Dental Benefits | Aetna Medicaid Illinois

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Select">Member materials and forms </a> </li> <li class="megamenumobile__tertiary--item"> <a class="megamenumobile__tertiary--link" href="/illinois-medicaid/member-portal.html" data-linklocation="Navigation" data-linktype="Regular" data-modal="Please Select">Member Portal </a> </li> <li class="megamenumobile__tertiary--item"> <a class="megamenumobile__tertiary--link" href="/illinois-medicaid/covid19.html" data-linklocation="Navigation" data-linktype="Regular" data-modal="Please Select">Covid-19 vaccine resources </a> </li> </ul> </nav> </div> </li> <li class="megamenumobile__secondary--item"> <button class="megamenumobile__secondary--link megamenumobile__secondary--haschild"><span class="sr-only">load</span>Updates and Info<span class="sr-only">menu</span></button> <div class="megamenumobile__tertiary block--hidden megamenumobile__tertiary--secondarylabel"> <h2 tabindex="-1" class="sectionHeadSecondary">Updates and Info</h2> <nav> <ul> <li class="megamenumobile__tertiary--item"> <a 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class="megamenumobile__tertiary--link" href="/content/dam/aetna/medicaid/illinois/pdf/ABHIL_Member_Handbook.pdf" data-linklocation="Navigation" data-linktype="Regular" data-modal="Please Select" target="_blank">English handbook (PDF) </a> </li> <li class="megamenumobile__tertiary--item"> <a class="megamenumobile__tertiary--link" href="/content/dam/aetna/medicaid/illinois/pdf/ABHIL_Member_Handbook_SP.pdf" data-linklocation="Navigation" data-linktype="Regular" data-modal="Please Select" target="_blank">Spanish handbook (PDF) </a> </li> <li class="megamenumobile__tertiary--item"> <a class="megamenumobile__tertiary--link" href="/content/dam/aetna/medicaid/illinois/pdf/ABHIL_HBIA_HBIS_Member_Handbook_Eng.pdf" data-linklocation="Navigation" data-linktype="Regular" data-modal="Please Select" target="_blank">HBIA HBIS handbook (PDF) </a> </li> </ul> </nav> </div> </li> <li class="megamenumobile__secondary--item"> </li> </ul> </nav> </div> </section> <section class="megamenumobile__panel--tertiary" id="idMegamenumobile__panel--tertiary"> </section> </div> </div> </div> </div> </div> <main> <div class="content_section" id="content__main"> <div class="pageherobanner"> <div class="hero_banner_ps_wrapper hero_banner_secondary "> <div class="hb_image "> <img class=" lazyload" data-src="/content/dam/aetna/asset-libraries/redesign/hero/GettyImages-1353378620_cropped_t6_f1a99c_1800x420.jpg" alt width="1800" height="420"/> </div> <div class="hb_content"> <div class="container"> <div class="row"> <div class="col-sm-12 col-md-11 col-lg-5 hb_content--wrapper"> <div class="hb_white_box "> <h1 class="hb_white_box_title page__title__hero">Dental care</h1> <div class="hb_white_box_subcopy rte-component-wraper "></div>  <div> </div>   <div><div class="text section"><div class="rte-component-wraper component--default "> <p>A healthy smile is linked to a healthy body. So you’ll want to see your dentist every six months. Just be sure to show your member ID card at every visit. </p> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> <div class="responsivegrid"> <div> <div class="container "> <div class="row"> <div class="aem-Grid aem-Grid--11 aem-Grid--default--11 "> <div class="textwithmedia aem-GridColumn--default--none aem-GridColumn aem-GridColumn--default--10 aem-GridColumn--offset--default--1"><div class="textmedia " data-cmp-is-async="textwithmedia/one" data-content-well="yes" data-disablereadmore="true"> <div class="container textmedia__componentwrapper rightrail--active textmedia--one component--right textmedia--one--small"> <div class="row"> <div class="col-12 d-md-none"> <h2 class="title__block title--mobile">Dental benefits </h2> </div> <div class="col-md-6 col-lg-6 mediawrapper--right"> <div class="textmedia__wrapper"> <h2 class="d-none d-md-block title__block">Dental benefits </h2> <div class="textmedia__wrapper--inner"> <div class="textmedia__text textmedia__text--top body__copy"><div class="textdescription text"><div class="rte-component-wraper component--default " data-linklocationGeneral="discoverable"> <p>You don’t need a referral to see a dentist in the network. And you can change your dentist or dental group any time during treatment. Here are some facts about dental services:</p> <p> </p> <ul> <li>They must be medically necessary</li> <li>You may need prior authorization (PA) — approval from your health plan in advance, or afterward in emergencies).