Paul Sanchez
Priority Health is a top-rated Medicaid plan in Michigan, offering a range of dental insurance options. Effective April 1, 2023, all adult Priority Health Choice, Inc. Medicaid members can access dental services through their partner, Delta Dental Plan of Michigan. This expansion of their partnership with Delta Dental allows Priority Health to offer dental coverage for all Medicaid members, including those who were previously part of the Pregnant Women Dental Program. Priority Health also offers optional enhanced dental coverage for preventive services like cleanings and exams, as well as vision and hearing services. Members can choose from various plans, including MyPriority Delta Dental Standard and MyPriority Delta Dental Enhanced, which includes orthodontic coverage. Waiting periods for specific dental services are outlined in their dental plans.
| Characteristics | Values |
|---|---|
| Dental Insurance Provider | Delta Dental Plan of Michigan |
| Dental Services Covered | Cleanings, Exams, Oral Surgery, Minor Restorative, Periodontics, Endodontics, Reline and Repairs, Basic, Major Restorative, Prosthodontic, Implant Services, Orthodontic Coverage |
| Additional Vision Benefits | Optional Coverage for Vision Exams, Eyeglasses |
| Availability | Michigan |
| Contact | 888.975.8102 (TTY: 711) |
| Rating | 4 out of 5 in NCQA's Medicaid Health Insurance Plan Ratings 2023-2024 |
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What You'll Learn
- Priority Health Choice, Inc. Medicaid members access dental services through Delta Dental Plan of Michigan
- Pregnant Medicaid members can see dentists in the Delta Dental EPO or Dencap network
- MyPriority Delta Dental Standard and Enhanced options
- Medicaid members can check if their dentist is in the Delta Dental Healthy Michigan plan network
- Priority Health is one of the top-rated Medicaid plans in Michigan
Priority Health Choice, Inc. Medicaid members access dental services through Delta Dental Plan of Michigan
As of April 1, 2023, adult Priority Health Choice, Inc. Medicaid members can access dental services through Delta Dental Plan of Michigan, a partner of Priority Health. This means that members will be able to choose from a wider range of dentists and dental care services as part of the Healthy Michigan Plan network.
Priority Health offers its members access to quality dental care, which is an important part of staying healthy and can help prevent future health issues. Members can also access transportation services to their dental appointments and receive assistance with any questions about their health plan by calling Priority Health Customer Service.
Delta Dental Plan of Michigan provides a wide array of dental plans to help manage costs without compromising on quality. The specific dental benefits and coverage available to Priority Health Choice, Inc. Medicaid members will depend on the particular Delta Dental plan they are enrolled in.
MyPriority Delta Dental, offered by Priority Health, includes the nation's largest dental networks. Members can choose between MyPriority Delta Dental Standard and MyPriority Delta Dental Enhanced, which includes orthodontic coverage. There are waiting periods for certain services, such as oral surgery and restorative procedures, but these can be waived if the member had preceding dental coverage.
Pregnant Medicaid members under Priority Health Choice, Inc. can access dental services through the Delta Dental EPO or Dencap network. It is important to note that seeing a dentist outside of the Healthy Michigan Plan network may result in a lack of coverage for any received care. Members can verify if their current dentist is in the network by checking the Delta Dental directory.
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Pregnant Medicaid members can see dentists in the Delta Dental EPO or Dencap network
Dental care is an important part of staying healthy and can help avoid health issues in the future. Priority Health offers dental insurance to its members through its partnership with Delta Dental. Delta Dental is a trusted dental benefits provider, offering individual and group dental plans.
Effective April 1, 2023, all adult Priority Health Choice, Inc. Medicaid members will access dental services through Priority Health's partner, Delta Dental Plan of Michigan. Pregnant Medicaid members can see dentists who are part of the Delta Dental EPO or Dencap network. This means that pregnant women with Medicaid have access to a wide range of dental care services and can choose from a large network of dentists.
To check if their current dentist is in the Delta Dental network, members can visit the Delta Dental directory or call Delta Dental Customer Service at 866.558.0280 (TTY: 711). It is important to note that if a member chooses to see a dentist who is not in the Healthy Michigan Plan network, any care received will not be covered by Medicaid.
In addition to the standard dental coverage, Priority Health also offers the MyPriority Delta Dental Enhanced plan, which includes orthodontic coverage. This plan provides additional dental benefits and a wider range of services, giving members more comprehensive dental care options.
By offering dental insurance and partnering with Delta Dental, Priority Health ensures that its members have access to quality dental care, helping them maintain their oral health and overall well-being.
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MyPriority Delta Dental Standard and Enhanced options
MyPriority Delta Dental is available as an add-on for individuals and families with MyPriority medical plans. This insurance includes the nation's largest dental networks. There are two options available: MyPriority Delta Dental Standard and MyPriority Delta Dental Enhanced. The latter includes orthodontic coverage.
