Molina Healthcare Plan Benefits - TX
Medicaid - Dental - TX
Avesis will administer routine dental benefits to Molina Star and Star+Plus Medicaid members in Texas beginning May 1, 2009. If you would like to join the Avesis Dental Medicaid Network please complete the state specific Credentialing Application below:
Completed Applications should me mailed to:
Avesis
Attn: Credentialing
PO Box 782
Owings Mills, MD 21117
Molina Medicare Options
Vision:
| Benefits | Avesis Network | Frequency |
|---|---|---|
| Routine Eye Examination | Covered in full after $15 co-pay | One per year |
| Materials | $200 material allowance for Frames & Lenses OR Contact Lenses |
Every 2 years |
Hearing:
| Benefits | Avesis Network | Frequency |
|---|---|---|
| Hearing Exam | Covered in full after $15 co-pay | |
| Routine Hearing Test | Covered in full after $15 co-pay | One per year |
| Fitting for Hearing Aid | Covered in full after $0 co-pay | One every 3 years |
| Hearing Aids | No coverage | No coverage |
Molina Medicare Options Plus
Vision:
| Benefits | Avesis Network | Frequency |
|---|---|---|
| Routine Eye Examination | Covered in full after $0 co-pay | One per year |
| Materials | $200 material allowance for Frames & Lenses OR Contact Lenses |
$200 allowance every 2 years |
Hearing:
| Benefits | Avesis Network | Frequency |
|---|---|---|
| Hearing Exam | Covered in full after $0 co-pay | |
| Routine Hearing Test | Covered in full after $0 co-pay | One per year |
| Fitting for Hearing Aid | No coverage | No coverage |
| Hearing Aids | $500 material allowance | Every 3 years |