</li> <li>You must go to an in-network dentist.</li> </ul> </div> </div> </div> <div><div class="accordioncore accordion section"> <div class="accordian container simplified component--responsive" data-cmp-is-async="accordion"> <div class="row"> <div class="accordian__main col-12 "> <div class="accordian__wrapper"> <div class="accordian__element " data-cmp-hook-accordion="item"> <div class="accordian__title title--secondary "> <h3 class="accordian__heading-item core"> <button id="link_content_section_responsivegrid_responsivegrid_textwithmedia_copy_c_mediaoneparsys_accordioncore_1" class="accordian__button" type="button" aria-controls="1714592365_1_element" aria-expanded="false">Services for adults</button> </h3> </div> <div data-cmp-hook-accordion="panel" id="1714592365_1_element" class="accordian__elemcontent core__elemcontent" aria-labelledby="link_content_section_responsivegrid_responsivegrid_textwithmedia_copy_c_mediaoneparsys_accordioncore_1"><div class="accordioncontent"><div class="content_wrapper"> <div class="aem-Grid aem-Grid--12 aem-Grid--default--12 "> <div class="text aem-GridColumn aem-GridColumn--default--12"><div class="rte-component-wraper component--default "> <p>We cover these dental services for members age 21 and over:<br /> </p> <ul> <li>Teeth cleanings (1 each year)</li> <li>Periodic oral exams (1 each year)</li> <li>Restorations</li> <li>Complete dentures</li> <li>Crowns</li> <li>Extractions</li> <li>Sedation</li> </ul> </div> </div> </div> </div></div> </div> </div> <div class="accordian__element " data-cmp-hook-accordion="item"> <div class="accordian__title title--secondary "> <h3 class="accordian__heading-item core"> <button id="link_content_section_responsivegrid_responsivegrid_textwithmedia_copy_c_mediaoneparsys_accordioncore_2" class="accordian__button" type="button" aria-controls="1714592365_2_element" aria-expanded="false">Services for children</button> </h3> </div> <div data-cmp-hook-accordion="panel" id="1714592365_2_element" class="accordian__elemcontent core__elemcontent" aria-labelledby="link_content_section_responsivegrid_responsivegrid_textwithmedia_copy_c_mediaoneparsys_accordioncore_2"><div class="accordioncontent"><div class="content_wrapper"> <div class="aem-Grid aem-Grid--12 aem-Grid--default--12 "> <div class="text aem-GridColumn aem-GridColumn--default--12"><div class="rte-component-wraper component--default "> <p>We cover these dental services for members under age 21:<br /> </p> <ul> <li>Teeth cleanings (1 every 6 months)</li> <li>Dental services provided in school dental programs</li> <li>Oral exams (1 every 12 months)</li> <li>Fluoride treatments (1 every 6 months, ages 3 to 20) </li> <li>Oral surgery</li> </ul> </div> </div> </div> </div></div> </div> </div> <div class="accordian__element " data-cmp-hook-accordion="item"> <div class="accordian__title title--secondary "> <h3 class="accordian__heading-item core"> <button id="link_content_section_responsivegrid_responsivegrid_textwithmedia_copy_c_mediaoneparsys_accordioncore_3" class="accordian__button" type="button" aria-controls="1714592365_3_element" aria-expanded="false">Services for eligible pregnant women</button> </h3> </div> <div data-cmp-hook-accordion="panel" id="1714592365_3_element" class="accordian__elemcontent core__elemcontent" aria-labelledby="link_content_section_responsivegrid_responsivegrid_textwithmedia_copy_c_mediaoneparsys_accordioncore_3"><div class="accordioncontent"><div class="content_wrapper"> <div class="aem-Grid aem-Grid--12 aem-Grid--default--12 "> <div class="text aem-GridColumn aem-GridColumn--default--12"><div class="rte-component-wraper component--default "> <p>You can also get these dental services before the birth of your baby:<br /> </p> <ul> <li>Teeth cleaning (1 every 6 months)</li> <li>Periodic oral exams (1 every 6 months)</li> <li>Periodontal work (care of the gums and bone supporting your teeth)</li> </ul> </div> </div> </div> </div></div> </div> </div> </div> </div> </div> </div> </div> </div> </div> <div> </div> </div> </div> <div class="col-md-4 col-lg-4 mediawrapper__small__xsmall mediawrapper--left"> <div class="mediacontainer__slot1 "> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> <div class="responsivegrid"> <div> <div class="container "> <div class="row"> <div class="aem-Grid aem-Grid--12 aem-Grid--default--12 aem-Grid--md--12 aem-Grid--xs--12 "> <div class="text aem-GridColumn--default--none