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Does Medicaid cover dental for adults in Illinois? Yes. Illinois Medicaid includes dental benefits for adults 21 and older, such as exams, X-rays, cleanings, tooth removal, emergency care and other medically necessary treatment. Some services have frequency limits or need approval first, and details depend on your plan. At Sigma Dental Clinic in Lincoln Square, we accept Illinois Medicaid for adults and kids and check your coverage before treatment.
What does Illinois Medicaid dental cover for adults?
Illinois Medicaid dental benefits are managed by DentaQuest and the HealthChoice Illinois health plans. For adults, covered care generally includes:
- Oral exams (for adults, typically once every 12 months)
- X-rays (typically once every 12 months)
- Teeth cleanings
- Tooth removal (extractions)
- Root canals and crowns when medically necessary
- Emergency dental care for pain and infection
Exact benefits, limits and approval rules can change and vary by plan. The fastest way to know what you have is to call your plan or ask our team to check for you.
What may not be covered?
Cosmetic treatments like teeth whitening and porcelain veneers are not covered. Some services, like dentures or certain crowns, may need prior approval or have limits. If a treatment is not covered, we tell you the price before we start, and Cherry payment plans can spread the cost over 3 to 60 months.
Which Medicaid plans does Sigma Dental Clinic accept?
We accept Illinois Medicaid plans under HealthChoice Illinois, including CountyCare, Meridian, Molina Healthcare, Aetna Better Health of Illinois, Blue Cross Community Health Plans, DentaQuest, YouthCare and WellCare. See all plans on our insurance page, or read how to find a dentist that accepts Medicaid in Chicago.
How to use your Medicaid dental benefits
- Find your plan name on your Medicaid ID card.
- Call us at (773) 506-2033 or book online and share your plan details.
- We verify your benefits before your visit.
- Start with an exam. Dr. Sepi Dashti explains what is covered and what is not before any treatment.
Frequently Asked Questions
Does Illinois Medicaid cover teeth cleanings for adults?
Yes. Illinois Medicaid dental benefits include teeth cleanings for adults, along with exams and X-rays. Frequency limits apply, so we check your plan before your visit.
Does Medicaid cover dentures for adults in Illinois?
Dentures may be covered for adults with limits and prior approval. Coverage depends on your plan and your needs, so ask us to check before you start treatment.
Does Medicaid cover root canals for adults?
Root canals can be covered when they are medically necessary. Some cases need approval first. Our team will confirm your coverage and explain any costs.
Can adults on Medicaid get emergency dental care?
Yes. Emergency care for dental pain and infection is covered. Sigma Dental Clinic is open weekdays until 7 PM and Saturdays from 9 AM to 2 PM.
Do I need a referral to see a Medicaid dentist?
You usually do not need a referral to see a general dentist with Illinois Medicaid. Call us, and we will confirm that we accept your plan.
Related care at Sigma Dental Clinic: Insurance plans we accept · Teeth cleaning and checkups · Book a visit
