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NEW YORK ESSENTIAL

MetroPlusHealth Essential

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DentaQuest provides dental coverage for eligible members of MetroPlusHealth Essential plans. The Essential Plan is a  New York health insurance program for state residents that don't qualify for Medicaid or the Child Health Plus Program. Plans include:MetroPlusHealth EP 1 Standard

  • MetroPlusHealth EP 2 Standard
  • MetroPlusHealth EP 3 Standard
  • MetroPlusHealth EP 4 Standard
  • MetroPlusHealth EP 1 AIS

 

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 months

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 every 24 months, same quadrant
  • Implants - one per tooth per lifetime
  • Dentures – One every 96 months

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

The newsletter designed for anyone who wants to improve oral health for themselves, their families, customers or communities.