Apple Health (Medicaid) Covers Dental Care

In Washington state, Medicaid insurance is called Apple Health. Apple Health covers dental care for both children and adults! DentistLink can help anyone in Washington state get connected to dentists who accept Apple Health at no cost to you. Call or text our DentistLink referral specialist team at 844-888-5465

Who is Eligible for Apple Health? 

People of all ages may be eligible for coverage under Apple Health, including yourself, your parents, and your children. The Washington State Health Care Authority’s website details all the ways you may be eligible for Apple Health. Click the link below that best describes you and/or your family to learn more. 

How Much Does Apple Health Cost? 

Apple Health premiums are either free or low-cost depending on income level. Even if you are working, you and your family might still be eligible for Apple Health. The Health Care Authority’s website lets you know how much your premiums will be (if anything) based on your eligibility.

How Can I Enroll in Apple Health?

You can enroll in Apple Health at any point during the year on the Washington Healthplan Finder. If you do not qualify for Apple Health, the Washington Healthplan Finder has many other insurance options for you to choose from. 

About 7-10 days after applying for Apple Health coverage, a ProviderOne services card will be mailed to you. This is a plastic ID card that looks like other health insurance ID cards. Take this card with you to your doctor and dentist appointments. Providers use this card to make sure your service is covered. 

ProviderOne services card for Apple Health dental benefits
ProviderOne Apple Health services card (credit: Washington State Health Care Authority)

What is Covered for Dental Care? 

Dental services for children 

Apple Health pays for covered dental services for eligible children, age 20 and younger. The Academy of Pediatric Dentistry recommends all children see a dentist by 12 months of age. Be sure to check the Health Care Authority’s website for the most up to date and accurate list of what is covered services. 

Some covered dental services include but are not limited to: 

  • Routine exams 
  • Cleaning 
  • X-rays 
  • Sealants 
  • Fillings 
  • Crowns 
  • Fluoride application 
  • Extractions (pulling teeth) 
  • Orthodontic services are available for children with cleft palate or other serious dental problems (covers medically necessary services with prior authorization). 

Dental services for adults

Apple Health (Medicaid) pays for covered dental services for adults (21 years and older). Be sure to check the Health Care Authority’s website for the most up to date and accurate list of what is covered services. 

Some covered dental services include but are not limited to: 

  • Routine exams 
  • Cleaning 
  • X-rays 
  • Fillings  
  • Fluoride application 
  • Extractions (pulling teeth) 
  • Nitrous Oxide 
  • Other limited dental services, including: 
    • Periodontal (gum disease) 
    • Root canal (front teeth only) 
    • Dentures/Partials 
    • Oral Surgery 

How Do I Find a Dentist That Takes Apple Health? 

DentistLink has an up-to-date Apple Health dental provider list. You can search for a dentist through our Find a Dentist directory, or you can receive a referral by contacting our DentistLink referral specialist team. 

Contact our DentistLink team on weekdays from 8am – 5pm PST by calling or texting 844-888-5465. You can also complete our form, and one of our referral specialists will reach out during business hours.

Once connected to a referral specialist, you will receive contact information for a dentist in your area that meets your needs.

Questions about Apple Health?

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