Dental, vision and hearing

Dental 

A dental exam every six months shouldn’t be put off. Regular visits to the dentist can be good for your overall health.

Regular dental exams can:

  • Find problems with your teeth and gums before they cause you pain or are costly to treat
  • Prevent some problems from happening in the first place
  • Spot warning signs of diseases or other medical conditions in the mouth that are unrelated to your teeth
  • Establish a place to go if you have a dental emergency

For these reasons, it’s important to see your dentist twice a year. That’s true even if there are no obvious problems or you no longer have your natural teeth.

Make it a habit to schedule and keep regular appointments with your dentist. Taking action now will help you avoid major issues in the future. For help finding an in-network dentist in your area, visit Find a Doctor.

Healthy Kids Dental

Starting at age three, it’s important to get your kids in for annual dental checkups. These annual visits will help protect their teeth and keep them healthy.

Blue Cross Blue Shield of Michigan and Delta Dental of Michigan provide Healthy Kids Dental services for children and adolescents through age 20. You’ll be enrolled automatically. You’ll get an identification card from the dental plan. 

To select a dental provider, call Blue Cross Blue Shield of Michigan at 1-800-936-0935 or visit bcbsm.com/healthykids. Or, call Delta Dental of Michigan at 1-866-696-7441 or visit deltadentalmi.com

If you don’t know what dental plan you’re enrolled with, call Blue Cross Complete of Michigan Customer Service at 1-800-228-6554. TTY users should call 1-888-987-5832.

Need transportation to your dental appointment?

If you’re part of Healthy Kids Dental, you can get help with a ride to and from the dentist. If you live in Wayne, Oakland or Macomb counties, call LogistiCare Solutions at 1-866-569-1902 to schedule a ride. If you live in any other county, contact your local MDHHS office.

How to access dental services

Medicaid members 21 years and older Adults: Contact your local dentist to see if they accept fee for service Medicaid coverage.

Medicaid members up to age 21

Healthy Kids Dental benefits apply. To find a dentist, visit HealthyKidsDental.org or call 1-800-482-8915 (TTY: 711).

Healthy Michigan Plan members

Covered through Blue Cross Complete. To find a dentist, visit Find a Doctor or call 1-844-320-8465 (TTY: 711).

MIChild beneficiaries

To find a dentist, visit HealthyKidsDental.org or call 1-800-482-8915 (TTY: 711).

Dental emergencies

When you have a toothache or other dental problem, your first thought is to get it fixed — and fast. Fast treatment means the emergency room, right? Not when it comes to problems with your teeth or mouth. The emergency room can handle just about anything, but for mouth-related issues, your dentist is the better option. Dentists have the specialized equipment and training to figure out what is wrong and how to fix it.

To avoid a dental emergency:

  • DO brush your teeth twice a day and floss daily
  • DON’T chew hard food that can crack a tooth
  • DO schedule and keep dental appointments to address issues before they become more serious problems
  • DON’T use a sharp object to remove anything from between your teeth
  • DO wear a mouth guard when participating in sports

Vision

Eye care is an important part of your overall health. To make sure your eyes are healthy and help you see the best you can, we cover:

  • Routine eye exams once every two years
  • Nonroutine eye exams for evaluating chronic, acute or sudden abnormal ocular conditions
  • One pair of glasses every year
  • Replacement glasses if your glasses are lost, stolen or broken beyond repair and the number of replacements has not exceeded Medicaid limits:
    • For beneficiaries age 21 and over, one pair of replacement glasses per year
    • For beneficiaries under age 21, two pair of replacement glasses per year

                 Note: One year is defined as 365 days from the date the first pair of glasses (initial or
                 subsequent) was ordered

  • Glaucoma screenings every year
  • Retinal eye exams for members with diabetes. No referral is needed

The services must be from a network vision center. For a list of network eye doctors and vision centers, call Customer Service at 1-800-228-8554. TTY users should call 1-888-987-5832.

Hearing

How well you hear affects your quality of life. We offer hearing benefits for members of all ages. Here’s what we cover:

  • Hearing aid exams to evaluate what type or brand of hearing aid you need
  • One hearing aid unit (or one per ear if medically necessary). This includes earphone (receiver or oscillator), ear mold, necessary cords, tubing and connections. The hearing aid unit must be a conventional amplification device. It must also be an in-the-ear, behind-the-ear or on-the-body type and identified as basic to your hearing requirements
  • Hearing aid fitting, which includes one follow-up visit to evaluate its performance and to determine its conformance to prescription
  • Batteries, maintenance and repair for hearing aids

Hearing exams and hearing aid evaluations are available from a network provider. Go to Find a Doctor, then search for “hearing aid.” If you have questions about this benefit, contact Customer Service at 1-800-228-8554. TTY users should call 1-888-987-5832.