Medicaid & CHIP Dentist – Kaufman, TX

Children's Medicaid & CHIP: How Do They Work?

Medicaid and CHIP (Children’s Health Insurance Program) are programs designed to make dental and medical coverage affordable for children under the age of eighteen. Every child with CHIP or Medicaid receives dental coverage, and these plans are managed in Texas by DentaQuest, MCNA Dental, and United Healthcare Dental. Those who receive CHIP benefits have an annual benefit maximum of about $564 according to DentaQuest’s CHIP handbook, but preventive, diagnostic, and other medically necessary services may still receive coverage after this maximum has been met if they are approved.

Dental Services Covered Under CHIP & Children's Medicaid Plans

CHIP and Medicaid plans typically offer the following coverage to children:

• Two routine dental exams and cleanings every six months.
• Biannual fluoride treatments to reinforce the enamel.
• X-rays, fillings, crowns, and root canals.
• Medically necessary treatments such as tooth extractions.

Services such as general anesthesia, IV sedation, orthodontics, and cosmetic dentistry do not usually receive coverage.

Medicaid Dental Coverage for Adults

Children and adults who meet their state’s requirements can qualify for Medicaid at any age. The specific benefits Medicaid provides for adults can vary significantly from state to state, and participants in Texas typically receive coverage for emergency dental services from DentaQuest. MCNA is the Medicaid plan that covers qualifying adults and children in Texas.

Prevention Is the Key to a Healthy Smile

Proper oral habits can considerably reduce the cost of dental healthcare and prevent most oral infections. It’s a great idea to make sure your child attends routine dental appointments every six months so they can get used to the oral cleaning process. Ensuring that they brush and floss appropriately will also teach them the skills they need to eliminate accumulations of sugary residue and food debris that feed harmful oral bacteria. If an oral health issue does arise, the team at Texas Dentistry & Braces will be happy to help you navigate the coverage you receive from insurance, CHIP, or Medicaid so everyone in your family can receive the dental care they need to stay healthy.