Provider's guide to Oral Health for Overall Health
All BlueDental PPO and Florida Blue Medicare plans include our Oral Health for Overall HealthSM program. Enrolled members receive additional dental benefits that have been shown to improve overall health and lower medical and dental care costs.
These benefits are valued at over $1,000 and are covered 100% with no out-of-pocket expenses when members see a participating provider. Eliminating out-of-pocket costs increases the likelihood of eligible patients taking advantage of the program’s benefits.
Help your patients take advantage of these valuable benefits
We regularly engage enrolled members to make sure they are aware of the relationship between preventive or periodontal dental services and their overall well-being; however, the program has a greater impact when our provider partners participate in member education, so we encourage you and your staff to help your patients understand the value of these important benefits.
Since patients in the program are eligible for four visits per year, we recommend that you schedule all four visits during their first visit.
Verifying patient enrollment
Members with Florida Blue health and dental plans and eligible medical conditions affected by oral health* are automatically enrolled in the program based on claims information. Members who have only a dental plan are encouraged to self-enroll. Automatic enrollment is key to the program’s effectiveness—it allows us to proactively engage those enrolled so that they understand and use the program’s services.
We recommend you thoroughly review your patients’ medical history before starting treatment. After confirming the condition(s) that led to their enrollment, please call us at 866-445-5148 or review the information on the MyDentalCoverage website. Select the Wellness Benefits tab after logging in through the My Patients’ Benefits link. Their conditions and enrollment date will be displayed—the Limitations column lists which procedures are covered for each qualifying condition.
* Eligible conditions include diabetes, coronary artery disease, stroke, oral cancer, head and neck cancer, Sjögren’s syndrome, pregnancy, chronic obstructive pulmonary disease, end-stage renal disease, and metabolic syndrome.