Dental care is key to your overall health. And dental coverage is something you want in your Medicare plan. That’s why MVP Medicare Advantage plans offer dental benefits to meet your needs. All plans include preventive dental coverage. Some plans cover additional comprehensive dental coverage, or you can add even more dental benefits to meet your needs with the Optional Supplemental Dental Rider!
Dental Benefit Highlights
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.
All plans include coverage for preventive dental services. This includes up to two routine exams, cleanings, and sets of X-rays each year.
Some plans also include comprehensive dental coverage for services like fillings, root canals, partial dentures, crowns and bridges, and simple tooth extractions. Or comprehensive dental coverage can be added for an additional $25 per month. Services are covered up to the maximum amount for each service.
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, then choose 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
Comprehensive Dental | Cost (In-Network and Out-of-Network) |
---|---|
MVP Medicare WellSelect Plus® with Part D MVP Medicare Preferred Gold® with Part D MVP Medicare Preferred Gold® without Part D |
Included with plan, costs below |
MVP Medicare WellSelect® with Part D MVP Medicare Patriot Plan® with Part D MVP Medicare Secure® with Part D MVP Medicare Secure Plus® with Part D |
Add Optional Supplemental Dental Rider for $25 a month, costs below |
Annual deductible | $100 |
Annual maximum benefit | $1,000 |
Additional exams, x-rays, simple extractions, fillings | 20% of benefit allowed amount after deductible |
Oral surgery | 20% of benefit allowed amount after deductible |
Endodontics (root canals) | 50% of benefit allowed amount after deductible |
Periodontics | 50% of benefit allowed amount after deductible |
Prosthodontics (partial dentures, crowns) | 50% of benefit allowed amount after deductible |
See Dental Benefit FAQs on the back for additional information.
Get Answers From Our Medicare Experts
We can answer your questions or help you choose a Medicare Advantage plan. MVP Medicare Advisors are available seven days a week, 8 am–8 pm Eastern time.
Call 1-800-324-3899Do you have an MVP DualAccess plan?
MVP partners with Healthplex to provide your dental benefits.