Preventive and Comprehensive Dental Services (New)
Preventive and comprehensive dental are included with our plans with no additional monthly premium.
Use your Prominence+ MasterCard for all your dental care needs. The card is easy to use and you don’t have to worry about copays, coinsurance or claim forms.
Nevada 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
North 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 $1,000 towards the following covered services:
- Non-routine services
- Diagnostic services
- Restorative services
- Endodontics
- Periodontics
- 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
Prior authorization and referrals are not required. Your dentist must be listed on Prominence Health Plan’s list of approved dentists (coming soon).
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 9/25/2019