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EPSDT Age Out
If you received an Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) age out letter here is what you need to know.
If you are enrolled in Fee-for-Service (FFS) your benefits include:
- Behavioral health services
- Chronic illness management
- Durable medical equipment, prosthetics, orthotics and certain supplies
- Emergency and non-emergency medical transportation
- Emergency medical services
- Family planning services
- Immunizations/vaccines
- Inpatient/outpatient hospital services
- Laboratory tests and X-rays
- Pregnancy and newborn care
- Prescription medicines/pharmacy
- Rural health clinic services
- Unlimited primary care physician (PCP) visits
- Vision services
- Women’s health services
If you are in a managed care plan your benefits include:
- Behavioral health services
- Chronic illness management
- Durable medical equipment, prosthetics, orthotics and certain supplies
- Emergency and non-emergency medical transportation
- Emergency medical services
- Family planning services
- Immunizations/vaccines
- Inpatient/outpatient hospital services
- Laboratory tests and X-rays
- Pregnancy and newborn care
- Prescription medicines/pharmacy
- Rural health clinic services
- Unlimited primary care physician (PCP) visits
- Vision services
- Women’s health services
The health plan you are enrolled in may offer additional benefits. If you have a question, call your plan directly.
If you are a Chisholm Class Member, you must choose a managed care plan.
Dental Information
All adults are enrolled in adult dental coverage. For adults age 21 and up, services do not include routine dental care or tooth repairs to natural teeth. These are the services covered:
- Diagnostic – X-rays and dental exams only when getting dentures or partials.
- Removal Prosthodontics – If six or fewer teeth, one complete denture set every 8 years, adjusted within 6 months for fit; denture repairs and partial repairs covered every year; partial denture covered every 8 years; does not cover pulling teeth or surgical removal of teeth.