Does Meridian Health Care Cover Braces?

by | Last updated on January 24, 2024

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IlliniCare Health has introduced three new lifestyle benefits for Medicaid members enrolled through the HealthChoice Illinois program. Members can now receive

free gym memberships

, after-school care assistance, and free school uniforms.

Is Meridian Illinois Medicaid?

We are Meridian.

We offer Medicaid and Medicare-Medicaid managed care plans to people in Illinois

. Since 2008, we have supported families, children, seniors and people with complex medical needs. We connect our members to the care they need and the benefits they want.

Does a medical card cover braces?

Are braces covered by medical card?

Braces are not covered by medical cards

, however you may seek advice from your local HSE dentist who will advise you if you qualify for orthodontic treatment by the HSE.

Does Medicaid cover dental in Illinois?


Adult Medicaid recipients in Illinois can now receive coverage for preventive dental services

, which include regular exams and teeth cleanings.

What does Medicaid cover Illinois?

Primary services funded through Medicaid are

physician, hospital and long term care

. Additional coverage includes drugs, medical equipment and transportation, family planning, laboratory tests, x-rays and other medical services.

Does Aetna Better health cover orthodontics?


Yes, With a Few Restrictions

.

Does Medicaid cover YMCA membership?

According to federal guidelines, a gym membership isn't a benefit that must be provided by Medicaid, and

in most states, it's not included

.

Is Meridian better than Molina?


Molina Healthcare employees rated their Overall Rating 0.5 higher than Meridian Health Plan employees rated theirs

. Molina Healthcare employees rated their Compensation & Benefits 0.4 higher than Meridian Health Plan employees rated theirs.

What kind of insurance is Meridian?

Meridian is a

Medicaid managed care plan

that partners with the State of Illinois to provide services for Illinois Medicaid beneficiaries through the HealthChoice Illinois program. If you are eligible for Medicare, you may be eligible in MeridianCare.

What is the best Illinois Medicaid plan?

Overall,

CountyCare

tied for the top rating in Illinois, with a score of 3.5. CountyCare also scored the highest in the state for preventive care and treatment, and tied for second for consumer experience. “As a provider-led plan, CountyCare focuses on member health not profits.

How can I straighten my teeth without braces?

  1. Invisalign offers teeth straightening without braces by using a set of clear retainers instead. …
  2. Dental crowns can ‘visually' straighten teeth without the need for braces. …
  3. Dental veneers are another visual method of teeth straightening without braces.

What is the best age for braces?

The ideal age for braces


Early adolescence, or between the ages of 10 and 14

, is widely considered the ideal time to get braces. That's because preteens and younger teens have all (or nearly all) of their adult teeth in place, and their softer jawbone tissue is still quite responsive to repositioning.

Can I get false teeth on medical card?


If you have a medical card you are entitled to an upper and lower denture every five years

. In some cases dentures will not be approved by the HSE if they deem that there is no clinical necessity.

Does Medicaid cover Invisalign?


Medicaid does not cover Invisalign

and other premium orthodontic options in any state for adults or children. The publically-funded program pays for the least expensive treatment alternative, which is metal braces in most cases.

Does Medicaid cover dental for adults?


States may elect to provide dental services to their adult Medicaid-eligible population or, elect not to provide dental services at all, as part of its Medicaid program

. While most states provide at least emergency dental services for adults, less than half of the states provide comprehensive dental care.

Does Medicaid cover wisdom teeth removal in Illinois?

In general,

individuals between the age of 5 and 20 who are on Illinois Medicaid are entitled to certain dental services that are considered “oral surgery”

. These services include tooth extractions and wisdom tooth removal.

What does Medicaid cover for adults?

Mandatory benefits include services including

inpatient and outpatient hospital services, physician services, laboratory and x-ray services, and home health services

, among others. Optional benefits include services including prescription drugs, case management, physical therapy, and occupational therapy.

Does Illinois Medicaid cover emergency room visits?

The Illinois Medicaid program covers most medical services. Well-checks or yearly visits are the primary services offered.

You may also receive free or low-pay emergency room visits

, urgent care visits, emergency dental services, and more.

What is the monthly income limit for Medicaid in Illinois?

Illinois offers Medicaid coverage for people with disabilities with income up to 100% of the federal poverty level (monthly income of

$1,012 for an individual

) and non-exempt resources (assets) of no more than $2,000 (for one person).

What happens if you lose insurance during braces?

If you lose eligibility during orthodontic treatment,

your reimbursement will be prorated based on the number of months you were eligible during the last quarter of eligibility

. Services required beyond the eligibility period are not covered.

What is orthodontic lifetime maximum?

2. Orthodontic coverage typically involves a Lifetime Maximum Benefit (LTM) that pays out at

50% of the total case fee

. There are a few plans that pay more or less than 50%. This means they will pay for braces 1 time and once you have used all of the LTM they won't pay any more.

How long does it take for Invisalign to work?

Invisalign is a common appliance that many people turn to for straighter teeth. But how long does it take to work? It takes, on average,

less than 2 years

for the people who use Invisalign to see results, and it can take as quickly as 6 months.

What does CT Husky D cover?

HUSKY D covers

adults ages 19 to 64 who do not have minor children and whose income falls below 138 percent of the poverty level

– the equivalent of $16,643 for an individual. (For comparison purposes, a person working 30 hours per week at Connecticut's minimum wage – $10.10 per hour – would earn $15,756 in a year.)

What is the silver sneaker plan?

SilverSneakers is

a fitness program designed for the 65+ crowd that provides access to gym memberships, weight training, aerobics, and group exercise classes

. Many Medicare Advantage plans cover SilverSneakers.

Is Silver Sneakers covered by Medicare?

SilverSneakers is a health and fitness program that provides gym access and fitness classes for older adults.

It's covered by some Medicare plans

. A 2019 study of SilverSneakers participants found that individuals with more gym visits had higher self-reported physical and mental health scores.

Ahmed Ali
Author
Ahmed Ali
Ahmed Ali is a financial analyst with over 15 years of experience in the finance industry. He has worked for major banks and investment firms, and has a wealth of knowledge on investing, real estate, and tax planning. Ahmed is also an advocate for financial literacy and education.