Does Fidelis silver cover dental?

-Family Dental & Vision: Gold & Silver “Enhanced” plans will cover dental and vision services for adults and children.

Do you need a referral to see a specialist with Fidelis Care?

You do not need a referral from your PCP to get these services. If you have any questions or need information about these non-covered services, you can call Fidelis Care’s Member Services Department at 1-888-FIDELIS (1-888-343-3547).

Why do dentists not accept Medicaid?

Numerous studies on access to dental care for Medicaid-insured children have been completed, including those of dentists, who consistently provide 3 major reasons for their lack of participation in the Medicaid program: low reimbursement rates, broken appointments and patient noncompliance, and burdensome paperwork …

Does Medicaid cover dental implants in NY?

Dental implants will be covered by Medicaid when medically necessary. Prior approval requests for implants must have supporting documentation from the patient’s physician and dentist. A letter from the patient’s physician must explain how implants will alleviate the patient’s medical condition.

How much is Fidelis insurance a month?

Costs vary between tiers depending on your eligibility: Monthly premium is $0. Office visits are $0, $15 for a PCP and $25 for a specialist. Inpatient hospital stays are $0 or $150.

How good is Fidelis insurance?

Fidelis Care also received an overall quality rating of 5 stars for health plan performance as part of the New York State Department of Health’s 2017 Consumer’s Guide to Medicaid and Child Health Plus Managed Care Plans.

What does Fidelis dental cover?

Our policies cover preventative care – routine dental cleanings and vision screenings to help our clients preserve their vision and dental health. Our policies also cover vision correction, including glasses and contact lenses, as well as fillings, root canals and extractions.

Do you need referral for specialist?

In order to see a specialist, you’ll need a referral from your primary care physician, except in an emergency. Without a referral, your insurance won’t cover the cost of your care.

At what age should a child first visit a dentist?

The first dental visit is recommended by 12 months of age, or within 6 months of the first tooth coming in. The first visit often lasts 30 to 45 minutes. Depending on your child’s age, the visit may include a full exam of the teeth, jaws, bite, gums, and oral tissues to check growth and development.

Why do doctors not accept Medicaid?

One likely reason fewer doctors accept Medicaid patients is that those claims are paid at a lower rate than other insurance. More providers would be interested in Medicaid if the program’s reimbursements were similar to Medicare payments, according to the report.

Can I get help to pay for dental implants?

What is The Cosmetic Dentistry Grants Program? The Cosmetic Dentistry Grants Program (CDG) can help with the cost of dental implants. Even tho the Cosmetic Dentistry Grants Program is not for profit, the participating volunteer dentists pay a fee for every patient they get from the program.

Is Fidelis Care Medicaid?

In addition to its Medicaid Managed Care program, Fidelis Care became an approved provider of Child Health Plus in 1997, and Family Health Plus in 2001. Both are New York State-sponsored health insurance programs. In May 2004, Fidelis Care began Fidelis Medicare Advantage and Dual Advantage to serve the elderly.

Does DentaQuest cover for braces?

Braces are covered only when they are medically necessary. The DentaQuest dentist can tell you if you meet the rules to have braces. To be covered for that cost, you must get approval from DentaQuest before getting braces. Can DentaQuest help me find a dentist?

Do I need dental insurance to go to the dentist?

A common misconception is that you need dental insurance to go to the dentist. While dental insurance can help make treatment more affordable, it certainly is not a requirement. Preventive care is of utmost importance, even if you do not have dental insurance. Why should I go to the dentist? Preventive care is essential to your oral health.