2027 Dental Benefits

Depending on your plan, your dental benefits may include oral exams, cleanings, fluoride treatments, x-rays and emergency services. Your dental benefits may also include comprehensive services, like deep cleanings and oral surgery. Some plans also cover dentures.

You can find more information about your benefits, including what exact services are covered by your plan, by checking your Summary of Benefits located on your Plan Benefit Materials page.

It's important to make sure your dentist is in-network. If you see a dentist that's not in your plan's network, your exam and other services may not be covered by your plan, which means you may have to pay more out-of-pocket.

To find an in-network dentist, use the Find a Provider tool.

Need help using the Find a Provider tool? Join an upcoming Cyber-Seniors Live Session to learn more.

You should see your dentist for an oral exam and cleaning twice a year. You should also schedule an appointment with your dentist whenever you have problems with your teeth, jaw or gums.

Your dentist may refer you to a specialist, like an oral surgeon, an endodontist or a periodontist if you need a special procedure like a root canal or tooth extraction.

A dental exam helps your dentist assess the overall health of your mouth, teeth and jaw. Every dental exam may be slightly different based on the situation. However, most dental exams include dental X-rays, an oral exam, a check for signs of oral cancer and a teeth cleaning.

Your Member ID Card is the key to receiving the care you need. You will need to bring your Member ID Card with you to all your appointments.

If you have a dual plan that includes both a Medicaid and Medicare card, you will need to bring both cards to your appointments.

If you can't find your Member ID Card, you can log into your member portal and print a copy or log in on your cell phone to view your digital ID card.

When you go to pay, make sure to mention the name of your dental vendor, which is listed on the back of your Member ID Card.

Depending on your plan, you may also use your Wellcare Spendables^® card to cover out-of-pocket dental costs.

Thank you for trusting us with your healthcare needs. We appreciate you being a member, and hope this information helps you understand your dental benefits.