Dental Insurance

Advantage Dental+ accepts most insurance, including State Medicaid. Please contact your nearest Advantage Dental+ location to learn more:

Advantage Dental+ does not determine eligibility for these or any other insurance programs or plans. Coverage may vary depending on the health plan and individual oral health needs. For current coverage, eligibility requirements and enrollment information, please contact the insurance provider directly. Advantage Dental+ cannot guarantee that a service will be covered by your plan.

Alabama Medicaid is a program that pays for routine dental care for the children of Alabama under the age of 21 years, as long as the child is eligible for full Medicaid. Most children are no longer eligible after their 19th birthday unless they qualify for another category. Adults age 21 and older are not eligible for dental coverage through Medicaid.

More than a million Alabama residents each year qualify for full or partial Medicaid coverage. To qualify for Alabama Medicaid, applicants must meet and provide proof of income, meet age requirements, fill out forms correctly and turn in a completed application to the correct office or worker.

For more help, applicants should contact 1-800-362-1504.

Alabama Medicaid dental services must be provided by or under the supervision of licensed dentists enrolled as Medicaid dental providers. Routine procedures involving the teeth covered* by Medicaid include:

• Non-surgical periodontal treatment, e.g. periodontal scaling and/or root planing
• Outpatient or inpatient hospitalization coverage and dental services performed in skilled nursing facilities (SNF) for medically necessary dental procedures on children
• Limited outpatient and inpatient hospitalization coverage for adults with dental problems exacerbating medical conditions (the dental procedures themselves are not covered, only facility and anesthesia services)
• Orthodontic services considered medically necessary for children with cleft lip/palate and/or other severe facial and cranial abnormalities, and who are served through Children’s Rehabilitation Services

*Certain services require prior authorization by written request to Medicaid. Requests should be submitted at least two weeks prior to the anticipated date of the procedure.

Alabama Medicaid does NOT cover the following services:

• Routine orthodontic care, e.g. braces
• Routine partials, dentures or bridgework
• All-porcelain crowns
• Periodontal or gum surgery dental benefits are NOT provided for:
  • Any female covered only for family planning services under the Plan First Program
  • Any recipient with partial Medicaid coverage

To find out more about these services at Advantage Dental, find a practice near you and call for more information. We have financing options available for all families.

For more information about Alabama Medicaid, please review the following links:

• Information about the Alabama Medicaid dental program
• Are you a Medicaid recipient?
• Frequently asked questions about Alabama Medicaid

Does Your Child Qualify for Alabama Medicaid?

In order for your child to qualify for Alabama Medicaid, they must meet the following criteria:

• Children must be under age 19 and live in Alabama
• Children may be living in one or two parent families
• The income of all people included in the "family size" is counted
• The income of the legal parent (including adoptive parent) and step-parent to the child(ren) is counted if they are included in the child(ren)'s family size
• If the child does not qualify for Medicaid due to income, the application will be processed for the ALL Kids program
• Child must be a US citizen or be in satisfactory immigration status according to agency rules

Eligibility determination can only be made when a complete application complete and received by the correct office or worker.

ALL Kids is a low-cost health care coverage program for children under age of 19 years. Benefits include regular checkups and immunizations, sick child doctor visits, prescriptions, vision and dental care, hospitalization, mental health and substance abuse services, and much more.

• ALL Kids is administered by the Alabama Department of Public Health and provides low-cost healthcare coverage for children and teens under age of 19 years, who live in Alabama
• Frequently asked questions about ALL Kids

Benefits of ALL Kids Health Care Program

ALL Kids uses Blue Cross Blue Shield of Alabama (BCBSAL) to provide services through their preferred provider network. If your child is approved, coverage will begin on the first day of the month after the application is received.

Benefits of ALL Kids include:

• 12 months continuous coverage
• Doctor visits, including check-ups
• Mental health/substance abuse services
• Hospital and physician care
• Immunizations
• Prescriptions
• Dental and vision care
• Emergency services

Learn more about ALL Kids benefits

Does Your Child Qualify for the ALL Kids Health Care Program?

In order for your child to qualify for the ALL Kids health care program, they must meet the following criteria:

• Under the age of 19 years
• Must be a U.S. citizen or an eligible immigrant
• Not covered by other insurance
• Not a resident in an institution
• Not covered by or eligible for Medicaid

Income Eligibility for ALL Kids Health Care Program

Income eligibility determination can only be made when a complete application is received by ALL Kids. Please note, even if your income falls outside of the below guidelines, you may still be eligible for coverage — the only way to know for sure is to apply.