aem-GridColumn--offset--md--4 aem-GridColumn--offset--xs--2 aem-GridColumn aem-GridColumn--default--7 aem-GridColumn--xs--none aem-GridColumn--md--5 aem-GridColumn--xs--10 aem-GridColumn--offset--default--1 aem-GridColumn--md--none"><div class="rte-component-wraper component--default "> <h2><span class="title__block">You can find a dentist:</span></h2> </div> </div> <div class="separator aem-GridColumn aem-GridColumn--default--12"><span class="keyline tb-margin-extra-small "> </span> </div> <div class="icontext aem-GridColumn--xs--newline aem-GridColumn--default--none aem-GridColumn--offset--xs--0 aem-GridColumn aem-GridColumn--xs--12 aem-GridColumn--default--4 aem-GridColumn--offset--default--1"> <div class="texticon texticon__promo--secondary "> <div class="texticon__container "> <div class="texticon__wrapper texticon__iconwrapper align-items-start"> <div class="texticon__icon icon__medium"> <img class=" lazyload" data-src="/content/dam/aetna/asset-libraries/icons_2023/violet/Icon_Business_Laptop-Line-Portal-Login_Outline_RGB.svg" alt/> </div> <div class="texticon__text rte-component-wraper promo--secondary justified--left"> <h3><span class="title--secondary__big">Online<br /> </span><br /> <span style="font-weight: normal;">Find an <a href="https://dentaquest.healthsparq.com/healthsparq/public/#/one/city=&state=&postalCode=&country=&insurerCode=DENTAQUEST_I&brandCode=ILCAID/advanced-search" target="_blank" class="link__text--inline" data-analytics-name="in-network dental provider" data-modal="exitToExternal">in-network dental provider</a> that’s close to you.</span></h3> </div> </div> </div> </div> </div> <div class="icontext aem-GridColumn--default--none aem-GridColumn--offset--xs--0 aem-GridColumn aem-GridColumn--xs--none aem-GridColumn--xs--12 aem-GridColumn--default--4 aem-GridColumn--offset--default--1"> <div class="texticon texticon__promo--secondary "> <div class="texticon__container "> <div class="texticon__wrapper texticon__iconwrapper align-items-start"> <div class="texticon__icon "> <img class=" lazyload" data-src="/content/dam/aetna/asset-libraries/icons_2023/violet/Icon_Technology_Smartphone-2_Outline_RGB.svg" alt/> </div> <div class="texticon__text rte-component-wraper promo--secondary justified--left"> <h3><span class="title__container"><span class="title--secondary__big">By phone<br /> </span></span><br /> Call us at <a data-analytics-name="1-800-416-9185" href="tel:1-800-416-9185" class="link__text--inline">1-800-416-9185</a>.<br /> </h3> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> <div class="textwithmedia"><div class="textmedia " data-cmp-is-async="textwithmedia/one" data-content-well="yes" data-disablereadmore="true"> <div class="container textmedia__componentwrapper textmedia--one component--left textmedia--one--small"> <div class="row"> <div class="col-12 d-md-none"> <h2 class="title__block title--mobile">Help for dental emergencies</h2> </div> <div class="col-md-4 col-lg-4 mediawrapper__small__xsmall mediawrapper--left"> <div class="mediacontainer__slot1 "> <div data-src="/content/dam/aetna/asset-libraries/photos/AdobeStock_600665582_696x928.jpg" class="media__one__image media--hide"></div> <div class="media__one media__image--vertical" data-slot1-image-loaded="false"> <div class="media__content media__image--animate"> <img class=" lazyload" data-src="/content/dam/aetna/asset-libraries/photos/AdobeStock_600665582_696x928.jpg" alt width="696" height="928"/> </div> </div> </div> </div> <div class="col-md-6 col-lg-6 mediawrapper--right"> <div class="textmedia__wrapper"> <h2 class="d-none d-md-block title__block">Help for dental emergencies</h2> <div class="textmedia__wrapper--inner"> <div class="textmedia__text textmedia__text--top body__copy"><div class="textdescription text"><div class="rte-component-wraper component--default " data-linklocationGeneral="discoverable"> <p>Just call your dentist. Go to the emergency room for medical emergencies when your life is in danger.</p> <p> </p> <h3><span class="title--secondary__big">Find a dentist in emergencies</span></h3> <p> </p> <p>Is your dentist office closed? Or maybe you don’t have a dentist? To find a dentist:<br /> </p> <ul> <li>Call us at <a data-analytics-name="1-800-416-9185" href="tel:1-800-416-9185" class="link__text--inline">1-800-416-9185</a>.