Does Medi-Cal pay for extractions?

Asked by: Amani Hodkiewicz  |  Last update: November 13, 2023
Score: 4.8/5 (34 votes)

Adults with limited-scope Medi-Cal have restricted coverage with only extractions and emergency services covered.

Is tooth extraction covered by Medi-Cal?

Services covered by Medi‑Cal Dental may include:

Cleanings. Fluoride treatments. Emergency services. Tooth removal.

Does Medi-Cal cover surgery?

medications. Inpatient hospital services • Anesthesiologist services • Surgical services (bariatric, reconstructive surgery, etc.) Organ & tissue transplantation • Outpatient laboratory and X-ray services o Various advanced imaging procedures are covered based on medical necessity.

Does California Medi-Cal cover dental implants?

Medi – Cal generally does not cover implants.

However, check out Dental for Everyone they have plans that will cover implants! Remember though, there is no free lunch. Insurance Companies have to take in more money in premiums than the pay in claims…

Does Medi-Cal cover braces for adults in California?

Does Medi-Cal or Denti-Cal Cover Braces? Yes. But, not everyone with Medi-Cal/Denti-Cal qualifies for these benefits. A patient must first be evaluated to rate the degree of the malocclusion, which is a problem in the way the upper and lower teeth fit together in biting or chewing, such as an overbite or under bite.

Which Dental Procedures Can Be Billed To Medical Insurance?

35 related questions found

How much do braces cost in California with Medi-Cal?

Angie's List estimates that the average cost of metal braces for a patient without dental insurance is $4,937. For a patient with dental insurance, that price drops to $3,407. Ceramic braces cost on average $4,572 without insurance and $2,570 with insurance. Invisalign treatment can cost on average around $5,600.

Does Medi-Cal help with braces?

The Medi-Cal Dental program's benefits include orthodontic care for medically necessary conditions. Orthodontic benefits are from age 13 to 21, with no extended services allowed. Patients must maintain eligibility throughout the entire treatment.

What benefits does Medi-Cal provide?

Medi-Cal covers most medically necessary care. This includes doctor and dentist appointments, prescription drugs, vision care, family planning, mental health care, and drug or alcohol treatment. Medi-Cal also covers transportation to these services. Read more in “Covered Benefits” on page 12.

What is Medi-Cal necessity for Medi-Cal?

Medi-Cal covers most medically necessary care. This includes doctor and dentist appointments, prescription drugs, vision care, family planning, mental health care, and drug or alcohol treatment. Medi-Cal also covers transportation to these services.

How much are dental implants in California?

Normally, the cost of dental implants in Sacramento is about $3,000 to $4,500 to replace one tooth. That includes the surgery, implant crown and all the components. Replacing just 28 of 32 teeth costs $84,000 to $126,000.

How do I check my Medi-Cal coverage?

How Do I Check My Medicaid Status? Contact your local county social services office to learn about your Medi-Cal status and eligibility. The California Department of Health Care Services has a full directory of each county's agency.

Does Medi-Cal pay for top surgery?

Today, California is still one of the most popular places in the country to go for Top Surgery, boasting more than 50 surgeons offering the procedure. California Medicaid (Medi-Cal) covers Top Surgery and finding a surgeon who takes Medi-Cal can be a challenge.

What is the difference between Medi-Cal and Covered California?

What is the difference in coverage between Medi-Cal and Covered California?​​​​ Medi-Cal is health coverage, just like the coverage offered through Covered California. Medi-Cal provides benefits similar to the coverage options available through Covered California, but often at lower or no cost to you or your family.

How much is a tooth extraction without insurance in California?

Simple tooth extractions often cost between $65 and $300. The price range for a surgical tooth extraction under anesthesia is $125–650. Costs for complex surgical tooth extractions range from $175 to $600. The operation for Tooth Extraction Ventura is partially covered by dental insurance.

Is Medi-Cal and Medi-Cal dental the same?

The most common misconception surrounding the Medi-Cal program and dentistry is that Denti-Cal is a separate program that people have to qualify into or out of; this is simply untrue. Nearly everyone that qualifies for Medi-Cal benefits can reap the benefit of Denti-Cal with no additional work on their part.

How many teeth do you need for a partial denture?

Usually, no defined number of teeth is required to receive partial dentures. However, the existing natural teeth must be strategically placed in that there is a healthy tooth on each side of the hole you want to fill. Removable partial dentures use the healthy teeth on both sides as anchors to help them stay in place.

What does regular Medi-Cal mean?

Medi-Cal is California's Medicaid program. This is a public health insurance program that provides free or low cost medical services for children and adults with limited income and resources.

What are the different types of Medi-Cal?

​​​Find Out More About Medi-Cal Programs​​​
  • Medi-Cal Dental Program. Dental services are currently provided as one of the many benefits under the Medi-Cal program.
  • Fair Hearing. ...
  • Health Insurance Premium Payments. ...
  • Medi-Cal. ...
  • Medi-Cal Eligibility. ...
  • Medi-Cal Estate Recovery. ...
  • Medi-Cal Managed Care.

What is the difference between Medi-Cal and Medi-Cal?

Medi-Cal is California's Medicaid health care program. Medi-Cal pays for a variety of medical services for children and adults with limited income and resources. Medicare is a federally funded insurance program for eligible participants 65 or over.

Is Medi-Cal a good program?

The health plans offered by Covered California and Medi-Cal include the same full set of benefits, but Medi-Cal is usually at lower or no cost. You can preview plans and benefits here. In a recent survey of Medi-Cal members, 90% of the members who answered rated Medi-Cal as a good or very good program.

What income does Medi-Cal count?

Income-based Medi-Cal counts most types of earned and unearned income you have. However, some income is not counted, including Supplemental Security Income (SSI) benefits and some contributions to retirement accounts. Learn more about what types of income affect income-based Medi-Cal eligibility.

Does Medi Cal cover partials?

Restored benefits will include, for example: Laboratory processed crowns, posterior root canal therapy, periodontal services, and partial dentures, including denture adjustments, repairs, and relines.

What is a root canal procedure?

What is a root canal? Root canal treatment is a dental procedure that relieves pain caused by an infected or abscessed tooth. During the root canal process, the inflamed pulp is removed. The surfaces inside the tooth are then cleaned and disinfected, and a filling is placed to seal the space.

How can I change my Medi Cal plan?

How to change your medical plan. If you are not happy with your medical plan, you can choose another medical plan, if available. To change your medical plan, call Health Care Options at 1-800-430-4263 (TTY 1-800-430-7077). Or you can complete a Medi-Cal Choice Form.