Finding a dentist in Elizabethtown, Kentucky, who accepts Passport by Molina Healthcare can make all the difference for residents seeking affordable dental care. Passport is a Medicaid managed care plan in Kentucky, and its dental benefits are administered through DentaQuest for children under 21 and Avesis for adults. This guide dives into the specifics of locating dentists accepting Passport in Elizabethtown, outlining covered services, how to find providers, and practical tips for securing appointments. Whether you need a routine cleaning or specialized care, we’ll help you navigate the process with confidence.
Dentists Accepting Passport in Elizabethtown, KY
Elizabethtown, a vibrant community in Hardin County, offers several dental practices that accept Passport by Molina Healthcare, ensuring access to quality dental care for Medicaid enrollees. The Passport plan covers a range of services, but finding a provider requires understanding the plan’s structure, verifying provider participation, and knowing what to expect during your visit. Below, we detail the process, highlight local options, and provide actionable steps to connect with a dentist who meets your needs.
Understanding Passport Dental Benefits
Passport by Molina Healthcare provides dental coverage through two administrators, depending on the patient’s age:
- DentaQuest: Covers children under 21, offering diagnostic, preventive, and restorative services like cleanings, exams, X-rays, fillings, and some orthodontic treatments.
- Avesis: Covers adults 21 and older, focusing on preventive and basic restorative care, such as cleanings, exams, and extractions, with limited coverage for advanced procedures.
Covered Services (varies by age and plan):
- Preventive: Cleanings, fluoride treatments, sealants (primarily for children).
- Diagnostic: Exams, X-rays.
- Restorative: Fillings, crowns, root canals (limited for adults).
- Emergency Care: Treatment for pain or infection.
- Orthodontics: Braces or aligners for children, if medically necessary.
Limitations:
- Adults may face stricter coverage limits (e.g., no cosmetic procedures like veneers).
- Some services require prior authorization through DentaQuest or Avesis.
- Always confirm coverage with your provider before treatment.
Finding Dentists Accepting Passport in Elizabethtown
To locate a dentist in Elizabethtown who accepts Passport, you can use several reliable methods. Here’s how to start:
- Contact DentaQuest or Avesis:
- DentaQuest: Call (855) 208-9862 or visit their provider search tool online to find pediatric dentists for children under 21.
- Avesis: Call (800) 828-9341 or use their online directory for adult providers.
- Both provide lists of in-network dentists in Elizabethtown and nearby areas like Radcliff or Bardstown.
- Check with Local Dental Practices: Many Elizabethtown dentists accept Passport but may not advertise it prominently. Call to confirm participation.
- Use Passport’s Member Services: Call (800) 578-0603 for assistance finding in-network providers or verifying coverage.
- Visit the FLHSMV Website: The Kentucky Cabinet for Health and Family Services lists dental providers enrolled with Medicaid plans like Passport.
Confirmed Dentists Accepting Passport in Elizabethtown
Based on available information, the following dental practices in or near Elizabethtown accept Passport by Molina Healthcare:
- Modern Kids Dentistry:
- Address: 151 Drexler Circle, Elizabethtown, KY 42701
- Phone: (270) 740-0770
- Details: Specializes in pediatric dentistry, accepts Passport for children under 21 through DentaQuest. Offers cleanings, exams, and orthodontic consultations.
- Mortenson Family Dental:
- Address: 2110 N Dixie Hwy Ste 100, Elizabethtown, KY 42701
- Phone: (270) 982-4433
- Details: Accepts Passport for both children and adults. Provides comprehensive care, including preventive, restorative, and emergency services. Also has a location in Shepherdsville (25-minute drive).
- Richard L. Miller Oral Health Clinic (University of Louisville):
- Address: 120 Helmwood Plaza Dr, Suite 135, Elizabethtown, KY 42701
- Phone: (502) 854-0407 (by referral only)
- Details: Accepts Passport for referred patients, offering general and specialized care. Note: Long wait times may apply due to its educational focus.
Note: Always call to verify Passport acceptance, as provider participation can change. Other local practices, such as Elizabethtown Family Dentistry or Carnes Family Dental, may accept Passport but require confirmation.
Table: Summary of Dentists Accepting Passport in Elizabethtown, KY
Dental Practice | Address | Phone | Passport Plan Accepted | Services Offered |
---|---|---|---|---|
Modern Kids Dentistry | 151 Drexler Circle, Elizabethtown, KY 42701 | (270) 740-0770 | DentaQuest (children) | Pediatric cleanings, exams, orthodontics |
Mortenson Family Dental | 2110 N Dixie Hwy Ste 100, Elizabethtown, KY 42701 | (270) 982-4433 | DentaQuest, Avesis | Preventive, restorative, emergency care |
Richard L. Miller Oral Health Clinic | 120 Helmwood Plaza Dr, Suite 135, Elizabethtown, KY 42701 | (502) 854-0407 | DentaQuest, Avesis (by referral) | General, specialized care (wait times apply) |
Steps to Secure a Dental Appointment
- Verify Your Coverage: Call Passport Member Services at (800) 578-0603 to confirm your dental benefits and whether you’re covered under DentaQuest or Avesis.
- Find a Provider: Use DentaQuest or Avesis online directories or call their helplines to locate an in-network dentist in Elizabethtown.
- Contact the Dental Office: Call the practice to confirm they accept Passport and ask about appointment availability. Inquire about any required documentation (e.g., Passport ID card).
