Does Simply Healthcare Cover Dental Cleaning?

Simply Comfort (HMO I-SNP)

• Cost/Co-pay/Co-insurance: $0 copay

• Limitations: 2 cleanings per calendar year

• Requirements:

  • Prior Authorization: No

  • Referral: No

• Network/Vendor: In-network only. LIBERTY Dental (1-888-700-0992)

Simply Complete (HMO D-SNP)

• Cost/Co-pay/Co-insurance: $0 copay

• Limitations: 2 cleanings per calendar year

• Requirements:

  • Prior Authorization: No

  • Referral: No

• Network/Vendor: In-network only. LIBERTY Dental (1-888-700-0992)

Simply Complete Platinum (HMO D-SNP)

• Cost/Co-pay/Co-insurance: $0 copay

• Limitations: 2 cleanings per calendar year

• Requirements:

  • Prior Authorization: No

  • Referral: No

• Network/Vendor: In-network only. LIBERTY Dental (1-888-700-0992)

Simply Extra (HMO)

• Cost/Co-pay/Co-insurance: $0 copay

• Limitations: Up to $1,000 allowance for dental services, including cleanings. Allowance expires at the end of the calendar year.

• Requirements:

  • Prior Authorization: No

  • Referral: No

• Network/Vendor: In-network only. LIBERTY Dental (1-888-700-0992)

Simply Extra Platinum (HMO)

• Cost/Co-pay/Co-insurance: $0 copay

• Limitations: Up to $1,500 allowance for dental services, including cleanings. Allowance expires at the end of the calendar year.

• Requirements:

  • Prior Authorization: No

  • Referral: No

• Network/Vendor: In-network only. LIBERTY Dental (1-888-700-0992)

Simply Freedom (PPO)

• Cost/Co-pay/Co-insurance: $0 copay

• Limitations: Up to $2,500 allowance for dental services, including cleanings. Allowance expires at the end of the calendar year.

• Requirements:

  • Prior Authorization: No

  • Referral: No

• Network/Vendor: In-network only. LIBERTY Dental (1-888-700-0992)

Simply Level (HMO C-SNP)

• Cost/Co-pay/Co-insurance: $0 copay

• Limitations: 2 cleanings per calendar year

• Requirements:

  • Prior Authorization: No

  • Referral: No

• Network/Vendor: In-network only. LIBERTY Dental (1-888-700-0992)

Simply Level Platinum (HMO C-SNP)

• Cost/Co-pay/Co-insurance: $0 copay

• Limitations: Up to $1,500 allowance for dental services, including cleanings. Allowance expires at the end of the calendar year.

• Requirements:

  • Prior Authorization: No

  • Referral: No

• Network/Vendor: In-network only. LIBERTY Dental (1-888-700-0992)

Simply More (HMO)

• Cost/Co-pay/Co-insurance: $0 copay

• Limitations: 2 cleanings per calendar year

• Requirements:

  • Prior Authorization: No

  • Referral: No

• Network/Vendor: In-network only. LIBERTY Dental (1-888-700-0992)

Simply More Platinum (HMO)

• Cost/Co-pay/Co-insurance: $0 copay

• Limitations: 2 cleanings per calendar year

• Requirements:

  • Prior Authorization: No

  • Referral: No

• Network/Vendor: In-network only. LIBERTY Dental (1-888-700-0992)

Alternatives for More Dental Coverage

While all Simply plans cover dental cleanings, the coverage might be limited in terms of the number of cleanings or the annual allowance. If you need more extensive dental care, consider these alternatives:

• Medicaid: Offers comprehensive dental coverage for those who qualify.

• VA Benefits: Eligible veterans can access dental cleanings and other services through the VA.

• Private Insurance: Many private insurance companies offer dental plans for seniors.

• Charities: Organizations like Dental Lifeline Network, Remote Area Medical (RAM), Charitable Smiles, and Dentaid provide free or low-cost dental care to those in need.

• Advocate Programs: Local health departments, United Way's 2-1-1 service, community health centers, and dental schools can connect you with affordable dental care options.

Important Note: Eligibility requirements and services vary, so contact these resources directly for information.

Need More Help?

If you're feeling overwhelmed or need help choosing a dental plan, finding a dentist, or even arranging transportation, Eternal Insurance Agency is here to assist you. We can provide comprehensive support to ensure you get the dental care you need.

Remember: You might be able to change your Simply Medicare plan to one with more comprehensive dental benefits or reset your benefit limitations by enrolling in a new plan during the Annual Enrollment Period (AEP) or if you qualify for a Special Enrollment Period (SEP).

This information is intended for informational purposes only and should not be considered as a replacement for professional advice from a licensed insurance agent.