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Champva And Dental

Philip Rogers


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What does CHAMPVA pay for dental services?

For authorized dental services, CHAMPVA pays 75% of the allowable amount after the deductible has been met. The allowable for dental services is the lesser of the CHAMPVA established maximum allowable amount or the billed charge.

From fact sheet 01-11

there ye be

But, the bit one up there is authorized dental services

Edited by scscrewed
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Dental (adjunctive) Dental care can be considered for coverage only

when it is adjunctive. That means the dental

treatment MUST be completed as part of the

appropriate treatment of some other (nondental)

covered medical condition. For example, an oral

surgeon has to remove broken teeth to repair an

injured jaw. Dental care requires preauthorization.

the above is the section out the handbook: http://www.va.gov/hac/forbeneficiaries/champva/handbook/chandbook.pdf

Edited by scscrewed
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Flip, a few weeks ago we had Glen Johnson on the show and he explained the dental program. As of now it has not been passed by congress so its a no for now.

However in the future there will be pay to play dental plan issued by CHamp VA.

Here is the archive if you want to listen to him.



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  • HadIt.com Elder

The federal government civil service offers a dental plan. It is piss poor as most group dental plans. There is a yearly maximum which equals one crown or root canal. Your premiums equal your max benefits or just about. The fact VA and ChampVA refuse to pay for quality dental care is just another failure in the health care system since VA preachs about oral health but won't pay for it. Any vet with DMII or heart conditions needs quality dental care since we know oral infection can become systemic infection. Half of the public has some stage of gum disease from just a little redness to roaring infections that require surgery to cure.

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Most Dental Programs Insurance is more of a discount plan than actual insurance.

I am looking forward to ChampVA Dental for wife she has some issues that are costing a lot of money but what can you do if you need it but pay for it?

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  • HadIt.com Elder

Thanks all!! She recently had some dental work done and they paid the dentist for it, w/the balance being picked up by medicaid. So she's going to submit the receipts for some I had paid for and see if she can get me reimbursed. We'll see what happens but I'm not counting on it, that's for sure.


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