FYI

More patients are becoming aware of the way that health issues can manifest in the mouth and oral health issues can exacerbate other medical conditions. With serious issues like heart disease being responsible for so many deaths in the U.S., your patients may be interested in learning how good dental health can improve their overall health. For patients who have medical conditions that affect their oral health, SmileWay® Wellness Benefits may be available to help meet their needs.
 

Who’s eligible for SmileWay Wellness Benefits?

Not all patients are eligible for SmileWay Wellness benefits. To claim these benefits, patients must:
 

• Have a Delta Dental PPO™ plan
• Belong to a group that offers SmileWay Wellness Benefits
• Have chosen to opt in to the program
   

Members who have been diagnosed with any of the following are eligible for expanded coverage:
 

• Diabetes
• Heart disease
• HIV/AIDS
• Rheumatoid arthritis
• Stroke
   

What are the benefits?

Members whose plans offer SmileWay Wellness Benefits are eligible for these added benefits each calendar or contract year:
 

• 100% coverage for one scaling and root planning procedure per quadrant (D4341 or D4342)
• and 100% coverage for four of the following in any combination:
  • Prophylaxis (D1110 or D1120)
  • Periodontal maintenance procedure (D4910)
  • Scaling in the presence of moderate or severe gingival inflammation (D4346)
     

If you have patients with medical issues that necessitate extra dental care, find out if they’re eligible for SmileWay Wellness Benefits. These benefits can help keep them both smiling and healthy!