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MA Children's Medical Security Plan (CMSP) - Services

The Children's Medical Security Plan (CMSP) is a program offered by the Massachusetts Department of Public Health which provides the basic medical and dental coverage that children need most.

* Benefits under CMSP are calculated on a benefit year basis. The benefit year starts on July 1st and continues until June 30th.

What Medical Services are Covered?

·          Well child visits and immunizations

·          Office visits when your child is sick or hurt

·          Laboratory tests

·          X-Rays

·          Family planning services

·          Specialty consultations

·          Prescription drugs - up to $200 each benefit year*

·          Eye exams

·          Hearing tests

·          Inguinal hernia outpatient surgery

·          Tympanostomy tube placement outpatient surgery

·          Durable medical equipment - up to $200 each benefit year*, up to $500 for Asthma, Diabetes and Epilepsy

·          Mental health and substance abuse visits - up to 20 outpatient visits each benefit year*

What Dental Services are Covered?

·          Exams

·          X-rays

·          Cleanings

·          Fluoride Treatment

·          Sealants

·          Fillings

·          Extractions

·          Full or partial root canals

·          Crowns

·          Space maintainers

·          Maximum dental benefit is $750 per benefit year*

·          Frequency limits apply to certain dental charges

What Medical and Dental Services Are Not Covered?

·          Early intervention

·          Inpatient hospital care, and any charge related to inpatient hospital care

·          Ambulance services

·          Services rendered in the emergency room

·          Over-the-counter drugs

·          Orthodontia

·          Diagnostic photographs

·          Removal of wisdom teeth

See also:

MA Children's Medical Security Plan (CMSP) - Overview

MA Children's Medical Security Plan (CMSP) - Premiums

Source

Information for this topic was drawn from the CMSP website at:
http://www.cmspkids.com/covinfo.htm

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