The Health Connector offers dental plans to meet most needs and budgets, including plans for children only, families, and adults. These plans cover preventive services like regular cleanings and fluoride and sealants for children, as well as diagnostic services. Access to a secure online portal and mobile app makes managing your plan easy.
Dental insurance plans offer varying coverage depending on the specific plan. Enrolling in dental insurance can be done any time of the year through the Health Connector, with customer service at 1-877-623-6765 (TTY 711). Individuals and families who want to purchase a dental plan can apply for coverage and view plans anonymously, but need to call customer service to enroll.
ConnectorCare plans have low monthly premiums, low co-pays, and no deductibles. There are different ConnectorCare Plan Types based on your income, and dental coverage end dates always end one year after your enrollment date. For those looking for dental plans through the Massachusetts Health Connector this year, Delta Dental plans are available.
All Health Connector plans cover preventive and diagnostic services in full, except for basic and major restorative services, which only cover part of the costs. To apply in person or schedule an appointment with a MassHealth representative, visit a MassHealth Enrollment Center (MEC) or visit www.mass.gov/masshealth/.
Pediatric dental benefits are included in all health plans, and the ConnectorCare program does not include a dental benefit for adults or non-emergency transportation.
Why am I not eligible for MassHealth connector?
The applicant’s income is not within the specified range of the Federal Poverty Level (FPL), as defined above. However, it may be considered as meeting the FPL threshold if the applicant possesses a specific qualified immigration status.
What is the maximum income to qualify for MassHealth?
California Medicaid is the state’s health care program that covers medical services for low-income individuals and families. The program is funded by federal and state taxes and is divided into various programs. The California Healthy Families program transitioned to the Medi-Cal program on January 1, 2013. Eligibility for California Medicaid requires being a California resident, U. S. national, citizen, permanent resident, or legal alien, and having a low or very low income financial situation. Additionally, the individual must be one of the following:
What is the best insurance for dental?
The analysis of large dental insurers reveals that Anthem and Guardian are the top-ranked companies, with Anthem’s Essential Choice PPO Platinum plan receiving the highest rating of five out of five stars.
What is the difference between ConnectorCare 2 and 3?
ConnectorCare offers three plan types for co-payment levels, each with different schedules of copayments. Plan Type 1 is for individuals under poverty level with the lowest copays, Plan Type 2 is for those with income over 100 FPL and up to and including 200 FPL, and Plan Type 3 is for those with income over 200 FPL up to and including 300 FPL with the highest copays. There are no deductibles in ConnectorCare. The Connector’s annual “seal of approval” process requires plans to offer at least all Essential Health Benefits required under the ACA set to specified costsharing levels.
The Department of Insurance must approve the Evidence of Coverage (EOC) prepared by each HMO as the official description of benefits for members. New members are sent a member handbook with this information, which can also be found on carriers’ websites.
What is the difference between green and blue SC connectors?
Connectors are color-coded to indicate their type, with Beige indicating multimode connectors, Blue for ultra-physical contact (UPC) single-mode connections, and Green for single-mode angled physical connector (APC) fiber connectors. The type of physical contact used in single-mode connectors is crucial, with some having convex ends that reduce loss and reflectance, earning the name ultra-physical contact. An angled physical connector, created by angling the connection to 8 degrees, reduces reflectance even more than convex PC connectors, ensuring better connectivity for CATV and similar applications.
How much money can you have in the bank and still get MassHealth?
MassHealth Standard permits enrollees to possess savings of up to $2, 000, with specific assets excluded from this threshold. Notwithstanding efforts to augment this limit, it has remained relatively static in recent times.
Can I have MassHealth and private insurance?
MassHealth members can have both MassHealth and private health insurance simultaneously. Private health insurance is considered a liable third party (TPL), with the primary insurer being private health insurance and the secondary coverage being MassHealth. This coverage can be from employment, family members, or parents with or without custody. MassHealth offers both types of insurance, with private health insurance being billed as the primary insurer and MassHealth as the secondary coverage.
What is the most common form of dental insurance?
Dental insurance is a crucial aspect of healthcare, with PPO plans offering a network of participating dentists with lower fee schedules, resulting in cost savings for patients. These plans cover a percentage of treatment costs, typically paying 50 for major treatments, 80 for basic care, and up to 100 for preventative care. Annual maximums range from $1, 000 to $2, 000 and assist with insurance billing. Health Maintenance Organization (HMO), also known as capitated or prepaid insurance, requires patients to choose a primary care dentist from a network of providers.
HMO plans typically have lower premiums and fixed copayments for covered services, but patients have limited choices in selecting dentists outside the network. HMO plans may require pre-authorization for certain treatments and coverage for out-of-network care is usually not provided except in emergencies.
Why am I not eligible for MassHealth Connector?
The applicant’s income is not within the specified range of the Federal Poverty Level (FPL), as defined by the United States government. However, it may be considered as meeting the FPL threshold if the applicant possesses a specific qualified immigration status.
What percentage does most dental insurance cover?
Dental insurance covers preventive care, including cleanings, exams, and X-rays, with a monthly premium. Basic procedures like fillings are covered by 80, while major procedures like crowns and dentures are covered by 50. PPO plans typically use a 100/80/50 coinsurance structure, with 100 for preventive care, 80 for basic procedures, and 50 for major procedures. It’s important to consider the coverage needed when researching dental insurance plans for yourself and your family.
What is the income limit for the Massachusetts Health Connector?
The ConnectorCare Plans program has expanded its eligibility criteria to include a greater number of individuals, with the income limit increasing from $43, 470 in 2023 to $72, 900 in 2024, and from $90, 000 in 2023 to $150, 000 in 2024 for a family of four.
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