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:
- Select a dentist within the DenteMax network. Make sure you select “Medicare” as your network type.
- Find a list of dentists from the 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).
- Provide the dental office with your insurance information including:
- The plan name Prominence Health Plan/DenteMax
- Our member services number, 855-969-5882- (TTY: 711) for eligibility verification.
- Your member ID card
- Once coverage for the procedures is verified, 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
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
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
- 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 dentists Make sure you select “Medicare” as your network type.
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
Y0109_WEBSITE20_A
Last update 11/25/2019