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Showing posts from November, 2025

Indiana Medicaid Dental Update | Medicaid Dental Coverage Latest

 For children and younger adults enrolled under plans like Hoosier Healthwise, the dental benefit remains fairly robust. Covered services include: Two oral exams every 12 months for children under age 21; one exam annually for adults age 21+. Cleanings every six months.  Fluoride treatments (for members up to age 20) and sealants (one per tooth, lifetime) for the younger population.  Restorative services: fillings, crowns (major restorative), extractions (based on medical necessity) for those eligible beneficiaries.  For adult beneficiaries in certain plans (for example, the Healthy Indiana Plan , “HIP”), dental benefits may be limited or excluded. For example: members enrolled in HIP Basic are generally not eligible for dental benefits other than when medically necessary.  2. Network & Plan Transitions A key change for providers and practices: beginning January 1, 2025 , the insurer Delta Dental of Indiana will become the dental benefits...