Dentures are not covered under the Special Care Insurance Program for the first six months after the effective date of the policy. If a resident needs dentures before the end of the waiting period, the following procedure can be followed:
1. The Senior Dental Care dentist will examine the resident and make preparations for the dentures.
2. Senior Dental Care will provide the facility with a letter of denial stating that the dentures are not covered during the waiting period. SDC will also provide the facility with a cost estimate so that the facility can apply for a Medicaid offset for the dentures.