Dental Services
Routine oral care is key to maintaining a healthy and active lifestyle
The abilities to smile at a loved one or share dinner with friends are examples of the important ways we interact with others. Yet, these simple moments are at risk as you age and your oral health faces new obstacles.
Issues such as dry mouth, gum disease and tooth loss can affect a person’s social life and health but should not be accepted as a natural part of aging. Routine oral care is critical as you pass the age of 65. It prevents conditions such as gum inflammation which is directly associated with lung and heart disease and strokes.
Still, it can be tempting to cancel or postpone routine dental appointments because of an inability to pay for its services, according to the Centers for Disease Control and Prevention. Fortunately, you don’t have to choose between your health and financial livelihood. Our plans provide important, routine dental care – such as cleanings, dental exams and X-rays – at no cost to you and from a national network of dentists.
Our plan also has you covered when the time comes for work that is more extensive. For a minimum monthly premium, you can choose from one of two supplemental dental benefit plans – Dental Silver or Dental Gold.1
Call to speak with one of our advisors at 800-964-4525 (TTY: 711) or go online today to enroll and begin enjoying benefits like this. The best way to treat disease is to take steps to prevent it from developing in the first place.
Common questions from members about Dental Services
Visit the Dental Plan website to search by location, dentist name or practice name.2
Every plan offered by Mount Carmel MediGold includes coverage for preventive and diagnostic dental services. This covers your routine services — oral exams, X-rays and cleanings — at no extra cost.
Select plans add additional coverage for comprehensive dental services, like restorative services (fillings), extractions, endodontics and periodontics.
There is a $1,000 annual combined benefit maximum for dental services.
List of Dental Procedures Covered
2026
Mount Carmel MediGold Cash Back (HMO): Preventive/Diagnostic and Basic Comprehensive coverage (last updated 10/01/2025)
All Other HMO Plans: Preventive/Diagnostic and Enhanced Comprehensive coverage (last updated 10/01/2025)
PPO Plans: Preventive/Diagnostic and Enhanced Comprehensive coverage (last updated 10/01/2025)
2027
Mount Carmel MediGold Cash Back (HMO): Preventive/Diagnostic coverage only (coming soon!)
All Other HMO Plans: Preventive/Diagnostic and Comprehensive coverage (coming soon!)
Dental Silver is a supplemental option and offers enhanced comprehensive services in addition to the preventive and comprehensive dental services included in your health plan. The annual benefit maximum for Dental Silver is $1,500.
List of Dental Procedures Covered
2026
HMO Members: Dental Silver coverage (last updated 10/01/2025)
PPO Members: Dental Silver coverage (last updated 10/01/2025)
2027
Dental Silver coverage (coming soon!)
Dental Gold is a supplemental option and includes everything in Dental Silver, plus coverage toward crowns, bridges and dentures. The annual benefit maximum for Dental Gold is $2,000.
List of Dental Procedures Covered
HMO Members: Dental Gold coverage (last updated 10/01/2025)
PPO Members: Dental Gold coverage (last updated 10/01/2025)
2027
Dental Gold coverage (coming soon!)
Only the Dental Gold supplemental benefit provides 50% coinsurance coverage for some dentures.
You can enroll in Dental Silver or Dental Gold when you first join Mount Carmel MediGold, or you can add or make changes to your optional supplemental dental plan during the Annual Enrollment Period from Oct. 15 through Dec. 7 each year.
In 2026, Dental Silver is available for $16 per month for HMO members and $15 per month for PPO members. Dental Gold is available for $37 per month for HMO members and $43 for PPO members.
In 2027, Dental Silver is available for $17 per month. Dental Gold is available for $39 per month.
Please note that the Optional Supplemental Dental premium is in addition to your monthly plan premium, if applicable, and your Medicare Part B premium.
Please refer to Chapter 4 of your Evidence of Coverage for detailed information about this benefit.
Still have questions? Call Member Services at 800-240-3851 (TTY: 711). Representatives are available daily from 8 a.m. to 8 p.m.
1 The Optional Supplemental Dental Services benefit is not available for members of the Mount Carmel MediGold Cash Back (HMO) or Mount Carmel MediGold Trinity EGWP (HMO) plans.
2 PPO plan members who elect the optional dental plan can receive care from dentists in and out of the network. For services received through non-participating providers, members may pay a higher cost-share.
Benefits may vary by plan and contract year. Please refer to your Evidence of Coverage or Summary of Benefits for benefit availability and details.