Ambetter Dental & Vision

Ambetter offers Dental and Vision plans for individuals and families in Illinois.
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2024 Ambetter Provider Network Highlights

2024 Ambetter Provider Finder
Coverage Area: Bond County, Calhoun County, Clinton County, Cook County, DuPage County, Greene County, Grundy County, Henry County, Jersey County, Kane County, Kankakee County, Kendall County, Lake County, Macoupin County, Madison County, Mercer County, Monroe County, Montgomery County, Randolph County, Rock Island County, St. Clair County, Washington County, Will County

Ambetter Adult Dental and Vision Benefits

Adult Dental* (19 years of age and older)

Service In-Network Out-of-network
Routine Eye Exam
 100% Covered Not Covered
Eyeglasses (frames)
 Covered up to $130 Not Covered
Lenses (per pair)
 100% Covered Not Covered
Contact Lenses (in lieu of glasses)
 Covered up to $130 Not Covered

Adult Dental (19 years of age and older, does not include pediatric dental coverage)

Preventative and Diagnostic (Class 1) In-Network Out-of-network
Routine Cleaning
 No Charge Not Covered
Oral Exam
 No Charge Not Covered
X-Ray ? bite ? wing, full-mouth and panoramic film
 No Charge Not Covered
Minor Restorative (Class 2) In-Network Out-of-network
Minor Restorative ? metal and resin-based fillings
 50% Coinsurance Not Covered
Endodontic Therapy
 50% Coinsurance Not Covered
Periodontics ? scaling, root planning, and
periodontal maintenance
 50% Coinsurance Not Covered
Simple Extractions
 50% Coinsurance Not Covered
Prosthodontics ? relines, rebase, adjustment,
and repairs
 50% Coinsurance Not Covered
Major Restorative (Class 3) In-Network Out-of-network
Crowns and Bridges
 50% Coinsurance Not Covered
Dentures
 50% Coinsurance Not Covered
More Complex extractions and surgical services
 50% Coinsurance Not Covered

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