Members Under 21 Year of Age
All dental health checkups, cleanings and treatments are covered for members under the age of 21. A doctor referral is not needed to see a dentist. Two (2) routine and preventive dental visits are covered per year for members under the age of 21. It is important to take your children to the dentist twice a year to keep their teeth healthy. From the time the first tooth appears, children should visit their dentist for a checkup every six months.
The following routine dental services are only covered for members under the age of 21:
- Dental exams
- Dental cleanings
- Fillings for cavities
- X-rays to screen for dental problems
- Application of fluoride
- Dental sealants
- Emergency dental services
Every member under age 21 needs to have a Dental Home. A Dental Home is an assigned dentist who will get you or your child the dental care that is needed. Call Member Services to select a dentist or one will be assigned.
Members 21 Years of Age And Older
Routine dental services are not covered for members 21 years of age or older. AHCCCS covers medical and surgical services related to dental (oral) care only. Covered dental services for members 21 years of age and older must be related to the treatment of a medical condition such as acute pain, infection, or fracture of the jaw.