Medicaid eligibility and what benefits you are entitled to, review your member handbook or contact the 
Kentucky Department of Medicaid Services (DMS) at 1-800-635-2570. 
BENEFIT MEDICAID BENEFIT OUR PLAN BENEFIT 
Acute inpatient hospital care Covered Covered 
Ambulance Covered Covered 
Ambulatory surgical center Covered Covered 
Dentures Not Covered Covered 
Diagnostic 
services/labs/imaging Covered Covered 
Doctor office visits (Primary 
care provider (PCP)/specialists Covered Covered