 1-800-338-8366 or 515-256-4606 (when calling from within the Des Moines area), Monday - Friday, 8 a.m. to 5 p.m.
    • For telephone accessibility assistance if you are deaf, hard-of-hearing, deaf-blind, or have difficulty speaking, call Realy Iowa TTY at 1-800-735-2942.
  • Email Iowa Medicaid Member Services at IMEmemberservices@dhs.state.ia.us

What are the dates for making a dental carrier change?

  • If you are happy with the dental carrier that has been assigned to you, you do not need to do anything.
  • Members will have 90 days from the date their dental coverage begins to change their dental carrier for any reason.
  • After the 90 days, and throughout the year, members may change their dental carrier for 'Good Cause' reasons. For more information about "Good Cause," please visit the "Good Cause" webpage.

When will my dental carrier change take effect?

*Important*
Members who change their dental carrier after the choice cut-off date will continue to receive dental coverage from their current dental carrier until the change takes effect.
 
Members wishing to change their dental carrier will have the following choice cut-off dates for the 2018 year.
Choice Cut-Off Date Effective Coverage Date
February 15, 2018 March 1, 2018
March 19, 2018 April 1, 2018
April 18, 2018 May 1, 2018
May 17, 2018 June 1, 2018
June 18, 2018 July 1, 2018
July 19, 2018 August 1, 2018
August 17, 2018 September 1, 2018
September 18, 2018 October 1, 2018
October 18, 2018 November 1, 2018
November 16, 2018 December 1, 2018
December 19, 2018 January 1, 2019
How to read this chart:
Choice Cut-Off Date:Members must change their dental carrier by this date for the change to take effect by the Effective Coverage Date.
Effective Coverage Date: Date that the dental carrier change will take effect.
 
Example: The last day to make a dental carrier choice for coverage effective August 1, 2018, is July 19, 2018. If a member changes their dental carrier between July 20, 2018, and August 17, 2018, the change will not take effect until September 1, 2018.
 

What if I don't make a change by my Choice Period End Date but I want to later?

You have 90 days from your Choice Period End Date listed on your enrollment letter to change your dental carrier for any reason. You may also change your dental carrier at any time for reasons of 'Good Cause,' such as your dentist not being in your dental carrier's provider network. For more information about "Good Cause," please visit the "Good Cause" webpage.
 

What happens if I don't choose a dental carrier?

If you don't choose a dental carrier from the options provided, the state will assign you to one of the two dental carriers. If you would like to select a different dental carrier, you have 90 days from the date your dental coverage begins to change your dental carrier for any reason.
 

Will I get a new ID card?

Dental Wellness Plan members will have two or three ID cards:
  1. You will keep your current Iowa Medicaid ID card for Fee-for-Service.
  2. You will receive a dental carrier ID card from your selected dental carrier.
  3. If you are enrolled in the IA Health Link program you will keep your current IA Health Link MCO ID card for medical services.

Members receive their dental carrier cards around the time that they receive their dental carrier enrollment packets.

When will I receive an ID card from my dental carrier?

You will receive an ID card from your dental carrier before your coverage begins. If you (do not/did not) make a choice, you will receive an ID card from the dental carrier assigned to you in your enrollment mailing.
 
If your dental coverage has begun and you have not yet received your dental carrier ID card, please reach out to your dental carrier imediately for assistance. 
 

 

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.