Medicaid Dental Coverage

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Medicaid dental coverage you need, with Highmark Wholecare

Medicaid Dental Coverage

Medicaid dental coverage you need, with Highmark Wholecare

Adult and Pediatric Dental Care

Adult and Pediatric Dental Care

A healthy smile is key to a healthy life. Highmark Wholecare’s Medicaid dental coverage benefits cover routine and as-needed dental care.

A healthy smile is key to a healthy life. Highmark Wholecare’s Medicaid dental coverage benefits cover routine and as-needed dental care.

mother holding toddler daughter while both brushing their teeth

We know dental care is important

There’s no way around it, dental care is vital to maintaining a healthy and happy lifestyle. Highmark Wholecare offers dental coverage because we know that the whole solution to health isn’t offered by just anyone. From routine care to as-needed care, braces and dentures, we have you covered.

Adult Dental Coverage

Members over 21 years old can visit any dentist in our network. You don’t need a referral to visit a dentist.

Routine Dental Care

Visiting your dentist on a regular basis can catch small problems early. Routine dental cleanings keep your smile bright and healthy. Both of these services are covered.

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As-Needed Dental Care

Sometimes routine care isn’t enough. We may be able to help with some additional services that your dentist recommends. Some services that this can include are, X-rays, fillings, and certain oral surgeries.

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Dentures

Dentures can be an essential part of proactive dental care for adults. We satisfy these essential needs to help you maintain a healthy life.

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Preventive Care

Preventive Care

Preventive care keeps you healthy with NurseLine, wellness coaching and other helpful programs.

Preventive care keeps you healthy with NurseLine, wellness coaching and other helpful programs.

Mother smiling with two toddler girls brushing their teeth

Children’s Dental Care

Building a habit of regular visits to the dentist as a child creates a healthy pattern for your child. Routine dental visits and cleanings for your child are covered by Medicaid. Dental emergencies and surgeries that your child may need are also covered.

Smiling father with toddler daughter brushing her teeth and smiling dentist

More Health Care Services Included in EPSDT

Our Growing up with Highmark Wholecare program suggests your child’s first dental visit before their first birthday. After their first birthday your child should go to the dentist every six months. This Early and Periodic Screening, Diagnosis and Treatment (EPSDT) program provides guidance for check-ups, screenings and health care services for your children.

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Find a Dentist

Search for dentists near you and find a provider that meets your needs with Highmark Wholecare. Wholecare Call Center 1 (800) 392-1147

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Need Help Applying?

Free for anyone, call anytime for around-the-clock support. Highmark Wholecare Call Center 1 (800) 392-1147 TTY 711

Customer Service

© by Highmark Wholecare SM

This information is issued on behalf of Highmark Wholecare, which is an independent licensee of the Blue Cross Blue Shield Association. Highmark Wholecare serves a Medicaid plan to Blue Shield members in 13 counties in central Pennsylvania, as well as, to Blue Cross Blue Shield members in 14 counties in western Pennsylvania. Highmark Wholecare serves Medicare Dual Special Needs plans (D-SNP) to Blue Shield members in 14 counties in northeastern Pennsylvania, 12 counties in central Pennsylvania, 5 counties in southeastern Pennsylvania, and to Blue Cross Blue Shield members in 27 counties in western Pennsylvania.