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NEW YORK MEDICAID

Fidelis Care

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DentaQuest provides dental coverage to Medicaid-eligible adults and children in New York who are members of Fidelis Care plans, including:

  • Fidelis Care Children Medicaid
  • Fidelis Care Adult Medicaid
  • Fidelis Care HARP
  • Fidelis Managed Long Term Care (MLTC)

 

Member Benefits

Prevention

  • Oral exams (every six months)
  • Dental cleanings (every six months)
  • Bitewing x-rays (three every 12 months)
  • Fluoride (every six months)

Treatments

  • Fillings--one per 24 months 
  • Crowns--one per tooth every 60 months
  • Root Canal--one per tooth per lifetime
  • Extractions--one per lifetime 
  • Periodontics--one per 12 or 24 months, same quadrant, depending on age restrictions
  • Dentures--one per tooth, per 96 months  
  • Implants--one per tooth, per lifetime 

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.

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