Dental Eligibility

Does Your Family Qualify for Free or Low-Cost Dental Coverage?

Dental care is often the benefit families skip first when money is tight - but many households already qualify for dental coverage through Medicaid or CHIP and don't realize it. Zero Gap Health helps you check whether your child or your household qualifies for free or low-cost dental benefits before you pay out of pocket.

Dental Benefits Under Medicaid

Dental coverage rules for adults vary by state, but every state Medicaid program is required to cover dental care for children under 21 as part of Medicaid's Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) benefit. That typically includes routine exams, cleanings, X-rays, fillings, and emergency dental treatment.

Dental Benefits Under CHIP

CHIP is required to include dental coverage for enrolled children in every state, covering preventive care such as cleanings and exams as well as treatment for cavities, injuries, and other dental problems. If your income is a bit above the Medicaid limit, CHIP dental coverage may still apply to your kids.

Dental Coverage With an ACA Plan

Pediatric dental care is one of the essential health benefits included with ACA Marketplace plans for children under 19. Adult dental coverage is usually offered as a separate add-on. If you qualify for a $0-premium ACA plan, we can also show you what an affordable adult dental add-on would cost.

Checking Your Dental Eligibility

There is no separate application for dental coverage - it is part of your Medicaid, CHIP, or ACA plan eligibility. Tell us your household size and income and we will show you which programs apply, including any dental benefits attached to them, at no cost to you.

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