Dental, Hearing & Vision Benefits
Coordinated Care members have coverage for dental, hearing and vision services with their ProviderOne Card.*
Getting Dental Care
Apple Health covers dental services for eligible children (age 20 and younger) and adults (age 21 and older).
- Routine exams
- Fluoride application
- Extractions (pulling teeth)
- Prescriptions written by a dentist
- Access to Baby and Child Dentistry (ABCD) services from an ABCD certified provider
- Medical/surgical services provided by a dentist
- Hospital/Ambulatory surgery center facility charges
You must use a provider that accepts Apple Health. To find a dental provider:
- Visit DentistLink.org or call or text 844-888-5465.
- Call 1-800-562-3022 or use the ProviderOne Find a Provider search tool.
- Find an Apple Health dental provider for children at InsureKidsNow.gov.
- Kids 6 and under can get no-cost dental care through the Access to Baby and Child Dentistry (ABCD) program.
The Academy of Pediatric Dentistry recommends all children see a dentist by 12 months of age.
Dental care and treatment during pregnancy is safe and important. The American College of Obstetricians and Gynecologists and the American College of Nurse-Midwives recommend that pregnant people get regular dental check-ups and have cavities and other dental problems treated right away.
Hearing exams and hearing aids are covered for Coordinated Care members.
- Routine hearing exams and screenings are covered for all Coordinated Care members.
- Hearing aids are covered for children 20 and younger and adults who meet program criteria.
- Cochlear implant devices and Bone Anchored Hearing Aid (BAHA) devices are available for children 20 and younger. Replacement parts are covered for anyone who already has an implant.
Vision Care and Eyeglasses
Coordinated Care supports you with no-cost eye exams and can help you find affordable glasses.
- Adults 21 and older qualify for a no-cost eye exam once every 24 months.
- Children under 21 qualify for a no-cost eye exam once every 12 months.
- Eyewear and hardware are covered up to the age of 20 using your ProviderOne card.
Adults 21 and over can get discounted eyeglasses through certain providers. For a list of providers that offer discounted eye hardware, visit HCA’s website.
Coordinated Care also offers the New Eyes Program, which provides access to free lenses and frames. Members with care management can talk to their care coordinator about the program.
*Available to all Apple Health (Medicaid) members
Do you need help understanding these benefits and services? Call us at 1-877-644-4613 (TTY 711).