DentaQuest benefits offered to its members vary, depending on the enrollment state, and specific dental care benefits are revealed after individuals sign up for state marketplace or private coverage, according to DentaQuest. The company provides access links to individual and family marketplace coverage for six states and individual, family and group coverage in the state of Maryland, and it administers state dental benefit coverage under CHIP and Medicaid. High- and low-cost dental insurance options are available for review.
A DentaQuest benefit summary typically includes coverage for diagnostic and preventative services, complex surgical procedures, orthodontics, and restorative dental work, as the company explains. Summaries include the annual deductible and the amount DentaQuest covers per procedure. The amount of out-of-pocket expenses paid by patients is also included, and costs are listed for family and individuals.
The second page of the DentaQuest summary provides a comprehensive breakdown of coverage provided for specific types of dental services. Depending on what's allowed by each state, DentaQuest states that its plans typically cover between 40 and 100 percent of the cost for procedures. As required by the Affordable Care Act, DentaQuest health plans meet essential health benefits standards, which include laboratory services and pediatric oral care.