Dental Benefits
Routine oral care is key to maintaining a healthy and active lifestyle
The ability 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 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.
Making the most of our dental benefits as a member
Please refer to Chapter 4 of your Evidence of Coverage for detailed information about this benefit.
Still have questions? Call Member Services at 1-800-240-3851 (TTY: 711). Representatives are available daily from 8 a.m. to 8 p.m.
Visit the Dental Plan website to search by location, dentist name or practice name.
Every plan offered by Trinity Health Plan New York includes coverage for preventive and diagnostic dental services. This covers your routine services — oral exams, X-rays and cleanings — at no extra cost. All members also get basic comprehensive dental coverage for restorative services (e.g. fillings) and extractions at 50% coinsurance.
Select plans add additional coverage for enhanced comprehensive dental services, like endodontics and periodontics, at 70% coinsurance.
There is a $1,000 annual combined benefit maximum for dental services.
List of Dental Procedures Covered
2025
Trinity Health Plan New York Cash Back (HMO): Preventive/Diagnostic and Basic Comprehensive coverage (last updated 10/01/2024)
All other HMO Plans: Preventive/Diagnostic and Enhanced Comprehensive coverage (last updated 10/01/2024)
2026
Trinity Health Plan New York 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)
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
2025: Dental Silver coverage (last updated 10/01/2024)
2026: Dental Silver coverage (last updated 10/01/2025)
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
2025: Dental Gold coverage (last updated 10/01/2024)
2026: Dental Gold coverage (last updated 10/01/2025)
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 Trinity Health Plan New York, 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.
Dental Silver is available for $19 per month. Dental Gold is available for $44 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.
1The Optional Supplemental Dental Benefit is not available on the Trinity Health Plan New York Cash Back (HMO) plan.
Benefits vary by plans. For more details, please refer to your Evidence of Coverage.