SmileWay® Wellness Benefits1

The health of your teeth and gums is part of a bigger picture: your overall wellness. Gum disease is associated with a number of systemic conditions, and people with certain chronic diseases may benefit from additional periodontal (gum) cleanings. That’s why your dental plan offers expanded coverage if you have been diagnosed with any of the following:

  • diabetes
  • heart disease
  • HIV/AIDS
  • rheumatoid arthritis
  • stroke

Opting into this expanded coverage will give you these added benefits per calendar or contract year2:

  • 100% coverage for one periodontal scaling and root planing procedure per quadrant (D4341 or D4342)
  • 100% coverage for four of the following (any combination):
    • prophylaxis (teeth cleaning) (D1110 or D1120)
    • periodontal maintenance procedure (D4910)

To opt in, log in to your online account and click on the Optional Benefits tab in the left column.

1Known as SmileWay Enhanced Benefits in Texas. This benefit is not covered under all plans. 2Refer to your plan booklet for specific details. Expanded periodontal coverage may not be included if your plan does not cover any periodontal services.

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