If you are a Medi-Cal member, there are some services L.A. Care Health Plan will cover. Please review the L.A. Care Medi-Cal Member Handbook to learn more about the dental services you can get.
For other dental services, Denti-Cal is your dental services provider. To learn more about Denti-Cal or to find a dentist, call Denti-Cal at 1-800-322-6384 (TTY 1-800-735-2922).
Once your child has a tooth, your doctor may recommend that he/she receive fluoride varnish treatments to prevent tooth decay. This can be done in the pediatrician's office up to three times in a 12-month period and is covered by L.A. Care. Ask your child's doctor for more information.
More Dental Benefits for Adults
As of January 1, 2018, adults with full scope Medi-Cal now have more dental coverage benefits through Denti-Cal. Before treatment, your dental provider must check with Denti-Cal to find out if you have reached the yearly limit of $1,800. If medically necessary, dental services can go over the limit.
Questions? You can call Denti-Cal at 1-800-322-6384. Representatives are available Monday through Friday from 8:00 a.m. to 5:00 p.m.
L.A. Care Covered™ and L.A. Care Covered Direct™
We cover dental and orthodontic services for children up to the age of 19. We do not cover adults, except for certain circumstances. See below.
- Pediatric Coverage: Children up to the age of 19 can receive dental and orthodontic services from Liberty Dental providers. The level of dental services covered range from preventive and basic care like cleanings and fluoride treatments to some major services, such as root canals and extractions. For more information on the services covered and assistance locating participating providers, contact Liberty Dental at 1-888-700-5243 (TTY/TDD 1-877-855-8039).
- Adult Coverage: Adults are not covered for basic, preventive, major dental services or orthodontic care. Adults may be eligible for dental services following accidental injury to teeth and dental services resulting from medical treatment, such as surgery on the jawbone and radiation treatment.
Review your Evidence of Coverage (Member Handbook) for important information about dental coverage offered by your plan with L.A. Care Covered™ or L.A. Care Covered Direct™ or call Member Services at 1-855-270-2327 (TTY/TDD 711) for more details.
Dental services are covered only when medically necessary. There is no coverage for routine dental services (for example, cleaning, cosmetic, etc.). Routine dental coverage is offered separately and paid through a monthly payroll deduction to SEIU. For information, contact SEIU at 1-877-698-5829.