Does CHIP in Utah cover dental and vision care?
Are dental and vision services included in my child’s CHIP coverage in Utah?
Yes, dental and vision services are included in your child’s CHIP (Children’s Health Insurance Program) coverage in Utah. CHIP provides comprehensive healthcare services to ensure children have access to essential medical, dental, and vision care. Below are the details of the dental and vision services covered under CHIP in Utah.
1. Dental Services Covered by CHIP
CHIP in Utah offers a full range of dental services to help maintain your child’s oral health. These services include:
A. Preventive Dental Care
Routine dental exams: Regular checkups are covered, typically every six months.
Teeth cleanings: Professional cleanings to prevent plaque buildup and maintain oral hygiene.
Fluoride treatments: Fluoride applications are provided to help protect against cavities.
Dental X-rays: Diagnostic X-rays to check for cavities, infections, or other dental issues.
B. Restorative and Emergency Dental Care
Fillings: Treatment for cavities and tooth decay is covered.
Sealants: Preventive coatings for molars to protect against cavities.
Tooth extractions: Removal of decayed or damaged teeth, if necessary.
Emergency dental services: Treatment for urgent dental problems, such as infections or severe tooth pain.
C. Orthodontic Services
In certain cases, orthodontic care (such as braces) may be covered if it is considered medically necessary. This coverage usually requires prior authorization and is typically reserved for serious dental conditions that affect a child’s overall health.
2. Vision Services Covered by CHIP
CHIP also includes vision services to help ensure your child’s eye health and proper vision development.
A. Routine Vision Exams
Annual eye exams: Regular vision exams are covered once per year to check for any vision problems and monitor eye health.
B. Prescription Eyeglasses
Eyeglasses: If prescribed during an eye exam, CHIP covers the cost of eyeglasses for your child, including the lenses and frames.
Replacement lenses or frames: If your child’s prescription changes or their glasses are lost or damaged, replacement eyeglasses are also covered.
C. Vision Treatment for Medical Conditions
CHIP covers treatment for certain vision-related conditions, such as:
Amblyopia (lazy eye).
Strabismus (crossed eyes).
Other medical conditions that may affect your child’s vision.
3. How to Access Dental and Vision Services Through CHIP
To access these dental and vision services, your child will need to see providers who accept CHIP. Here are the steps to ensure they receive the care they need:
Find in-network providers: Use the Utah Medicaid provider directory or contact CHIP customer service to locate dentists and vision care providers that accept CHIP.
Schedule regular checkups: Be sure to schedule your child’s regular dental and vision exams to keep their health on track.
Bring your CHIP benefits card: Present your child’s CHIP card at each appointment to confirm coverage.
Key Takeaways:
Dental and vision services are included in your child’s CHIP coverage in Utah, ensuring comprehensive oral and eye health care.
Preventive, restorative, and emergency dental services are covered, including routine checkups, cleanings, fillings, and more.
Vision care includes annual eye exams, prescription eyeglasses, and treatments for conditions like lazy eye or crossed eyes.
For assistance finding CHIP providers or understanding your child’s dental and vision benefits, schedule an appointment with a Tsunami Advisor here: Schedule an Appointment.