
Health First offers a variety of dental insurance plans to meet the unique needs of its members.
These plans include Health First's HMO, PPO, and DMO options, each with its own set of benefits and features.
You can choose from a range of dental plans, including those that cover routine cleanings, fillings, and extractions, as well as more complex procedures like crowns and root canals.
Health First has partnered with a network of dentists and specialists to provide members with access to quality care.
This network includes over 1,000 participating dentists and specialists, giving you a wide range of choices for your dental care.
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What is Covered?
Health First dental insurance covers a wide range of essential services to keep your teeth and gums healthy.
Annual dental exams and cleanings are included in the plan, which is crucial for preventing problems and catching issues early.
Diagnostic and restorative dental services, such as x-rays and fillings, are also covered.
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Extractions, or tooth pulling, are part of the plan, which can help alleviate pain and prevent more serious problems.
Root canals, crowns, partial dentures, and complete dentures are also covered, but may require prior authorization.
Periodontal scaling is another service included in the plan, which helps maintain healthy gums.
Other procedures that require prior authorization are also available, so be sure to check with your provider for more information.
The replacement of lost, stolen, or unrepairable broken dentures is an once-per-member lifetime benefit.
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Background
Historically, Health First Colorado has covered dental services for children, but not for adults.
Lack of preventive dental coverage can contribute to a range of serious health complications.
Adult members can now receive dental services without an annual limit, starting July 1, 2023.
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Insurance Partnership
Health First Colorado has partnered with DentaQuest to help members find a dentist and manage dental benefits. DentaQuest provides member identification cards and a welcome packet with information about dental benefit coverage and how to use it.
DentaQuest operates a customer service center to answer dental questions from Health First Colorado members. The center is available Monday through Friday between 8 a.m. and 5:00 p.m. Mountain Time.
You can reach DentaQuest's Member Services at 1-855-225-1729 or use TTY: 711. You can also visit DentaQuest.com for more information.
Finding a Dentist
Finding a Dentist can be a daunting task, especially with so many options available. You can start by contacting DentaQuest customer service for assistance.
DentaQuest plays a crucial role in helping Health First Colorado increase the number of dentists who accept Health First Colorado. This means you'll have more choices when it comes to finding a dentist.
To find a dentist near you, visit DentaQuest.com or use their Find a Doctor page to search for dentists. This will help you locate a dentist who accepts Health First Colorado.
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Benefits
Healthfirst dental insurance covers a wide range of services to keep you smiling. You can get regular and routine dental services like preventive checkups, cleanings, X-rays, fillings, and more without needing a referral from your primary care provider.
There are no co-pays for dental services, and there's no annual benefit limit for adults or children. This means you can get the care you need without breaking the bank.
Dental Services include cleanings, fillings, root canals, crowns, and partial dentures. You can visit a dentist without needing a referral, and it's a good idea to visit every six months for a checkup and cleaning.
Some dental services require prior authorization, so it's a good idea to check with your provider before getting treatment. You can also call your child's Medicaid dental plan to learn more about the services they offer.
Here are the phone numbers for the dental providers:
- DentaQuest: 1-800-516-0165
- MCNA Dental: 1-800-494-6262
- United Healthcare Dental: 1-800-822-5353
If you have a dental emergency, you can call your main dentist to find out how to get emergency services. If their office is closed, you can call 9-1-1 or call PCHP's 24-Hour Nurse Line.
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Vision Care
Vision Care is a crucial aspect of overall health, and Health First Dental Insurance recognizes its importance.
Regular eye exams can detect eye problems early, such as glaucoma, cataracts, and age-related macular degeneration.
For people with diabetes, regular eye exams are especially important to monitor for diabetic retinopathy, a leading cause of blindness.
Health First Dental Insurance covers vision care services, including eye exams, glasses, and contact lenses, as part of their comprehensive dental plan.
Vision Care
Having a regular eye exam can help detect eye problems early on, such as glaucoma, cataracts, and age-related macular degeneration.
The American Academy of Ophthalmology recommends adults get their eyes checked every two to three years if they don't have any eye problems, and more frequently if they do.
Vision problems can be a sign of an underlying health issue, like diabetes or high blood pressure, so it's essential to get your eyes checked regularly.
The risk of glaucoma increases with age, and it's estimated that 3 million Americans over the age of 65 have the condition.
Cataracts are a common age-related eye problem, affecting over 24 million Americans, and can be treated with surgery.
Age-related macular degeneration affects over 2 million Americans, and there is no cure, but treatments can help slow its progression.
Vision Care Benefits
Vision Care Benefits are a great perk for HEALTHfirst members. If you're 21 or older, you can get up to $300 per year for dental services, including checkups, x-rays, and cleanings.
HEALTHfirst members can also get up to $300 per year for dental services, which can help cover the cost of regular checkups and cleanings.
For kids, HEALTHfirst and KIDSfirst members can get $100 every 2 years toward new frames. This can be a big help for families who want to stay on top of their kids' eye care.
You can learn more about these extra benefits and paid rewards by clicking on the link provided.
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Insurance Plans
Insurance Plans can be designed to match client needs and resources.
Self-funding can be an attractive option for dental plans, allowing employer groups to offer a valuable benefit at an affordable cost.
A self-funded dental plan can match the benefits currently offered under a fully insured plan.
For another approach, see: How Much Is Self Employed Health Insurance
Insurance Accepted
To find a dentist who accepts Health First Colorado, you can contact DentaQuest's customer service for assistance.
DentaQuest's role is to help Health First Colorado increase the number of dentists who accept Health First Colorado.
You can visit DentaQuest.com to find a dentist near you, or search for dentists on their Find a Doctor page.
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Plan Options
Self-funding can be an attractive option for medical benefits, and the same principles can also work for dental plans. We can design and administer a self-funded dental plan that allows employer groups to offer a valuable benefit that employees like and use – at an affordable, predictable cost.
HealthFirst builds and manages self-funded dental plans that can match the benefits currently offered under a fully insured plan.
A self-funded dental plan can be custom-designed to match client needs and resources.
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How It Works
A self-funded dental plan is a cost-effective way to provide dental insurance to your employees. It works by having the employer pay only for the actual dental care provided, plus administration fees.
Dental claims are relatively low, averaging around $400 per person per year. This is a fraction of the cost of medical claims.
One of the biggest benefits of a self-funded dental plan is the potential for significant savings. In an average year, a self-funded dental plan can cost about 20 percent less per year than a similar, fully insured plan.
The risk of high claims is also low, thanks to a typical annual limit of $1,000 to $1,500 per person. This means employer risk is very low.
By encouraging good dental care, you can also promote overall health and well-being. Good dental health is linked to good overall health, and poor dental health has been linked to serious illnesses like heart disease and diabetes.
Additional reading: Dental Insurance Arkansas Low Income
Insurance Details
Health First Dental Insurance covers a wide range of dental services, including routine cleanings, fillings, and extractions.
You can expect to pay a copayment for services like fillings, which is typically around $20-$50.
The insurance plan also covers major services like crowns and root canals, with a maximum out-of-pocket expense of $1,000 per year.
Preventive services like dental X-rays and oral exams are covered at 100% with no copayment.
The waiting period for major services is 12 months, which means you'll need to wait a year after enrollment before you can receive coverage for services like crowns and root canals.
The insurance plan has a network of over 100,000 dental providers, making it easy to find an in-network dentist.
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