Dental care is key to your overall health and dental coverage is something you want in your Medicare plan. That’s why UVM Health Advantage Medicare Advantage plans offer dental benefits to meet your needs.
Dental Benefit Highlights
All UVM Health Advantage Medicare Advantage plans cover two exams, two cleanings, and two sets of X-rays per calendar year.
All of our plans include coverage for preventive dental services. This includes up to two routine exams, cleanings, and sets of X-rays each year. All our plans also include an allowance for comprehensive dental services - with no deductible or cost sharing up to the allowance amount.
You will receive a separate dental ID card for your dental plan. Show this card when you receive dental services. You can choose to go to any dentist, but your costs generally will be lower if you go to a DenteMax Medicare dentist.
Sign into Gia® or create an account , and then select My Benefits, then Member Guide (.PDF) to find your Evidence of Coverage for more information about benefit coverage and charges.
DenteMax Network
Generally, your costs will be lower if a DenteMax Medicare dentist treats you. DenteMax Medicare dentists accept the maximum allowable benefit amount per service as payment in full. You will not be billed for additional costs for dental services covered by the plan.
If you choose to go to another dentist, you may pay more. Dentists outside of the DenteMax network can bill you for additional costs if what they charge is more than the maximum benefit amount for preventive services the plan covers.
Learn more about the DenteMax network and out-of-network dental fees:
- Find a DenteMax Medicare dentist (for Network Type, select Medicare).
Provider Directories
Dental Benefit Details
The amount MVP pays a dentist for covered services is based on the maximum allowable benefit amount for each service. If your dentist charges more than the maximum allowable benefit for a service, you may be billed for the difference.
You are responsible for:
- 100% of all charges that exceed the maximum allowable benefit amount
- Any services provided after you meet your annual allowance
- Any dental services this benefit doesn’t cover
- Costs for services once you reach your plan’s annual benefit amount
You can’t carry over any unused part of your annual benefit amount to the next calendar year. Sign into Gia® or create an account to view your Evidence of Coverage for more details.
Preventive Dental Coverage
Preventive dental coverage is a part of all plans. Please see below for a list of what’s included with your preventive dental coverage.
| Benefits Included | Cost |
|---|---|
| Two exams, two cleanings, and two sets of X-rays per year | Included with all plans |
Comprehensive Dental Coverage
We include comprehensive dental coverage on all UVM Health Advantage plans:
- UVM Health Advantage Select Plan
- UVM Health Advantage Secure Plan
- UVM Health Advantage Preferred Plan
| Plan Details | Cost (In-Network and Out-of-Network) |
|---|---|
| Annual deductible | $0 |
| Annual maximum benefit | $1,250- $2,000 depending on plan |
| Additional exams, X-rays, simple extractions, fillings | $0 |
| Oral surgery | $0 |
| Endodontics (root canals) | $0 |
| Periodontics | $0 |
| Prosthodontics (partial dentures, crowns) | $0 |
Get the Dental Coverage You Need
If you’re shopping for a Medicare plan, find out how to enroll in a UVM Health Advantage plan. You can also call us at 1-833-825-5886 (TTY 711) to speak with a UVM Plan Guide.
If you’re a current UVM Health Advantage member, call 1-800-665-7924 (TTY 711).
Get Answers From Our Medicare Experts
We can answer your questions or help you choose a UVM Health Advantage Medicare Advantage plan.
UVM Plan Guides are available seven days a week, 8 am–8pm Eastern Time.
MVP Health Plan, Inc. is an HMO-POS/PPO/HMO D-SNP organization with a Medicare contract and a contract with the New York State Medicaid program. Enrollment in MVP Health Plan depends on contract renewal. MVP Health Plan, Inc. has been approved by the National Committee for Quality Assurance (NCQA) to operate as a Special Needs Plan (SNP) until 12/31/2024 based on review of MVP Health Plan’s Model of Care. Health benefit plans are issued by MVP Health Plan, Inc., an operating subsidiary of MVP Health Care, Inc. Not all plans available in all states and counties. Every year, Medicare evaluates plans based on a 5-star rating system. Out-of-network/non-contracted providers are under no obligation to treat MVP Health Plan members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services. For accommodations of persons with special needs at meetings, call 1-800-324-3899 (TTY 711).
Other physicians/providers are available in the MVP Health Care network. Gia virtual care services are available at no member cost-share for medical plans, including qualified high-deductible health plans (QHDHPs). Exceptions may apply for self-funded plans. In-person visits and referrals are subject to cost-share per plan. Members enrolled in a Medicare Rx plan without additional MVP medical coverage do not have access to MVP virtual care services through Gia. SilverSneakers is a registered trademark of Tivity Health, Inc. SilverSneakers On-Demand is a trademark of Tivity Health, Inc. ©2024 Tivity Health, Inc. All rights reserved. GetSetUp is a third-party provider and is not owned or operated by Tivity Health, Inc. (“Tivity”) or its affiliates. Users must have internet service to access online services. Internet service charges are responsibility of user.
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Last Updated: 10/1/2024
Get the Dental Coverage You Need
To shop for a plan, contact a UVM Plan Guide at 1-833-825-5886 (TTY 711).
For questions about your plan, contact the MVP Medicare Customer Care Center at 1-800-665-7924 (TTY 711).
From April 1-September 30, reach us Monday-Friday, 8 am-8 pm, Eastern Time.
From October 1-March 31, reach us seven days a week, 8 am-8 pm, Eastern Time.