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GEORGIA MEDICAID

Amerigroup of Georgia 

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DentaQuest provides dental coverage through Georgia Families® to eligible men, women and children who are members of Georgia Medicaid. These populations are served by Amerigroup to ensure continuity of health care and improved health outcomes. Members of the following Amerigroup plans have access to DentaQuest dental benefits.

  • Amerigroup of Georgia Adult Medicaid
  • Amerigroup of Georgia Pathway Waiver Adult
  • Amerigroup of Georgia Medicaid Pregnant Women
  • Amerigroup of Georgia InterPregnancy
  • Amerigroup of GA Families 360 Medicaid - Adoption Assistance
  • Amerigroup of GA Families 360 Medicaid - Foster Care and Juvenile Justice
  • Amerigroup of GA Childrens Medicaid
  • Amerigroup of GA PeachCare for Kids
  • Amerigroup of GA - Pathway Waiver Child (19 to 20)

 

Member Benefits

Medicaid

Members ages 21 and under and pregnant women have covered benefits as part of Medicaid EPSDT services.

Prevention

  • Dental exams (every six months)
  • Cleanings (every six months)
  • X-rays (every six months)

Treatments

  • Fillings
  • Extractions (teeth removal)
  • other medically necessary treatments

Benefits that are not covered for pregnant members over the age of 21 are:

  • Root canals
  • Dentures (full and partial) 
  • Implants 30
  • Orthodontia (braces) 

PeachCare for Kids (CHP+) 

Your Georgia Medicaid CHIP Program will cover:

  • Most basic preventive services including, cleanings, exams, sealants, x-rays and fluoride
  • Restorative treatments such as most fillings, crowns and extractions (teeth removal) that are determined medically necessary
  • A very limited orthodontic benefit if your child meets the medically necessary criteria. Cosmetic orthodontia is not a covered benefit.
  • Additional dental services. Your dental provider has a list of what specific services are covered.

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.

Important Plan Documents and Links

Log In to Your Portal

Health Plan members have access to a secure, comprehensive online portal where you can check your benefits, search for a dentist, get help when you need it and download your ID card. Guardians or Case workers needing assistance with registration or receiving registration errors, please contact Customer Service at 800-895-2218.

 

Keep Your Medicaid or CHIP Coverage!

Be sure your information is up to date to keep your smile healthy.

Preventistry Pulse

PREVENTISTRY PULSE

A newsletter with tips and information to improve your oral health.