</li> <li>Visit the <a data-analytics-name="DentaQuest website" data-modal="exitToExternal" href="https://www.dentaquest.com/en/members/illinois-medicaid-dental-coverage/aetna" class="link__text--inline" target="_blank">DentaQuest website</a></li> </ul> <p>For emergency dental care, you still need to see an in-network dentist. Your services may also need prior authorization (PA) or approval from your health plan afterward.</p> </div> </div> </div> </div> <div> </div> </div> </div> </div> </div> </div> </div> <div class="responsivegrid"> <div> <div class="container "> <div class="row"> <div class="aem-Grid aem-Grid--11 aem-Grid--default--11 "> <div class="textwithmedia aem-GridColumn--default--none aem-GridColumn aem-GridColumn--default--10 aem-GridColumn--offset--default--1"><div class="textmedia " data-cmp-is-async="textwithmedia/one" data-content-well="yes" data-disablereadmore="true"> <div class="container textmedia__componentwrapper rightrail--active textmedia--one component--right textmedia--one--small"> <div class="row"> <div class="col-12 d-md-none"> <h2 class="title__block title--mobile">Special settings</h2> </div> <div class="col-md-6 col-lg-6 mediawrapper--right"> <div class="textmedia__wrapper"> <h2 class="d-none d-md-block title__block">Special settings</h2> <div class="textmedia__wrapper--inner"> <div class="textmedia__text textmedia__text--top body__copy"><div class="textdescription text"><div class="rte-component-wraper component--default " data-linklocationGeneral="discoverable"> <p>Sometimes people need to be in a hospital setting or surgical center for dental care. This may happen for:<br /> </p> <ul> <li>People with special health care needs</li> <li>Children under age 5.</li> </ul> <p>If your dentist can’t provide this service, you can:<br /> </p> <ul> <li>Call us at <a data-analytics-name="1-800-416-9185" href="tel:1-800-416-9185" class="link__text--inline">1-800-416-9185</a>.</li> <li>Visit the <a data-analytics-name="DentaQuest website" data-modal="exitToExternal" href="https://www.dentaquest.com/en/members/illinois-medicaid-dental-coverage/aetna" class="link__text--inline" target="_blank">DentaQuest website</a></li> </ul> <p>They can help you find a dentist and arrange your care.</p> </div> </div> </div> <div> </div> </div> <div> </div> </div> </div> <div class="col-md-4 col-lg-4 mediawrapper__small__xsmall mediawrapper--left"> <div class="mediacontainer__slot1 "> </div> </div> </div> </div> </div> </div> <div class="separator aem-GridColumn aem-GridColumn--default--11"><span class="keyline tb-margin-extra-small "> </span> </div> <div class="icontext aem-GridColumn aem-GridColumn--default--11"> <div class="texticon__inherited"> <div class="texticon texticon__inherited" data-variation="inherited"> <div class="container"> <div class="row"> <div class="offset-lg-2 col-lg-8 texticon__container"> <div class="texticon__wrapper texticon__iconwrapper align-items-start"> <div class="texticon__icon "> <img class=" lazyload" data-src="/content/dam/aetna/asset-libraries/icons/icon_tooth.svg" alt/> </div> <div class="texticon__text rte-component-wraper inherited justified--left"> <p>Types of dental emergencies<br /> <br /> Some examples are:<br /> <br /> </p> <ul> <li>A broken natural tooth</li> <li>A lost filling or crown</li> <li>A permanent tooth is knocked out</li> <li>Very bad pain in the gum around a tooth</li> <li>Mouth or face swelling or infection</li> </ul> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> <div class="textwithmedia"><div class="textmedia " data-cmp-is-async="textwithmedia/one" data-content-well="yes" data-disablereadmore="false"> <div class="container textmedia__componentwrapper textmedia--one component--right textmedia--one--small"> <div class="row"> <div class="col-12 d-md-none"> <h2 class="title__block title--mobile">Dental visit tips</h2> </div> <div class="col-md-6 col-lg-6 mediawrapper--right"> <div class="textmedia__wrapper"> <h2 class="d-none d-md-block title__block">Dental visit tips</h2> <div class="textmedia__wrapper--inner"> <div class="textmedia__text textmedia__text--top body__copy"><div class="textdescription text"><div class="rte-component-wraper component--default "> <ul> <li>Be 15 minutes early for your first appointment with the dentist.</li> <li>Be 5 minutes early for all other dental visits. </li> <li>Call the dentist at least one day ahead if you can’t keep your appointment.</li> <li>Bring only the family members that have an appointment to the office.</li> <li>Stay in the waiting room during your 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Dental Benefits | Aetna Medicaid Illinois