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Dental Coverage
Benefits Summary
All KelseyCare Advantage Plans includes Preventive Dental coverage that is not covered by original Medicare. Services include routine preventive exams, cleanings and x-rays and is administered by FCL Dental.
Covered Preventive Dental Services
Preventive dental benefits when you choose an in-network dentist. Any dental services provided by an out-of-network dentist are not covered.
| Coverage Description | |
| Copayment | $25 per visit |
| Oral Exam | 1 every 6 months |
| Cleaning | 1 every 6 months |
| X-Rays | 1 every 12 months* |
*Refer to the Evidence of Coverage for each plan for detailed dental benefit information, this is only a summary
Comprehensive Dental
Select KelseyCare Advantage plans also include $1,500 annually towards certain comprehensive dental services starting January 1, 2022.
Plans with Built-In Additional Dental Coverage
Gold, Gold Community, and Silver Community Plans
Our Gold, Gold Community, and Silver Community plans include preventive dental only. If you are interested in adding supplemental dental coverage, please visit our Supplemental Dental Insurance page.
Search for an In-Network Dentist
Visit our partner site to search for a network dentist in your area. You can also call 1-866-535-8343 if you need help finding a participating dentist. To access your preventive dental benefit, you simply present your KelseyCare Advantage plan ID card to the FCL Dental provider you have chosen.
Always at Your Service
Call Member Services at at 713-442-CARE (2273) or toll-free at 1-800-535-8343 (TTY: 711) from 8 a.m. to 8 p.m., seven days a week, from October 1 to March 31 and 8 a.m. to 8 p.m., Monday through Friday, from April 1 to September 30.