Benefits and Services

Here is information on some key benefits you can get through your Molina Medicare plan. We care about your health and want you to make the most of your membership! 

Get to know your benefits:

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  • Supplemental Dental     

    Senior Whole Health Medicare Choice Care (HMO)

     

    In general, preventive dental services (such as cleaning, routine dental exams, and dental x-rays) are not covered by Original Medicare.

     

    We cover additional dental benefits that Original Medicare does not cover.

     

    These benefits are detailed separately below under the Dental services (Supplemental) category.

     

    Supplemental dental services covered include, but not limited to:

     

    Routine Preventive dental care:

     

    • Oral Exams: 2 visits every year
    • Prophylaxis: 2 visits every year
    • Fluoride Treatment: 2 visits every year
    • Dental X-rays:

     

    Members can receive one of the following per calendar year:

     

         − Up to 4 bitewings (D0272/D0274) OR

         − Up to 6 periapicals (D0220/D0230) OR

         − Up to 1 panoramic (D0330) every 5 years

     

    To find an in-network routine preventive dental provider close to you can:

     

    Search online – using our supplemental dental provider online search tool at https://www.dentaquest.com/en/find-a-dentist.

     

    In addition, if you choose to utilize a provider that is not in network, or, if you have additional dental needs above and beyond the routine preventive dental care, you have a benefit allowance for any dental needs that are not covered by Medicare and/or Medicaid. This benefit allowance will be loaded to your MyChoice card at the start of your benefit period.

     

    The MyChoice card is not a credit card. You cannot convert the card to cash or loan it to other people. Cosmetic procedures are not covered under this benefit card. Funds are loaded onto the card on each benefit period (annually). At the end of each benefit year, any unused benefit allowance will not carry over to the following period or plan year. If you leave the plan any unused allocated funds revert to the plan upon your effective disenrollment date.

     

    MyChoice Card allowances may only be used to access the specified supplemental benefit up to the defined limit. This allowance may only be used by the members and may not be applied to any other benefit or cost.

     

    To learn more about your benefits, see Chapter 4 of your Evidence of Coverage (see our Member Materials and Forms page).

     

    Senior Whole Health (HMO D-SNP) and Senior Whole Health NHC (HMO D-SNP)

     

    Get preventive dental care and select comprehensive care through Medicaid (MassHealth).

     

    Senior Whole Health Medicare Choice Care Select (HMO) does not offer Supplemental Dental benefit.

     

    To learn more about your benefits, see Chapter 4 of your Evidence of Coverage (see our Member Materials and Forms page).

     

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For more information or if you have questions, please call Member Services.

*Printed copies of information posted on our website are available upon request.