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TENNESSEE CHIP 

CoverKids

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DentaQuest provides dental coverage to members of CoverKids, a free, comprehensive health plan for qualifying Tennessee children ages 18 and younger and pregnant women. It covers preventive health services, doctor visits, hospital visits, vaccinations, well-child visits, developmental screenings and mental health. Children also get vision and dental care.


 

Member Benefits

Prevention

  • Oral exams - 2 per calendar year 
  • Teeth Cleanings - 2 per calendar year
  • X-rays - Bitewings 2 years of age and older, 1 set per calendar year
  • Full mouth x-rays 1 set every three calendar years
  • Fluoride (Ages 1 -18 years - 2 per calendar year)
  • Sealants - For permanent molars, 1 per lifetime per tooth 
  • Silver Diamine Fluoride (SDF) four applications, per tooth per lifetime

Treatments 

  • Fillings
  • Crowns
  • Extractions (teeth removal)
  • Anesthesia - Provided only when medically necessary

Other services

  • Emergency Services (with applicable copayment)
  • Orthodontia (braces) Lifetime Maximum amount per person* $1,250
  • There are no deductibles. 
  • The annual Benefit Maximum per child is $1,000.
  • The out of pocket maximum is a percentage (5%) of Annual Family Income

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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Preventistry Pulse

PREVENTISTRY PULSE

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