Child Health Plan Plus

DentaQuest provides dental coverage through Child Health Plan Plus (CHP+), a public, low-cost health insurance program for children and pregnant women who don't qualify for Health First Colorado (Colorado's Medicaid program) and can't afford private health insurance. Qualifying members must be under the age of 18 or pregnant people ages 19 and over.

Prevention

• Dental Exam (annual)
• Dental Screening (annual)
• Dental X-rays (annual)
• Teeth Cleanings (annual)
• Fluoride
• Sealants

Treatment

• Fillings and Stainless-Steel Crowns
• Root Canals
• Extractions
• Periodontics
• Prosthodontics (Dentures)

Additional

Orthodontia (braces) — $1,500 maximum once in a lifetime for medically necessary treatment

Members must have had CHP+ coverage for 12 months continuously before they can get orthodontic treatment.

Members may receive up to $1,000 of covered dental benefits in each calendar year (benefit period). All services are subject to specific procedures and limitations.

DentaQuest will pay for up to an additional $1,000 benefit to CHP+ members for any medically necessary covered services that is above and beyond the member's annual maximum. 

The Office Reference Manual (ORM) clearly outlines the clinical criteria used to evaluate and make a determination based on medical necessity for any given service.