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A lady dentist educates a young girl on how to brush teeth
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/  Oral Health for Overall Health

Oral Health for Overall HealthSM

Keeping your mouth healthy has a big impact on your overall health, especially if you’ve been diagnosed with certain medical conditions. Our Oral Health for Overall Health program integrates medical and dental care to help improve your overall health.

Enhanced dental benefits at no additional cost

Florida Blue members who are enrolled in Oral Health for Overall Health receive enhanced dental benefits that can improve overall health, enhance quality of life, and lower medical and dental care costs.

With enhanced dental benefits, more patients come to our dental offices for oral examinations, cleanings, and other preventative services. We have noticed that our patients are improving their overall oral health. This reduces the need for invasive dental procedures or hospitalization in patients with comorbidities or high risk. Tim Ngo, Dental Office Administrator

There are no additional out-of-pocket expenses to participate in Oral Health for Overall Health. These enhanced dental benefits are valued at over $1,000 and are covered 100% with no copayment or coinsurance when you see a participating provider. They don’t apply toward your calendar year maximum and there are no waiting periods. If you’re a Florida Blue dental plan member and have been diagnosed with one of the qualifying medical conditions described below, find out how Oral Health for Overall Health can make a difference in your health.

Medical conditions

  • Diabetes: High blood sugar increases the risk of gum disease (gingivitis) and periodontal disease. This makes it more difficult for the individual to manage their diabetes.
  • Coronary artery disease: Bacteria from periodontal disease can increase inflammation in the body. The combination of bacteria and fatty proteins in the bloodstream may result in reduced blood flow that can lead to coronary artery disease, heart attack, or stroke.
  • Stroke: Studies have shown that periodontal disease significantly increases the risk of stroke.
  • Oral cancer: Treatment for oral cancer can reduce saliva, which creates a dry mouth that can lead to infection and affect speaking, chewing, and swallowing. It also increases the risk of tooth decay.
  • Head and neck cancers: Radiation therapy is usually part of the standard treatment for head and neck cancers and can cause dental health problems that include mouth sores, tooth decay and infections to the gums.
  • Sjögren’s syndrome: This immune system disorder affects the glands that produce saliva and tears. The resulting dry mouth can lead to infection and affect speaking, chewing and swallowing. It also increases the risk of tooth decay.
  • Pregnancy: Hormonal changes during pregnancy increase the risk of gingivitis (gum disease) or periodontitis, which causes tender, swollen and/or bleeding gums. Untreated gingivitis or periodontitis may result in low birth weight babies.

Take advantage of enhanced dental benefits

If you have Florida Blue medical and dental plans and a qualifying medical condition mentioned previously (other than pregnancy), you are automatically enrolled in the program. If you’re pregnant or don’t have a Florida Blue medical plan, you can easily self-enroll online. Once enrolled, you’ll receive more information, including access to a number of helpful online resources that explain the connection between oral and overall health. You’ll also receive reminders that you are enrolled in the Oral Health for Overall Health program and a list of the condition-specific benefits that are offered to you.

The sooner you take advantage of these benefits, the sooner you can improve your health. To use the enhanced dental benefits, simply make an appointment with your dentist. If you don’t have a dentist, you can easily find one in our provider directory. If you have questions about eligibility, contact Customer Service at 888-223-4892.