2026 ALL Kids Monthly Income Guidelines - Effective 2/1/2026

About ALL Kids Health Care Coverage

As soon as your child is enrolled in ALL Kids, you will then choose a doctor and dentist. Call them to make your child an appointment for a check-up. Don't put this off! These check-ups will allow small health and dental problems to be caught early, preventing them from becoming serious problems later.

When your child needs medical and dental care, you must use a Blue Cross and Blue Shield of Alabama (BCBSAL) Preferred Provider Organization (PPO) provider. The PPO network is a group of doctors, dentists, pharmacies, hospitals and outpatient facilities enrolled as BCBSAL providers to offer services to ALL Kids enrollees at special, prearranged rates. There is no deductible when you use a PPO provider. Some services may require a small copay. A copay is a small fee you may have to pay up front when your child sees the providers. Depending on which coverage bracket your child qualifies for, some services may require a copay. Your copays are determined by the ALL Kids fee group your child is in. There are no copays for preventive services like regular check-ups, immunizations, dental cleanings and vision exams.

You can choose any doctor who is enrolled as a BCBSAL PPO provider. To find a preferred provider in Alabama, you can look in your ALL Kids Preferred Provider Directory, call the Blue Cross and Blue Shield of Alabama dedicated customer service number, 1-800-760-6851, or visit Blue Cross and Blue Shield of Alabama.

• Apply for the ALL Kids Heath Care Program
• More information about ALL Kids Health Care Coverage

At our dental facility, we accept both Medicaid and TriCare dental coverage. We are committed to providing high-quality dental services to all patients, regardless of their insurance coverage or financial situation. Our staff is dedicated to working with patients to find the best dental solutions for their individual needs, and we offer a range of services to support the oral health and well-being of our patients.

Medicaid is a government-sponsored health insurance program that provides dental coverage for eligible low-income families and individuals. In Florida, Medicaid dental coverage includes a range of services such as cleanings, fillings, extractions, and dentures. Medicaid also covers dental services for children, including orthodontic treatment.

Eligibility for Medicaid is based on income and other factors, such as citizenship and residency status. To qualify for Medicaid coverage in Florida, you must meet the following requirements:

• Income: Your income must be at or below 138% of the federal poverty level (FPL). The FPL changes each year, so it's important to check the current income guidelines.
• Citizenship and Residency: You must be a U.S. citizen, U.S. national, or have satisfactory immigration status. You must also be a resident of the state of Florida.
• Age and Disability: Children, pregnant women, and adults aged 65 and over may be eligible for Medicaid coverage. In addition, individuals who are disabled or who require long-term care may also be eligible for Medicaid coverage.
• Other Factors: Other factors that may impact Medicaid eligibility include household size, marital status and whether you have any dependents.

It's important to note that there are certain exemptions and exceptions to the eligibility requirements. For example, children under the age of 19 may be eligible for Medicaid coverage regardless of their family's income level. Additionally, individuals who have certain medical conditions or who require certain types of medical care may be eligible for Medicaid coverage even if they don't meet the income requirements.

For those seeking additional resources and information about dental coverage in Florida, there are a variety of options available. The Florida Department of Children and Families provides information about Medicaid eligibility and dental coverage, as well as resources for applying for Medicaid coverage. The Florida Dental Association also provides information and resources for individuals seeking dental care in Florida.

TriCare is a health insurance program for military personnel and their families, which includes dental coverage. TriCare covers a range of dental services, including routine cleanings, fillings and oral surgery. In Florida, TriCare dental coverage is available to eligible military service members, retirees, and their families.

To be eligible for TriCare dental coverage in Florida, you must fall into one of the following categories:

• Active Duty Service Members: Active duty service members are automatically enrolled in TriCare dental coverage.
• National Guard or Reserve Members: National Guard or Reserve members and their families are eligible for TriCare dental coverage if they are on active-duty orders for more than 30 days.
• Retired Service Members and Their Families: Retired service members and their families are eligible for TriCare dental coverage if they are enrolled in a TriCare health plan.
• Medal of Honor Recipients and Their Families: Medal of Honor recipients and their families are eligible for TriCare dental coverage.

In addition to meeting one of the above eligibility requirements, you must also be enrolled in a TriCare health plan in order to receive TriCare dental coverage. There are several different TriCare health plans available, including TriCare Prime, TriCare Select, and TriCare Reserve Select.

If you are eligible for TriCare dental coverage in Florida, you will have access to a range of dental services, including routine cleanings, fillings and oral surgery. To learn more about TriCare dental coverage and eligibility requirements in Florida, you can visit the TriCare website or contact a local TriCare office.

