How much do I have to pay for my child's dental care?
You must pay for:
If your child gets services before their dental coverage starts, you must pay for them. You will also have to pay for services that:
CHIP Members have a yearly maximum of $564 (per 12-month term of coverage). CHIP members must pay a co-payment for each dental visit when non-preventive services are given, unless the member's cost sharing has been met. A list of non-preventive services is listed at the top of this page. Co-pays do not apply to initial and periodic exams, x-rays, cleanings or sealants.
Co-Pays are based on the Federal Poverty Level (FPL). The federal government sets the FPL every year. Below are examples of the co-pay that is set for each level. Your Member ID Card will tell you what co-pay you will need to pay for each non-preventive visit.
Effective January 1, 2014
***The federal poverty level (FPL) refers to income guidelines established annually by the federal government.
**Per 12-month term of coverage.
Contact the DentaQuest Member Call Center for information about benefit limits and frequency toll-free at 1-800-508-6775.
How much do I have to pay for services not covered by the CHIP Dental Program or services that are over the yearly maximum?
Members do have to pay for services that are: