Enhanced Benefits Program
Delta Dental of Illinois' Enhanced Benefits Program enhances coverage for individuals who have specific health conditions that can be positively affected by additional oral health care.
Benefits include additional cleanings and/or applications of topical fluoride for all individuals who qualify. Individuals with disabilities may also qualify for additional services such as anesthesia, sedation, silver diamine fluoride and other medications and behavior modifying treatments. The costs of the additional treatments will be applied to a member's annual maximum.
Dentists must complete a brief health history statement for their patient to be eligible for these important benefits. Members may complete this statement themselves, or their dentist may complete it for the member. Further instruction is provided on the Dentist Connection. Register for Dentist Connection by following the registration steps here.
Once a patient is enrolled, they are immediately eligible for the Enhanced Benefits Program. Patients who qualify include:
- Individuals with periodontal (gum) disease.
- Individuals with diabetes.
- Individuals who are pregnant.
- Individuals with cardiac conditions.
- Individuals with kidney failure or who are undergoing dialysis.
- Individuals who are undergoing cancer-related chemotherapy and/or radiation.
- Individuals with suppressed immune systems, including individuals with HIV, organ recipients, and/or stem cell (bone marrow) recipients.
- Individuals with disabilities, including individuals with physical, medical, developmental and/or cognitive needs, such as autism, Alzheimer's disease, Down syndrome, spinal cord injuries, and other conditions where modifications are necessary to provide the best oral health treatment possible.
Learn more about eligibility, coverage level, and more here.