1. Does your child need dental coverage? How much does it cost?
hawk-i offers free or low-cost dental only coverage for children who have health insurance but may not have dental coverage.
Does your child need dental coverage?
What does hawk-i dental only cover?
Cleanings and check-ups
Fluoride treatments
Sealants
Fillings and crowns
Medically necessary orthodontia (prior approval is required)
How much does it cost?
Family Size
Medicaid
If your family’s yearly countable income is in this chart, your children may be able to get FREE dental coverage under Medicaid.
hawk-i
If your family’s yearly countable income is in this chart, your children may be able to get dental coverage under hawk-i for $5 per child per month. No family pays more than $10 per month.
If your family’s yearly countable income is in this chart, your children may be able to get dental coverage under hawk-i for $10 per child per month. No family pays more than $15 per month.
If your family’s yearly countable income is in this chart, your children may be able to get dental coverage under hawk-i for $15 per child per month. No family pays more than $20 per month. 1
Up to $20,140
$20,141 to $24,482
$24,483 to $30,632
$30,633 to $36,421 2
Up to $27,121
$27,122 to $32,967
$32,968 to $41,250
$41,251 to $49,045 3
Up to $34,101
$34,102 to $41,453
$41,454 to $51,862
$51,868 to $61,668 4
Up to $41,082
$41,083 to $49,938
$49,939 to $62,484
$62,485 to $74,292 5
Up to $48,063
$48,064 to $58,423
$58,424 to $73,101
$73,102 to $86,916 6
Up to $55,043
$55,044 to $66,909
$66,910 to $83,718
$83,719 to $99,539 7
Up to $62,024
$62,025 to $75,394
$75,395 to $94,336
$94,337 to $112,163 8
Up to $69,004
$69,005 to $83,880
$83,881 to $104,953
$104,954 to $124,786
Questions? Contact your local hawk-i Outreach Coordinator at ,
hawk-i customer service at
, or go to
Apply online at dhsservices.iowa.gov, or call
Para solicitar este documento en español, comuníquese con Programma de hawk-i al teléfono   (TTY: ).
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The Iowa Department of Human Services (DHS) complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex.
April 2017