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Step 1: Choose a dentist
- One of the biggest differences between dental plans is which doctors they work with.
- Ask your doctor which Iowa Medicaid dental plan they work with or check with each dental plan to make sure your dentist is included.
Step 2: Review your covered dental plan benefits & services
- Your coverage group is chosen when you are approved for Medicaid. It decides what benefits and
services you can get. - If you are ever unsure of your coverage group or have specific questions related to your health
coverage you can always contact Medicaid Member Services for assistance. - Detailed benefit information by coverage group is available online.
Extra Benefits
- Extra benefits will differ between Delta Dental and MCNA Dental.
- Detailed Value Added Services information is available on each dental plans website.
Benefits & Services | DWP (Adults & Kids) | Hawki |
---|---|---|
Primary Care Dentist Office visits & telehealth | Covered; limitations or prior authorizations may apply to certain services. | Covered; limitations or prior authorizations may apply to certain services. |
Dental Specialists Office visits & telehealth | Covered; limitations or prior authorizations may apply to certain services. Orthodontia is only covered if medically necessary and under age 21. | Covered; limitations or prior authorizations may apply to certain services. Orthodontia is only covered if medically necessary and under age 21. |
Pharmacy/Medication Covered Prescription & Nonprescription Drugs | Need information | Need information |
Emergency Care or Hospital Services Hospital Emergency Room (ER) Visits, Urgent Care Centers, Inpatient or Outpatient Hospital Services | Need information | Need information |
Extra benefits |
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Step 3: Compare dental plan costs
- Costs are currently the same between all dental plans; however costs will differ based on your coverage group eligibility, family income, and/or services provided.
- If there is a copayment, you will pay it to the provider.
Benefits & Services | DWP (Adults & Kids) | Hawki |
---|---|---|
Monthly Premiums | Need information | Need information |
Office Visit Copay(s) | Need information | Need information |
Pharmacy/Medication Covered Prescription & Nonprescription Drugs | Need information | Need information |
Emergency Care or Hospital Services Hospital Emergency Room (ER) Visits, Urgent Care Centers, Inpatient or Outpatient Hospital Services | Need information | Need information |
Estate recovery | Estate recovery applies to Medicaid recipients who:
| Estate recovery does not apply to Hawki members. |