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NEW YORK CHP

MetroPlusHealth

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DentaQuest provides dental coverage for eligible members of New York MetroPlusHealth Children Health Plus (CHP) and Foster Care CHP.  MetroPlusHealth CHP and Foster Care CHP are available for all children under age 19, who live in New York City and don’t qualify for Medicaid.


 

Member Benefits

Prevention

  • Oral Exam – Once every six months
  • Bitewing x-rays – three per 12 months
  • Teeth Cleaning – Once every six months
  • Fluoride – Once every six month

Treatments

  • Fillings – One every 24 months
  • Crowns – Once every 60 months
  • Root canal – Once per tooth per lifetime
  • Extractions (teeth removal) – One per tooth per lifetime
  • Periodontics – Once every24 months, same quadrant
  • Dentures – One every 96 months

Other Services

  • Orthodontia (braces) – Once per lifetime

NY MetroPlus Health CHP has no out-of-network benefits.

NY MetroPlus Health CHP Foster Care does provide out-of-network benefits.

NOTE:  The summary of benefits above is only intended for general informational purposes and may not reflect all updates or modifications to the plan benefits.  Please contact us to confirm your current benefits.

Preventistry Pulse

PREVENTISTRY PULSE

A newsletter with tips and information to improve your oral health.