Not a Lot to Smile About
Although pediatric dental services (for children up to age 19) are covered under the Affordable Care Act (ACA), dental services for adults are not covered. What does this mean? It means that all health plans must provide services like exams, cleanings, sealants, and some types of restoration to all children, and oral health risk assessments for children up to age 10.
Where does that leave adults regarding dental services? Some adults are covered through their employer’s health plans. However, many adults (including those on Medicare and those not covered by their employer) do not have dental benefits. And even under Medicaid, it’s up to each state to determine if dental care is a covered benefit. According to a recent article in Modern Healthcare magazine “dental benefits are often the first to get cut when states need to get their Medicaid budgets in order. Even the federal government has encouraged state Medicaid programs to tinker with their dental care benefits when money gets thin.”
As these programs continue to evolve, and as the integrated patient-centered medical home concept grows, dental coverage must be strengthened. Then we will have something to really smile about. InnovaHealth Innovations provides medical practices with credible information and assessments that help them respond to changes in today’s healthcare marketplace. To learn how we can help your practice call: 866.945.7597.