Does my child qualify for hawk-i
dental coverage?
To qualify, a child must live in
·
Be under 19 years
old
·
Be a citizen of
the
·
Be in a family
that meets the hawk-i income
limits
·
Cannot be the
dependent of a State of
·
Cannot qualify
for Medicaid
How much do
I pay?
Use these charts to see if your child can get free or
low-cost dental care coverage.
If your family's yearly
countable income is in the blue chart and your child does not qualify for
Medicaid, dental coverage may be
|
Family Size
Income Limit |
|
If your family's yearly countable income is in the red
chart, your children may be able to get dental coverage for $5-$10 per month.
No family pays more than $10 per month. Family Size
Income Limit |
If your family's yearly countable income is in the yellow
chart, your children may be able to get dental coverage for $10-$15 per month.
No family pays more than $20 per month.
Family Size
Income Limit
1
$16,335 <============================> $32,670
2
$22,065 <============================> $44,130
3
$27,795 <============================> $55,590
4
$33,525 <============================> $67,050
5
$39,255 <============================> $78,510
6
$44,985 <============================> $89,970
7
$50,715 <============================> $101,430
8
$56,445 <============================> $112,890
What
services are covered?
The hawk-i
dental program covers these and other dental services:
·
Cleanings and
check-ups
·
Fluoride
treatments
·
Sealants
·
Fillings and
crowns
·
Medically
necessary orthodontia. (Prior approval
is required)
Who is the dental
plan?
The current plan providing coverage for hawk-i enrollees is Delta Dental of
Iowa. Click HERE for the Delta Dental of
Iowa website.
How do I
apply?
Please click HERE for more information.
