A woman is happily showing her patient a dental x-ray

Provider’s Guide to Oral Health for Overall Health

Florida Blue is committed to our community and the health of our members. That’s why we offer integrated care programs such as Oral Health for Overall Health. This program provides enrolled employees with enhanced dental benefits that can have a significant impact on certain medical conditions by reducing oral bacteria. The program covers patients who are pregnant or have diabetes, coronary artery disease (CAD), oral cancer, Sjӧgren’s syndrome, or suffered a stroke. Click here for member assessment form. Click here for a printable explanation of member and practice benefits.

Benefits of Oral Health for Overall Health Program

To encourage members to take advantage of Oral Health for Overall Health, we remove these financial barriers for the enhanced dental benefits:

  • Services do not count toward annual maximum
  • Members do not have to pay a deductible
  • There are no co-payments or coinsurance

These benefits are worth over $1,000 for each enrolled member—which is additional revenue for your practice.

We also conduct outreach and education to make sure members are aware of the relationship between preventive or periodontal dental services and their overall well-being. Our goal is to partner with you to ensure that those who need dental care the most are able to get it.

Program Qualification

Patients who have one of the BlueDental plans listed below may qualify for Oral Health for Overall Health if they have one or more of the following conditions: diabetes, stroke, Sjögren’s syndrome, coronary artery disease, a history of oral cancer, and pregnancy.  ID cards for members who have this benefit will reference Plan Type: GROUP/INDIVIDUAL.

  • BlueDental Choice
  • BlueDental Choice Plus
  • BlueDental Copayment

Verifying Patient Enrollment

Visit our online provider portal, to verify eligibility and benefits in the patient summary under qualified medical condition reported. In the patient summary under qualified medical condition reported, the indicator will display Y or N. You may also contact customer service at 866-445-5148.

Members with FloridaBlue medical and dental plans—plus a qualifying condition—are auto-enrolled on the basis of their medical claims. Dental-only and pregnant members must self-enroll.