If you have any questions or would like more information about dental coverage through Medicaid or TriCare, or our dental services, please contact us today. We are here to support you on your journey to optimal oral health and a bright smile.

Advantage Dental+ does not determine eligibility for these or any other insurance programs or plans. Coverage may vary depending on the health plan and individual oral health needs. For current coverage, eligibility requirements and enrollment information, please contact the insurance provider directly. Advantage Dental+ cannot guarantee that a service will be covered by your plan.

The Oregon Health Plan (OHP)/Medicaid provides health care coverage including medical, dental and mental health care, and substance abuse treatment for low-income adults and children living in Oregon.

Advantage Dental Oral Health Centers are closely affiliated with Advantage Dental Services, a Medicaid (OHP) plan. Please choose the link below that best meets your needs.

• I am an OHP Member
• I am a Provider

There are several health care programs available for low-income Oregonians through OHP.

1. OHP Plus for children ages 0-18 and adults ages 19-64
2. OHP Plus Supplemental for pregnant adults age 21 or older
3. OHP with Limited Drug for adults who qualify for both Medicaid and Medicare Part D

To qualify for OHP, individuals and families must meet income and residency requirements. Residents of Oregon may also qualify based on age and disability status.

1. You MUST live in Oregon
2. You MUST meet the income bracket:

Adults (ages 19-64) In households that earn up to:

• $1,436 a month for a single person
• $1,945 for a family of two
• $2,961 for a family of four

Children (0-18) In households that earn up to:

• $4,298 a month for a family of two
• $6,545 for a family of four

Pregnant women in households that earn up to:

• $2,677 a month for a single pregnant woman
• $4,077 for a family of four
• $5,477 for a family of six

Other factors that also may influence OHP/Medicaid eligibility include other health care resources and disability status. The best way to see if you qualify is to apply.

Still not sure if OHP is right for you? Go to OregonHealthCare.gov and answer the screening questions. This will help you find the application that works best for you and your family.

Below are general resources about the Oregon Health Plan:

• OHP information
• Guide to get setup for Oregon Health Plan
• How to Apply Online

Here are some of the things that are covered. There may be a limit on how often you can have each one. Call your dental plan to learn more. If you do not know who your dental plan is, call your CCO or OHP Client Services.

• Care to keep your teeth healthy, including cleaning and exam once a year, x-rays, fluoride varnish (treatment that keeps teeth strong and healthy), and sealants for children and youth under age 16 (coating on back teeth to prevent decay).
• Treatment for problems, such as fillings, extractions (having a tooth pulled), dentures for youth over age 16 and adults, stainless steel crowns for back teeth (other crowns for children and youth under age 21 and pregnant women), and root canals on back teeth for children and youth under age 21.
• Emergency dental care.
• Help getting to dental appointments.

If you have a coordinated care organization (CCO): Most Oregon Health Plan members have a coordinated care organization (CCO). A CCO connects your insurance plan and your doctors so all your care works together.

• To find or change your dentist: Call your CCO. If you do not know which CCO you have, call Oregon Health Plan Client Services at 800-273-0557.
• Do you have a dentist you like? Call your CCO to see if there is a plan that works with your dentist.

If you have fee-for-service OHP (FFS, also called Open Card), call the Nurse Advice Line at 800-562-4620.

If you do not know if you have a CCO or FFS, call Oregon Health Plan Client Services at 800-273-0557.

The Citizen Alien Waived Emergent Medical (CAWEM) program covers dental emergencies only. CAWEM Plus for pregnant women has full dental coverage. Please report your pregnancy to OHP to get CAWEM Plus.

Follow the below steps when scheduling an appointment:

• Call your dentist.
  • Call early, it may take several weeks to get an appointment.
• If you will miss your appointment, call your dentist at least one day before. Be sure to reschedule.
• Do you need a free ride? Call your coordinated care organization (CCO) to learn how this works. Schedule the ride at least two days ahead.

Follow the below steps if you are experiencing a dental emergency:

• Call your dentist right away.
  • If you do not have a dentist or cannot reach your dentist, call your coordinated care organization (CCO) or our 24-hour emergency care line at 866-268-9631.
• If you have a true emergency (like bleeding that won’t stop) go to an emergency room.

Advantage Dental+ does not determine eligibility for these or any other insurance programs or plans. Coverage may vary depending on the health plan and individual oral health needs. For current coverage, eligibility requirements and enrollment information, please contact the insurance provider directly. Advantage Dental+ cannot guarantee that a service will be covered by your plan.