Covered Benefits

There are no copayments or deductibles; however some limitations and exclusions apply. The enrollee/parent/responsible party is responsible for the cost of any services that are not covered by Healthy Kids Dental. For complete benefit information, refer to the Healthy Kids Dental enrollee handbook.

Covered services include:

• Examinations
• X-rays
• Prophylaxes (teeth cleaning)
• Fluoride treatments
• Sealants
• Space maintainers
• Fillings
• Stainless steel or resin crowns
• Root canals
• Extractions
• Complete or partial dentures
• Emergency treatment to alleviate pain