Dental Assistance

Vouchers for Dental Emergencies

Provides vouchers for Kosciusko County residents experiencing a dental emergency such as pain and/or swelling.

Check out the Eligibility Information or Client Information Checklist for details on how to qualify for Dental Assistance.

Download Client Information Checklist

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Eligibility Information

To qualify for the program, you must bring:

  • Picture ID
  • Proof of living address
  • Proof of family income
  • $10 Application fee (cash only)

To be eligible, you must:

  • Be a Kosciusko County resident
  • Be income eligible, at or below 200% Federal Poverty Level
  • Have a dental emergency (pain or swelling)

Income documentation includes, but is not limited to:

  • Most recent tax return
  • Most recent paycheck stub
  • Child support docket
  • Unemployment statement
  • Social Security/Disability award letter or benefit statement

Frequently Asked Questions

Dental Assistance

How many Dental Assistance vouchers can I receive?

Individuals who qualify for the program may receive one (1) Dental Voucher per calendar year. Minors (ages 17 and younger) can receive two (2) Dental Vouchers per calendar year.

What if there are additional needs that the voucher does not cover?

The dentist will complete a treatment plan to meet the emergency dental needs of the patient. Any other needs or services completed at the time of treatment or scheduled thereafter could be the responsibility of the patient.

Do you help with routine dental care, preventative services, or dentures?

At this time, Medication & Dental Assistance is limited to covering emergency treatment services such as extractions, fillings, and root canals. We understand that routine, professional dental cleanings are an important part of your oral health; however, we are unable to help pay for these services. Similarly, Medication & Dental Assistance does not fund fluoride treatments, sealants, caps/crowns, orthodontics, or dentures due to program limitations of treating only the emergency or immediate needs.

How do I know if I qualify for Dental Assistance?

To qualify for Dental Assistance you must:

  • Be a resident of Kosciusko County
  • Be income eligible, at or below 200% Federal Poverty Level
  • Have an emergency dental need (pain and/or swelling)
What does the Dental Voucher cover?

The Dental Voucher covers the cost for the evaluation and services needed to resolve the emergency situation.

The voucher can pay for up to four (4) extractions, or four (4) fillings, or one (1) root canal; however, the treatment completed is up to the dentist and is limited only to the emergency need.