Molina Medicare Complete Care

Dental coverage for Molina Medicare Complete Care includes: 

You’ll pay $0 for preventive services like exams, cleanings, and routine x-rays. Additionally, those preventive services do not count toward your annual benefit maximum. That means you save on costs long-term because preventive services help reduce the need for more expensive dental services.

Note: These plan details are for both the HMO D-SNP H1799-004 and HMO D-SNP H1799-005 Molina Medicare Complete Care Plans.

2026 HMO D-SNP Plan

Medicare-covered dental services: $0 copay

Preventive dental: $0 office visit copay

• Oral exams
• Prophylaxis (cleaning)
• Fluoride treatment
• Dental x-rays

Comprehensive dental: $0 office visit copay

All comprehensive dental services listed below are covered up to the annual plan maximum benefit coverage amount of $4,000:

• Extractions
• Endodontics
• Restorative services
• Intraoral and extraoral incision and drainage
• Dentures and denture adjustments
• Non-routine services such as scaling, full mouth debridement, periodontal maintenance, and palliative emergency treatment
• Other services such as deep sedation with oral surgery, and intravenous with oral surgery

Prior authorization may be required.

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