Dental Wellness Plan

• To receive timely, appropriate, and accessible dental care
• To obtain a second opinion regarding a dental diagnosis
• To choose the provider of your choice from the providers available within your dental carrier’s network
• To change your dental carrier as allowed by program policy
• To appeal a decision that you do not agree with
• To be treated with respect and dignity
• To be treated without discrimination with regard to race, color, national origin, sex, sexual orientation, religion, age, disability, political belief or veteran status
• To participate in decisions regarding your dental care, including the right to refuse treatment 

• To be knowledgeable about your dental coverage
• To obtain routine and ongoing care from your provider in an office setting
• To contact your provider before emergency room visits with the exception of situations requiring emergency care.
• To carry your current medical assistance card and Dental Wellness Plan card at all times and present it when accessing dental care.
• To call the number on the reverse side of your member ID cards if you move or have incorrect information printed on your medical cards
• To be responsible for any medical bills if you do not present your Iowa Medicaid card or Dental Wellness Plan card at the time of your visit
• To be responsible for any dental bills for services provided by a practitioner who is not participating in the Iowa Medicaid program or is not enrolled with your dental carrier

All Dental Wellness Plan and Dental Wellness Plan Kids members have the right to file an appeal with their dental carrier. For benefit or service-related issues, please contact your dental carrier to learn about your appeal rights with them. If an Iowa Medicaid member is dissatisfied with the dental carrier’s decision, the member can access the State Fair Hearing appeal process through the Department of Human Services (DHS). 

For more information on appeals see pages 22-23 of the IA Health Link Member Handbook (Espanol).

Learn more about the appeal process here: Appeals