Smile for Health® – Wellness

Improved Dental Insurance Coverage for Eligible Members

Smile for Health® - Wellness is a unique program designed specifically for members who have the following health conditions or are pregnant:

Smile for Health Wellness - Conditions

These conditions and pregnancy have been linked to gum disease, a common, but largely preventable condition where the bacteria in plaque cause inflammation in the mouth. While inflammation can be a normal process to help keep the body healthy, the constant inflammation that can occur with severe gum disease may make it more difficult for your body to fight other outside threats, like stress or infection.1

Professional dental care is necessary to treat and stop the progression of gum disease. Smile for Health® – Wellness can make it more affordable to receive the proper gum disease care, which in turn may help you see improvements in your overall health.2

To take advantage of the Smile for Health® – Wellness program, follow these steps:

 

Step 1: Confirm your registration for Smile for Health® - Wellness

If you have one of the conditions listed above or are pregnant, you’ll first need to register for Smile for Health® - Wellness by reporting your condition or pregnancy:

  1. Log in to your My Dental Benefits account:
    • If you don’t yet have a My Dental Benefits account, you can create an account using the Member ID number listed on your United Concordia card or by using the Social Security Number of the contract holder
  2. Click the Wellness tab at the top menu.
  3. Check the conditions that are listed (if any):
    • To confirm your condition: If you are presently enrolled in the program, the status of your condition will show as ACTIVE.
    • To report a new condition: To add a condition that’s not already listed, click + Add a new condition and complete the fields as prompted.

If you prefer to verify or register a condition by phone or need help with logging in or registering online, contact customer service at 1-877-FYI-UCCI (1-877-394-8224) for assistance.

 

Step 2: Take the information below to your next dental appointment

At your next appointment, inform your dentist that you have Smile for Health® – Wellness coverage through United Concordia and present the list of covered services below. Your dentist can tell you whether or not you have gum disease, and recommend what (if any) additional procedures you may need to keep your mouth as healthy as possible.

Attention Dentist: Your Patient has Smile for Health®–Wellness

United Concordia Dental’s Smile for Health® - Wellness benefit provides additional coverage for members who have the following health conditions or who are pregnant:

Your patient may be eligible to receive full coverage on the services listed in the table below.*

As a United Concordia Dental member with one of the medical conditions listed above, your patient may be eligible to receive full coverage on the services below*. The covered amount for these services is 100% (standard frequency limitations, annual maximums and other plan details apply).

ADDITIONAL SERVICE (PER PLAN YEAR) CDT CODE**
Periodontal maintenance -1 additional procedure above standard plan's limit D4910
Scaling in the presence of generalized moderate or severe gingival inflammation-full mouth, after oral evaluation D4346
Periodontal scaling and root planing:  
  • 4 or more teeth per quadrant
D4341
  • 1-3 teeth per quadrant
D4342
Periodontal surgery - 4 additional procedures related to:  
Gingival flap procedures, including root planing:  
  • 4 or more contiguous teeth or tooth bounded spaces per quadrant
D4240
  • 1-3 contiguous teeth or tooth bounded spaces per quadrant
D4241
Osseous surgeries, including elevation of a full thickness flap and closure:  
  • 4 or more contiguous teeth or tooth bounded spaces per quadrant
D4260
  • 1-3 contiguous teeth or tooth bounded spaces per quadrant
D4261

 

*As demonstrated by clinical documentation

**Current Dental Terminology © 2016 American Dental Association. All rights reserved.

To confirm your patient’s coverage, log in to My Patients’ Benefits at www.uccifedvip.com/MPB. For questions related to Smile for Health®–Wellness please call 1-877-GET-UCCI (1-877-438-8224) for assistance with enrollment..

Sources:
1. Inflammation and Bone Loss in Periodontal Disease; Journal of Periodontology; 2008
2. Impact of Periodontal Therapy on General Health; American Journal of Preventive Medicine; 2014


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