I don't know where you live, but each state dictates its own Medicaid benefits!  But, Conn. is not WA.  Here is link to understanding Med. benefits (which covers dental and some vision for some people.  Have you been on Medicaid all your life?  I paid for my own dental and vision even when covered by an employer's medical plan.  I also paid for all medical, dental and vision when we were self-insured and bought major medical.  There is nothing wrong with paying for some of your own care - it isn't the gov's (other taxpayers) obligation to pay for you!  I believe in people's freedom to take care of themselves and pay for themselves whenever possible as that is what each person should be focused on!  Go to this link to find out what Medicaid actually does in WA!  http://www.hca.wa.gov/assets/free-or-low-cost/22-315.pdf