Dental benefits are payable in any one plan year up to the maximums stated in your Summary of Dental Benefits. Maximums apply per individual for preventive, basic, and major dental treatment (Classes I, II, and III). Maximums for orthodontic services are calculated separately. There is a 12-month waiting period for certain services, including oral surgery, minor restorative, periodontics, endodontics, relines, and repairs. This waiting period can be waived if the enrollee was covered for at least 12 months under an immediately preceding dental plan. There is also a six-month waiting period for oral surgery, minor restorative, periodontics, endodontics, relines, repairs, and orthodontic services.
Delta Dental is a trusted dental benefits provider, offering individual and group dental plans. Their plans prioritize preventive care and dentist access, helping to keep healthcare costs low. Delta Dental PPO is a great option for those who prioritize dentist access. Their copay product is ideal for those seeking predictability and better cost management.
As of April 1, 2023, all adult Priority Health Choice, Inc. Medicaid members will access dental services through Priority Health's partner, Delta Dental Plan of Michigan. This includes dentists in the Healthy Michigan Plan network, providing more dentists and dental care services to choose from. Pregnant Medicaid members can see dentists who are part of the Delta Dental EPO or Dencap network.
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Medicaid members can check if their dentist is in the Delta Dental Healthy Michigan plan network
As of April 1, 2023, all adult Priority Health Choice, Inc. Medicaid members can access dental services through Priority Health's partner, Delta Dental Plan of Michigan. This means that Medicaid members can check if their dentist is in the Delta Dental Healthy Michigan plan network.
The Delta Dental Healthy Michigan plan offers members access to a wide range of dental care services and a large network of dentists to choose from. Members can check if their current dentist is part of the Healthy Michigan Plan network by visiting the Delta Dental directory. This can be done online or by calling Delta Dental Customer Service at 866.558.0280 (TTY: 711).
It is important to note that if a Medicaid member chooses to see a dentist who is not in the Healthy Michigan Plan network, any care received will not be covered. Therefore, members should ensure that their dentist is part of the network to receive covered dental services.
Priority Health has partnered with Delta Dental to offer affordable dental coverage, including the nation's largest dental networks. Members can choose from two options: MyPriority Delta Dental Standard and MyPriority Delta Dental Enhanced, which includes orthodontic coverage. There may be waiting periods for certain services, so members should refer to their Summary of Dental Benefits for specific details on coverage and maximum benefits.
Overall, the Delta Dental Healthy Michigan plan provides Medicaid members with comprehensive dental care options and the flexibility to choose a dentist within the extensive network. By checking if their dentist is part of the network, members can ensure they receive covered dental services and take advantage of the benefits provided by Priority Health and Delta Dental.
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Priority Health is one of the top-rated Medicaid plans in Michigan
Priority Health is a top-rated Medicaid plan in Michigan, offering excellent health coverage to its members. With over 30 years of experience, Priority Health is the second-largest health plan in Michigan and is committed to providing quality care and innovative solutions to its members.
The organisation has received the highest possible quality rating from the Michigan Department of Health and Human Services (MDHHS) for its Michigan Medicaid health plans. Priority Health's Medicaid plan is the only one in the Lower Peninsula to achieve this rating. This rating is based on several factors, including doctors' communication and service, access to no-cost in-person and virtual care, regular checkups and vaccines for children, and at-home care for members with chronic illnesses.
Priority Health's Medicaid plans cater to individuals and families in Michigan, including specific programs like MIChild, Healthy Michigan Plan, and Children's Special Health Care Services (CSHCS). The Healthy Michigan Plan, in particular, offers health insurance coverage that balances health and budget considerations, providing 24/7 access to health information, digital member ID cards, and virtual care.
In addition to its Medicaid offerings, Priority Health also provides optional coverage for vision and dental services. The Enhanced Dental and Vision package includes preventive dental services such as cleanings and exams, along with vision exams and eyeglasses. Priority Health has also partnered with Delta Dental to offer affordable dental coverage through the MyPriority Delta Dental program, which includes the nation's largest dental networks.
Priority Health's commitment to its members is evident through its pursuit of quality, customer service, transparency, and innovation. The organisation has been recognised by various entities, including the National Committee for Quality Assurance (NCQA), for its accredited Medicaid, Medicare, and commercial health plans. Priority Health continues to strive for excellence in providing health coverage options that meet the diverse needs of its members.
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Frequently asked questions
Priority Health has partnered with Delta Dental to offer dental coverage for all Medicaid members. This partnership is an expansion of the previous collaboration with Delta Dental, which only covered members of the Pregnant Women Dental Program (PWD).
The dental coverage includes preventive, basic, and major dental treatment. Preventive services include cleanings and exams, while basic and major treatments have waiting periods of 6 and 12 months, respectively. Orthodontic services are also covered, with maximums calculated separately.
To enroll in the MyPriority Delta Dental coverage, download the enrollment form, fill it out, and follow the instructions. You can also call Priority Health Customer Service at 888.975.8102 (TTY: 711) for assistance with your health plan and transportation to your dental appointments.
