Oral Health Enhancement

 

Good Health Starts with a Healthy Mouth

Research shows a possible link between the presence of periodontal (gum) disease and serious chronic medical conditions. Our new Oral Health Enhancement Option helps members at risk for gum disease better manage their oral health—and help protect their overall health as well.


What the Oral Health Enhancement Option offers you
 

• Eligible members who have been previously treated for periodontal (gum) disease will receive up to four dental cleanings and/or periodontal maintenance procedures per benefit period. Most plans limit these treatments to two per year. (Please see your benefit summary regarding how many you are eligible for.)
• Managing periodontal disease may help you reduce tooth loss, and avoid the pain and expense of tooth replacement.

How does the program work?
 

• Eligible patients must have a claim history or submit evidence of having periodontal surgery or periodontal scaling and root planing.
• Members automatically qualify if they have had periodontal surgery or periodontal scaling and root planing while covered by Delta Dental. For members who have not had Delta Dental in the past, or newly eligible members, proof can be provided in one of three ways:
  • Sending a copy of an explanation of benefits from a prior insurance carrier that shows the most recent date(s) of periodontal surgery or periodontal scaling and root planing.
  • Sending a copy of a bill from the treating dentist that clearly shows the most recent date(s) of either periodontal surgery or periodontal scaling and root planing.
  • Having the dentist complete the “Oral Health Enhancement Option Qualification Form” and fax, mail, or email the form to Delta Dental of New Jersey.

Delta Dental of New Jersey is committed to offering benefits that contribute to the health and well being of our members.


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