Benefits Coverage
Please see the expandable menus below for what dental services are covered.
All covered services are free as long as your provider says you need the services. Look at the “Service” column to see how many times you can get each service for free. Look at the “How to access” column to see if you need to get a referral or preapproval for the service.
A star (*) in the benefit chart means a service may be covered beyond the limits listed for members under 21, if medically necessary and appropriate.
The information above is not a full list of services that need preapproval or referral. If you have questions, please call Advantage Dental Services at 866-268-9631 (TTY 711).
How Long It Takes To Get Care
We work with providers to make sure that you will be seen, treated or referred.
Oral and Dental Care For Children and Non-Pregnant People
Below are time frames for how long children and non-pregnant people can expect to wait to receive oral health care:
- Regular oral health appointments — Within 8 weeks unless there is a clinical reason to wait longer.
- Urgent oral care — Within 2 weeks.
- Dental emergency services — Seen or treated within 24 hours.
Oral and Dental Care For Pregnant People
Below are time frames for how long pregnant people can expect to wait to receive oral health care:
- Regular oral health appointments — Within 4 weeks unless there is a clinical reason to wait longer.
- Urgent oral care — Within 1 week.
- Dental emergency services — Seen or treated within 24 hours.