- Schedule Your Visit: Book an appointment and ask about covered services, copays (if any), or prior authorization needs.
- Bring Necessary Documents: Arrive with your Passport ID card, a valid photo ID (e.g., driver’s license or passport), and any referral forms if required.
- Follow Up: If a procedure requires prior authorization, work with your dentist and DentaQuest/Avesis to submit paperwork promptly.
Covered Dental Services Under Passport
For Children (Under 21, via DentaQuest):
- Preventive: Two cleanings per year, fluoride treatments, sealants.
- Diagnostic: Annual exams, X-rays as needed.
- Restorative: Fillings, crowns, root canals (medically necessary).
- Orthodontics: Braces or aligners if deemed medically necessary (requires prior authorization).
- Emergency Care: Treatment for pain, swelling, or infection.
For Adults (21+, via Avesis):
- Preventive: One cleaning per year, exams.
- Diagnostic: X-rays, oral evaluations.
- Restorative: Limited fillings, extractions.
- Emergency Care: Relief for urgent dental issues.
- Exclusions: Cosmetic procedures (e.g., whitening, veneers) and most orthodontics are not covered.
Note: Coverage varies based on medical necessity and plan guidelines. Always confirm with DentaQuest or Avesis before treatment.
Tips for a Smooth Dental Visit
- Call Ahead: Verify Passport acceptance and ask about wait times, especially for practices like the Richard L. Miller Oral Health Clinic, which operates by referral.
- Understand Coverage Limits: Adults may face restrictions on restorative care, so clarify what’s covered to avoid unexpected costs.
- Schedule Early: Dental offices in Elizabethtown, especially those accepting Medicaid plans, can have long wait times during peak periods (e.g., summer or holidays).
- Bring All Documentation: Carry your Passport ID card and any immigration documents (e.g., I-94 or visa) if you’re a non-U.S. citizen, as some offices may request proof of residency.
- Consider Nearby Areas: If Elizabethtown options are booked, check providers in Radcliff (10 miles away) or Shepherdsville (25 miles away), like Mortenson Family Dental.
Common Challenges and Solutions
- Limited Provider Availability: Some dentists may stop accepting Passport due to reimbursement rates. Regularly check DentaQuest/Avesis directories for updates.
- Long Wait Times: Practices like the UofL-affiliated Miller Clinic may have delays due to their educational focus. Book early or opt for Mortenson Family Dental for faster service.
- Prior Authorization Delays: For procedures like root canals or orthodontics, submit authorization requests promptly through your dentist.
- Coverage Confusion: If unsure about covered services, call DentaQuest (855-208-9862) or Avesis (800-828-9341) before your appointment.
- Non-Covered Services: Cosmetic treatments (e.g., whitening) aren’t covered. Ask about payment plans or discounts for out-of-pocket costs.
Special Considerations
- Children’s Dental Needs: Pediatric dentists like Modern Kids Dentistry prioritize children’s care, offering a kid-friendly environment and orthodontic consultations.
- Emergency Dental Care: For urgent issues (e.g., severe pain or abscess), contact Mortenson Family Dental or Passport’s Member Services for same-day options.
- Non-Residents: If you’re a temporary resident (e.g., on a visa), bring proof of legal presence (I-94 or visa) to your appointment, as some offices verify status.
- Language Barriers: Some practices offer Spanish-speaking staff or interpreters. Confirm with the office when booking.
- Referral-Based Clinics: The Richard L. Miller Oral Health Clinic requires referrals, so coordinate with your primary dentist or Passport for approval.
FAQ: Common Questions About Dentists Accepting Passport in Elizabethtown, KY
Which dentists in Elizabethtown, KY, accept Passport by Molina Healthcare?
Dentists like Modern Kids Dentistry (151 Drexler Circle, (270) 740-0770), Mortenson Family Dental (2110 N Dixie Hwy, (270) 982-4433), and Richard L. Miller Oral Health Clinic (120 Helmwood Plaza Dr, (502) 854-0407, by referral) accept Passport. Always call to confirm participation, as provider status can change.
What dental services are covered by Passport in Elizabethtown?
For children under 21, DentaQuest covers cleanings, exams, X-rays, fillings, and medically necessary orthodontics. For adults 21+, Avesis covers cleanings, exams, limited fillings, and extractions. Cosmetic procedures like whitening are not covered. Confirm coverage with DentaQuest (855-208-9862) or Avesis (800-828-9341).
How do I find a dentist near Elizabethtown who accepts Passport?
Use DentaQuest’s provider search (855-208-9862) for children or Avesis’ directory (800-828-9341) for adults. Contact Passport Member Services at (800) 578-0603 or check the FLHSMV website for a list of enrolled providers. Call practices like Mortenson Family Dental or Modern Kids Dentistry to verify availability.
Maximizing Your Dental Care Experience
Finding a dentist in Elizabethtown who accepts Passport by Molina Healthcare is straightforward with the right approach. Start by confirming your coverage through DentaQuest or Avesis, then use their provider directories to locate in-network dentists. Practices like Modern Kids Dentistry and Mortenson Family Dental offer reliable options for children and adults, while the Richard L. Miller Oral Health Clinic serves referred patients. By verifying provider participation, scheduling early, and bringing all necessary documents, you can access quality dental care without stress. Whether you need a routine checkup or urgent treatment, Elizabethtown’s dental community is ready to support your oral health needs.