NEW YORK 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.
Contact Details
Plan Name: MetroPlusHealth Essential
Member Services: 844-831-9097
Hours of Operation: Monday through Friday, 8 a.m. to 8 p.m. ET.
Plan Website: NYC Health Plans - MetroPlusHealth
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PREVENTISTRY PULSE
A newsletter with tips and information to improve your oral health.