With Tufts Health Unify, you get access to quality dental care through DentaQuest (link opens outside of Tufts Health Plan's website).
You must go to a DentaQuest-participating dental services professional for all covered dental services.
Through DentaQuest, we cover the following dental services:
Preventive, restorative and basic services to prevent and control dental disease and maintain oral health, including:
- Two cleanings per benefit year
- One complete series of X-rays every two years
Emergency dental care visits are covered, including:
- Oral surgery performed in an office
Dental services like orthodontic and prosthetic services are covered. You may need to get a prior authorization
Prior Authorization: Prior authorization, also called “prior permission,” is the approval needed before you can get certain services or drugs. Some network medical services are covered only if your doctor or other network provider gets prior authorization from our plan. Covered services that need prior authorization are marked in the Benefits Chart in Chapter 4 of the Member Handbook. Some drugs are covered only if you get prior authorization from us. Covered drugs that need prior authorization are marked in the List of Covered Drugs.
before we cover some of these services.
For more information on your dental benefits, please call DentaQuest at 888.278.7310 (TTY: 800.466.7566).
This is not a complete list. The benefit information is a brief summary, not a complete description of benefits. For more information, contact the plan or read the Member Handbook.
Limitations and restrictions may apply. For more information, call Tufts Health Unify member services or read the Tufts Health Unify Member Handbook (2020)/(2019).
Benefits, the List of Covered Drugs (2020)/(2019) and pharmacy and provider networks may change from time to time throughout the year and on Jan. 1 of each year.
If you need a Member Handbook or the List of Covered Drugs in an alternative format, please call us at 855.393.3154 (TTY: 711), seven days a week, from 8 a.m. to 8 p.m., to make a request. We will do our best to accommodate your request.
Page modified on: 5/6/2016 5:58:52 PM