Health Net dental has the following dental coverage plans available: Ambetter PPO, Ambetter HMO, Adult Dental and Vision PPO and HMO.

 

Health Net dental coverage plans

Health Net dental, a California leader in government-sponsored health plans, offers competitive and affordable dental plans. It is backed by a Fortune 51 company which assures its members that they have a reliable dental plan provider.

Ambetter PPO

You get to pick your own dentist for all your dental needs when you sign up for the Ambetter PPO plan. In-network and out-of-network access to dental care are provided by Ambetter PPO. A calendar year deductible is necessary for specific services under particular Ambetter PPO plans, and it reduces the out-of-pocket maximum. You or your family members’ copayments and deductibles for covered treatments and supplies apply toward your or your family’s out-of-pocket maximum.

Ambetter PPO plans include Platinum 90, Gold 80, Silver 70, Bronze 60, Bronze 60 HDHP, Minimum Coverage Ambetter PPO, Silver 73, Silver 87, and Silver 94.

Ambetter HMO

People who want a single dentist to organize their dental care at predictable prices can consider one of the Ambetter HMO plans. Your primary dentist is in charge of all aspects of your oral care as well as referrals or authorizations when specialty care is required. A calendar year deductible is necessary for specific services under particular Ambetter HMO plans, and it reduces the out-of-pocket maximum. You or your family members’ copayments and deductibles for covered treatments and supplies apply toward your or your family’s out-of-pocket maximum.

 

Ambetter HMO plans include Platinum 90, Gold 80, Silver 70, Bronze 60, Minimum Coverage Ambetter HMO, Silver 73, Silver 87, and Silver 94.

Adult Dental and Vision PPO

To improve your total health coverage, consider adding Adult Dental and Vision coverage from Health Net to your Ambetter PPO health plan. Dental coverage benefits include a large PPO network, no waiting periods, waived deductibles for diagnostic and preventive services.

Adult Dental and Vision HMO

You can choose to add optional adult dental and vision coverage with no deductibles to your Ambetter HMO health plan if you are over the age of 19 years old. Dental coverage benefits include an established network of credentialed dentists, preventive dental care provided at set copays or at no charge, orthodontic benefits, no annual maximums, and no waiting periods.

Looking for a dentist that accepts Health Net? We accept Health Net PPO and HMO.

Health Net dental tooth extraction cost coverage?

Tooth extractions are estimated to be 50% covered with the Ambetter PPO plan. With the Adult Dental and Vision PPO plan, oral surgeries, such as primary tooth extractions, are estimated to be 25% covered. There is no waiting period. Source

Health Net Dental covers Wisdom teeth removal?

With the Adult Dental and Vision PPO plan, wisdom tooth removal or the removal of impacted teeth has an estimated coverage of 25% for both in- and out-of-network. There is no waiting period for oral surgeries like wisdom teeth removal. Source

Does Health Net dental cover X-Rays?

Diagnostic dental care, such as bitewing x-rays, are estimated to be 100% covered with Ambetter HMO plan. This is limited to 1 per 12 month period and applicable only for in-network services. With Ambetter PPO, bitewing x-rays have an estimated coverage of 50% for both in-network and out-of-network. Source

Health Net dental covers Braces?

Braces coverage is offered by Health Net dental HMO plans. With the Adult Dental and Vision HMO plan, there is an estimated $2,000 copay for comprehensive orthodontic treatment of the adult dentition, an estimated $220 copay for fixed appliance therapy, and an estimated $17 for routine orthodontic visits. This is limited to 24 months of usual and customary orthodontic banding. With Ambetter HMO plan, an estimate of $1,000 coinsurance or copay needs to be paid for comprehensive orthodontic treatment of the adolescent dentition handicapping malocclusion, fixed appliance therapy, pre-orthodontic treatment examination, periodic orthodontic treatment visit, orthodontic retention, removable orthodontic retainer adjustment, recement or re-bond fixed retainer (maxillary and mandibular), repair of fixed retainer including reattachment (maxillary and mandibular), and replacement of lost or broken retainer (maxillary and mandibular). Source

Is Invisalign covered by Health Net Dental?

Invisalign coverage is offered by Health Net dental HMO plans. With the Adult Dental and Vision HMO plan, there is an estimated $2,000 copay for comprehensive orthodontic treatment of the adult dentition, an estimated $115 copay for removable appliance therapy, and an estimated $17 for routine orthodontic visits. This is limited to 24 months of usual and customary orthodontic banding. With Ambetter HMO plan, an estimate of $1,000 coinsurance or copay needs to be paid for comprehensive orthodontic treatment of the adolescent dentition handicapping malocclusion, removable appliance therapy, pre-orthodontic treatment examination, periodic orthodontic treatment visit, orthodontic retention, removable orthodontic retainer adjustment, repair of orthodontic appliance (maxillary and mandibular), recement or re-bond fixed retainer (maxillary and mandibular), repair of fixed retainer including reattachment (maxillary and mandibular), and replacement of lost or broken retainer (maxillary and mandibular). Source

What does Health Net dental cover for dental implant?

With the Ambetter PPO plan, surgical placement of endosteal, transosteal, and mini dental implants are estimated to be 50% covered. Under Ambetter HMO, your copay is an estimated $350 for surgical placement of endosteal, transosteal, and mini implants. Source

Does Health Net Dental cover dentures?

With Ambetter PPO, removable partial dentures are 25% covered both in- and out-of-network. There is no waiting period. Under Ambetter HMO, you need to pay a coinsurance which is estimated to be $290 for major services like removable partials. With the Adult Dental and Vision PPO plan, complete dentures and immediate dentures for both maxillary and mandibular are estimated to be 25% covered. Source

How much does Health Net dental cover for Veneers?

Health Net dental may cover part of your veneers depending on your specific plan and coverage. Please give us a call to find out what might be covered for your specific situation. Source

Health Net dental accepted for Gum Grafts?

Health Net dental may cover part of your gum graft surgery depending on your specific plan and coverage. Please give us a call to find out what might be covered for your specific situation.

Does Health Net Dental cover Cleaning and Tooth Fillings?

With Ambetter PPO, preventive dental care like cleanings has an estimated coverage of 50% for in-network and out-of-network. There is no waiting period. You need to pay a coinsurance of estimated $8 for in-network dental cleanings under the Ambetter HMO plan. This coverage is limited to 2 cleanings per a 12 month period. Under the Ambetter PPO plan, minor restorative services such as tooth fillings, are estimated to be 50% covered for in-network and estimated to be 25% covered for out-of-network. There is no waiting period. With Ambetter HMO plan, there is an estimated $20 copay for in-network basic dental care like fillings. This is limited to 1 filling in a 12 month period.

For latest information, please visit: https://ifp.healthnetcalifornia.com/health-plans/Plan_Materials.html for more details.

DISCLAIMER: This information is subject to change on behalf of the insurance company. We are providing this as an informal guide to help you determine which services at our office are covered by your insurance. For more detailed information, please see the insurance company’s website or call the customer service or member services number listed on most insurance ID cards. Updated as of 3/27/2023. The above logo & trademarks are property of Health Net dental.