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A Guide to Getting Your Teeth Fixed with NH Medicaid

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Introduction:

Maintaining good dental health is crucial for your overall well-being. Ignoring oral health can lead to serious health issues, including heart disease, respiratory issues, diabetes, and more. For those of you in New Hampshire with Medicaid, it’s important to know that you have access to essential dental services which include everything from preventive care to procedures like tooth extractions and dentures. This guide is designed to help you understand the dental benefits available through NH Medicaid and how you can access the care you need effectively.

Medicaid Dental Services in New Hampshire

NH Medicaid offers a range of dental services to ensure that your oral health is in good standing. It’s worth noting that there is a $1,500 annual limit on dental services per fiscal year (July 1 to June 30), but preventive services do not contribute to this cap. Here’s what your coverage includes:

  • Preventive Services: Cleanings, exams, X-rays, and fluoride treatments are all covered to help prevent dental issues before they start. These services do not go towards the $1,500 yearly limit.
  • Restorative Services: Services such as fillings, crowns, and bridges are available when repairs are needed.
  • Oral Surgery: Coverage includes necessary procedures like tooth extractions.
  • Periodontal Services: If you’re dealing with gum disease, treatments are covered under your plan.
  • Emergency Dental Care: Immediate care is available for dental emergencies.
Step 1: Verify Your Medicaid Eligibility and Benefits

Before you proceed, confirm your Medicaid eligibility and understand the specifics of your dental benefits. You can do this by calling NH Medicaid Customer Service at (800) 852-3345. Be ready with your Medicaid ID number and inquire about any necessary prior authorizations, co-payments, or other details relevant to your coverage.

Step 2: Find a Participating Dental Provider

To find a dentist who accepts NH Medicaid, you can use the provider directory on the DentaQuest website under (Find a Dentist) Make sure to select “New Hampshire Smiles Program” as your plan type. If online navigation isn’t your preference, Medicaid customer service should be able to provide a list of in-network dental providers for you.

Step 3: Schedule an Appointment

Once you’ve chosen a dentist, call their office to schedule an appointment. Let them know you are covered by NH Medicaid. This initial consultation will be a good opportunity to discuss your dental health needs and set up a treatment plan on how to move forward.

Important Considerations

If you need extensive work, consider discussing a phased treatment plan with your dentist. This approach can help you manage your annual coverage limit strategically. Additionally, it’s worthwhile exploring financial support options beyond Medicaid:

  • Local Nonprofits and Charities: Many local organizations are dedicated to assisting individuals with healthcare expenses. Reaching out to nonprofits that focus on healthcare could open up opportunities for additional financial support.
  • Churches and Religious Groups: Local churches sometimes have funds or partnerships with medical assistance programs. These can be valuable resources in helping to cover some costs that may not be fully addressed by Medicaid.
 Additional Resources for Denture Assistance in New Hampshire

If you need dentures, it’s important to know that Medicaid typically only covers the necessary preparatory work, such as extractions. However, there are additional resources available to help you access affordable denture care once the initial oral work is completed.

The New Hampshire Dental Society’s Professional Denture Care Program provides reduced-cost dentures to eligible low-income residents. If you meet the income and household size requirements and are not participating in other programs, you may qualify for dentures at a fee of $700 for an upper or lower denture, or $1400 for a full set. These fees help cover the lab expenses of the dentists who volunteer their time and services. To apply for the Professional Denture Care Program, you’ll need to complete the application form, which can be found here.

In addition to the Professional Denture Care Program, you may also find assistance through local organizations like St. Vincent de Paul, especially if you reside in Belknap County. These organizations may have dental funds available to help cover the costs of dentures or can help point you in the right direction. Don’t hesitate to reach out and inquire about any financial assistance they can provide to your local St. Vincent De Paul.

Lastly, consider using CareCredit, a healthcare credit card that can help you manage the costs of your denture treatment by spreading payments out over time. CareCredit is generally easy to qualify for, but be sure to discuss this option with your dental provider to ensure they accept it and to understand the terms and interest rates associated with the card.

Conclusion:

As a Medicaid recipient in New Hampshire, you have a powerful tool at your disposal to maintain optimal oral health. By understanding your dental benefits, finding the right providers, and utilizing additional resources like the Professional Denture Care Program, you can access the care you need to keep your smile healthy and bright.

Don’t let dental problems hold you back from living your best life. Prioritize your oral health by scheduling regular check-ups, cleanings, and necessary treatments. With Medicaid on your side, you have the support and resources to make it happen.

If you have any questions or need assistance, don’t hesitate to reach out to NH Medicaid Customer Service or your local dental society. They are there to help you navigate the system and ensure you receive the care you deserve.

Remember, investing in your oral health is investing in your overall well-being. So, smile confidently knowing that you’re taking the right steps towards a healthier, happier you!

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