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Dental Benefits

For Minnesota Health Care Programs (MHCP) Members

Benefits Summary

Your plan includes dental coverage managed by Delta Dental® of Minnesota. This summary of non-pregnant adult dental benefits helps you understand and access your dental benefits, and also includes:

  • Covered services
  • How to find a provider and how often to seek preventive care
  • The Provide-A-Dentist program
  • How to reach Delta Dental customer service

Covered Services

    • Dental cleanings
    • Fluoride varnish
    • Cavity treatment

    • Fillings
    • Sedative fillings for relief of pain

    Medica AccessAbility Solution Enhanced members: You have one crown covered per year.

    Medica DUAL Solution members: You have two crowns covered per year.

    • Comprehensive exam
    • Periodic exam
    • Limited (problem-focused) exams
    • Imaging services:
      • Bitewing X-ray
      • Single X-rays for diagnosis of problems
      • Panoramic X-ray
      • Full mouth X-ray

    • Root canals

    • Removal of plaque and tartar
    • Scaling and root planing
      • Follow-up periodontal maintenance

    • Dentures and partials
    • Relines, repairs, adjustments, modifications, and rebases of removable prostheses
    • Replacement of prosthesis that are lost, stolen, or damaged beyond repair
    • Replacement of partial prostheses if the existing partial cannot be altered to meet dental needs
    • Tissue conditioning liners (once per appliance)
    • Precision attachments and repairs

    • Extractions (removal of impacted teeth or tooth roots)
    • Biopsies
    • Incision and drainage of abscesses

    • Emergency treatment for pain
    • General anesthesia
    • Behavioral management when necessary to ensure that a covered dental service is correctly and safely performed
    • Oral or IV sedation

Find Care

Delta Dental has a large network of providers. As a Medica member, you have access to the Minnesota Select Dental network.
Search for a Minnesota Select Dental network dentist

Member Tips

  • Visit your dentist at least once a year for an exam and cleaning.
  • If you have dentures, your dentist will make sure your mouth is healthy and your dentures fit well.
  • Tell your dentist about any medicine you take or health conditions you have.

How to Get Help

Call Delta Dental Customer Service for help:

  • Finding a dentist
  • Understanding what's covered
  • Solving billing issues

Delta Dental Customer Service 7 a.m. to 7 p.m., Central, Monday – Friday Toll-free at 1-800-459-8574 (TTY: 711)

Provide-A-Dentist Program

Get help making and keeping an appointment with a dentist. If you can't find a dentist who has openings, call Delta Dental and let them know you need help getting an appointment. They will connect you to a Provide-A-Dentist Access Care Coordinator.

Before accessing this program, try to make an appointment on your own. If you can't find a dentist who has openings, call Delta Dental Customer Service and let them know you need help. They'll connect you to a Provide-A-Dentist Access Care Coordinator.

The Provide-A-Dentist Access Care Coordinator can help:

  • Find a dentist in Delta Dental's Minnesota Select Dental network
  • Schedule your dental appointment
  • Get a ride to your appointment
  • Arrange an interpreter for your appointment
  • Schedule follow-up dental care

For Medica AccessAbility Solution Enhanced (HMO D-SNP) and Medica DUAL Solution (HMO D-SNP) (MSHO):

1-888-347-3630 (toll-free) (TTY: 711)
8 a.m. – 9 p.m. CT, daily

For Medica AccessAbility Solution (SNBC) and Medica Choice Care MSC+:

1-877- 379-7540 (toll-free) (TTY: 711)
8 a.m. – 6 p.m. CT, Monday - Friday

For Medica Choice Care PMAP and Medica MinnesotaCare:

1-800-373-8335 (toll-free) (TTY: 711)
8 a.m. – 6 p.m. CT, Monday – Friday

Mailing address:

Medica
Route CP540
P.O. Box 9310
Minneapolis, MN 55440

Contact us

About Your Coverage

Plan documents
Plan material order form
ID card order form

Resources

Member rights and responsibilities
Limited English proficiency (LEP) plan
How to Get the Care You Need (PDF)
Disability Hub MN
MN Board on Aging

Medica DUAL Solution and Medica AccessAbility Solution Enhanced are HMO D-SNPs that contract with both Medicare and the Minnesota Medical Assistance (Medicaid) program to provide benefits of both programs to enrollees. Enrollment in Medica DUAL Solution and Medica AccessAbility Solution Enhanced depends on contract renewal.

American Indians can continue to use tribal and Indian Health Services (IHS) clinics. We will not require prior approval or impose any conditions for you to get services at these clinics. For elders age 65 years and older this includes Elderly Waiver (EW) services accessed through the tribe. If a doctor or other provider in a tribal or IHS clinic refers you to a provider in our network, we will not require you to see your primary care provider prior to the referral.


Last Updated: December 2022


H2458_1004798 Approved
Y0088_1004798_C