Dental Services2020-02-11T10:26:00-05:00

Preventive and Comprehensive Dental Services (New)

Preventive and comprehensive dental benefits are included with our plans with no additional monthly premium.

Use your Prominence+ MasterCard for your approved, medically-necessary dental care needs. The card is easy to use and you don’t have to worry about copays, coinsurance or claim forms. To use the dental benefit, members should:

1. Select a dentist within the DenteMax network.

If your dentist is not in the DenteMax Medicare network, they can join through the DenteMax website , or they can call DenteMax Customer Service at 800-752-1547 (TTY: 711).

2. Provide the dental office with your insurance information including:

  • The name: Prominence Health Plan with the DenteMax network/DenteMax
  • Our member services number, 855-969-5882- (TTY: 711) for eligibility verification.
  • Your member ID card

3. Once coverage for the procedures is verified and we receive the dental pre-estimate form , funds will be loaded onto the Prominence+ Card for members to get the services they need. Note: for certain services any cost above the maximum allowable for each procedure will be your responsibility to pay. Refer to your Evidence of Coverage for details.

Nevada Benefit

For preventive dental services, the plan allows $500 towards the following covered services:

  • Oral exam, once a year
  • Teeth cleaning, once every six months
  • Fluoride treatment, twice a year
  • Dental x-rays, once a year

For comprehensive dental services, the plan allows $1,500 towards the following covered services:

  • Diagnostic services
  • Basic restorative services
  • Non-routine services
  • Periodontics
  • Endodontics
  • Extractions
  • Prosthodontics
  • Oral/maxillofacial surgery

Some limitations apply: Your dentist must be listed on Prominence Health Plan’s list of approved Nevada Dentists

North Texas Benefit

For preventive dental services, the plan allows $500 towards the following covered services:

  • Oral exam, once a year
  • Teeth cleaning, once every six months
  • Fluoride treatment, twice a year
  • Dental x-rays, once a year

For comprehensive dental services, the plan allows $1,000 towards the following covered services:

  • Diagnostic services
  • Basic restorative services
  • Non-routine services
  • Periodontics
  • Endodontics
  • Extractions
  • Prosthodontics
  • Oral/maxillofacial surgery

Some limitations apply: Your dentist must be listed on Prominence Health Plan’s list of approved Texas Dentists

South Texas Benefit

For preventive dental services, the plan allows $500 towards the following covered services:

  • Teeth cleaning, once every six months
  • Oral exam, once a year
  • Dental x-rays, once a year
  • Fluoride treatment, twice a year

For comprehensive dental services, the plan allows $1,500 towards the following covered services:

  • Non-routine services
  • Diagnostic services
  • Restorative services
  • Endodontics
  • Periodontics
  • Extractions
  • Prosthodontics
  • Oral/maxillofacial surgery

Some limitations apply: Your dentist must be listed on Prominence Health Plan’s list of approved Texas Dentists


 

Prominence Health Plan’s list of approved:

Get answers to frequently-asked questions

View a list of covered dental services

For more information, contact Member Services at 1-855-969-5882 (TTY:711)

  • 8 a.m. to 8 p.m. — seven days a week from October 1 through March 31
  • 8 a.m. to 8 p.m. — Monday through Friday from April 1 through September 30

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Last update 02/11/2020

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