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MCNA

Citrus Health Care Dental Benefit

MCNA has been providing exceptional dental services to its members since 1995. MCNA has been chosen by Citrus Health Care to provide comprehensive dental care services on a statewide basis.

This section provides the information you will need to understand your dental benefits.

General Questions

  1. Dental Coverage
  2. Choice of Dentists
  3. How do I receive care?
  4. What if I need to change Dentists?
  5. Dental Benefits
  6. Specialty Care
  7. Canceling Appointments
  8. What if I have a problem or complaint?
  9. Patient Charges
  10. Where can I print an ID card?

General Questions

1. Dental Coverage

Dental benefits are provided through Managed Care of North America, Inc. (MCNA Dental Plans). If you have any questions about your benefits or need additional information, please contact Citrus Health Care's Member Services at 1-877-624-8787.

2. Choice of Dentists

When you become a member with Citrus Health Care, you will be able to select a dentist who will look after all your dental needs.

View Medicare Provider Locator

View Medicaid Provider Locator

3. How do I receive care?

After your effective date, call the dentist you selected and tell the office that you have MCNA coverage. They will schedule you for an appointment to see the dentist.

4. What if I need to change Dentists?

You may change your dentist at any time by choosing a new dentist from the directory supplied to you at the time of enrollment. All previous outstanding debts must be paid.

5. Dental Benefits

  • Medicare

    $0 for an office visit that includes the following services:

    • Oral exams up to 1 visit(s) every year
    • Routine cleanings up to 2 visit(s) every year (one per six months)
    • Fluoride treatment up to one visit per year
    • $0 to $75 for dental x-rays up to 1 visit (s) every year

  • Medicaid

    Adults - Covered services include exams, x-rays, cleanings, fluoride, fillings, extractions, and other services.

6. Specialty Care

  • Medicare

    When a specialist's care (orthodontics, periodontics, oral surgery or endodontics), is needed, you may be referred by your participating general dentist, or you may refer yourself to any participating specialist listed in our directory. Your cost for the service will be the specialist's usual and customary fee less a 25% discount.

  • Medicaid

    Your general dentist will refer you to a participating specialist according to your plan benefits

7. Canceling Appointments

Since time set aside for a patient is very valuable to the dentist, it is requested that you notify the dental office at least 24 hours in advance if you cannot keep an appointment. If you do not notify the office, charges will be made for broken appointments as stipulated in the Benefits Schedule.

8. What if I have a problem or complaint?

We hope that you never have a problem or complaint, but if you do, we want to hear about it. Just call the Citrus Health Care Member Services Department, which is staffed with specially trained representatives. This is one more way we can ensure that you receive the best possible care and service. Call Citrus Health Care's Member Services at 1-877-624-8787.

9. Patient Charges

These are fixed charges that represent reduced fees paid to the dentist for many procedures. Please consult with the dental office regarding all charges prior to treatment.

10. Where can I print an ID card?

Please click on this link to print a replacement card.

© 2009 MCNA | Created by: M&O