Verifying Your Patients’ Oral Health for Overall Health Eligibility and Enrollment Status
Our Oral Health for Overall HealthSM program was created to ensure that those who need dental care the most can get it. It provides your practice with a valuable opportunity to promote the total health and wellness of your patients.
If your patient has an eligible medical condition and is enrolled in the program, they receive additional benefits that have been shown to improve their overall health outcomes. These services are covered 100% and don’t count toward the members’ calendar year maximum. Eliminating out-of-pocket costs increases the likelihood of eligible patients taking advantage of the program’s benefits.
Who is eligible?
Your patient is eligible for Oral Health for Overall Health benefits if they:
- Are enrolled in the program
- Have a dental plan that permits enrollment in the program
- Have been diagnosed with an eligible medical condition
- Have any Medicare Advantage plan (except for FHCP)
Patients with BlueDental Prepaid and FHCP dental plans are not eligible for enrollment into the program.
How do I verify if my patient is enrolled?
We recommend that you do a thorough medical history review of your patient before starting treatment. After confirming the condition(s) that enabled their enrollment, please call us at 866-445-5148 or review the information on the Wellness Benefits tab of the My Patients’ Benefits website. If the patient is enrolled, their conditions and enrollment date will be displayed. The Limitations column includes specific details about which procedures are covered for each qualifying condition.
To ensure your enrolled patients take advantage of these valuable benefits, we recommend that you schedule all four preventive visits during their first visit to your office.
