Vision & Dental
We want to help you get the vision and dental care you need.
Vision Services
We cover:
- Eye exams and eyeglasses
- Treatment for diseases or injury to the eyes
To learn more, call MARCH Vision Care at 1-888-493-4070. If you have hearing or speech loss, you may call the MARCH Vision TTY line at 1-877-627-2456. For help finding a vision care provider, you may visit MARCH Vision Care on the Web at marchvisioncare.com.
Dental Services
BadgerCare Plus Standard Plan
- Full coverage with no copay
BadgerCare Plus Benchmark Plan
- Coverage limit for preventive, diagnostic, simple restorative, periodontics and extractions (surgical services) for pregnant women and children
- Coverage limit of $750 per enrollment year
- A $200 deductible applies to all services except preventive and diagnostic
- Cost-sharing equal to 50% of allowable fee on all services
- Note: Pregnant women do not have to pay a deductible or share the cost for dental services
CommunityConnect covers dental services. But you must go to a CommunityConnect network dentist. See the provider directory or call our CommunityConnect Member Advocate Call Center to find a dentist near you at 1-888-279-1227; 1-800-947-3529 (TTY). As a member of CommunityConnect, you have a right to see a dentist for a routine visit within 90 days after you ask for it.
Dental Emergency
It is a dental emergency when you need to see a dentist right away to treat dental pain, swelling, fever, infection or injury to the teeth. If your dentist is with CommunityConnect:
- Call your dentist's office.
- Tell the staff that you or your child has a dental emergency.
- Tell the staff what your dental problem you have, such as a toothache or swollen face. Make sure the staff knows that you or your child has a “dental emergency.”
- Call us if you need a ride to your dentist’s office.
If your dentist is not with CommunityConnect:
- Call CommunityConnect. Tell us that you or your child has a dental emergency. We can help you get dental services.
- Tell us if you need a ride to the dentist‘s office. We can help get you a ride there.
You have the right to get treatment for your dental emergency within 24 hours after you ask us for it.
If you have a dental emergency and need help finding a dentist, you also can call Southeast Dental Associates at 1-877-389-9870. Members with hearing or speech loss may call the Southeast Dental Associates TTY line at 1-800-947-3529.
Some services need an OK from CommunityConnect and/or your Primary Care Physician (PCP) (prior authorization) for us to cover the service. You must go to a provider in your network and the service must be needed for medical reasons (medically necessary). You must get an OK for these dental services:
- Dental oral surgery (such as for TMJ)
- Inpatient facility
- Anesthesia services
To learn more about getting an OK for dental services, please call Southeast Dental Associates at 1-877-389-9870. Members with hearing or speech loss may call the Southeast Dental Associates TTY line at 1-800-947-3529.
