Get Donated Dental Services Indiana

Prior authorization is needed for dentures, partial dentures, relines and denture/partial denture repairs for members over age 21. Orthodontic services may be covered for members under age 21.

The 2022 Bowen Center report found that about 40% of the dentists surveyed say they treat Medicaid patients and just under 35% of dentists in the state who responded said they accept new Medicaid patients.

Dentures – Medicaid will reimburse for dentures and partials once every six years if medically necessary; however, PA is required. (Medical necessity guidelines are contained in this bulletin).

How much does dental insurance cost in Indiana? For adults who purchase their own stand-alone or family dental coverage through the exchange, premiums range from $27 to $97 per month. IHC Specialty Benefits reports that the average monthly premium for a stand-alone family dental plan sold in Indiana in 2022 was $44.15.

Outside of these conditions, dental implants are considered a cosmetic procedure and are not covered. However, Medicaid recipients under 21 may be able to have at least part of their dental implants covered. People under 21 have a right to Early and Periodic Screening, Diagnostic, and Treatment (EPSDT).

"No orthodontic procedures are approved except in cases of craniofacial deformity or cleft palate." Orthodontic procedures for Indiana Health Coverage Programs (IHCP) are covered only for members younger than 21 years old.

A dentist is a healthcare provider who diagnoses and treats oral health conditions. Taking good care of your teeth and gums can help you reduce your risk for other serious health conditions, like heart disease and stroke. You should visit a dentist regularly for routine exams and cleanings.

Medicare doesn't cover most dental care (including procedures and supplies like cleanings, fillings, tooth extractions, dentures, dental plates, or other dental devices).