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Expanded coverage for chronic conditions

Updated April 2026

Our members’ overall health and wellness is at the heart of what we do at Delta Dental. That’s why we offer Smileway® Wellness Benefits¹ — expanded dental coverage if members or their covered dependents have been diagnosed with a qualifying medical condition.

Group clients can continue to show their commitment to better health for their employees through this program that offers additional cleaning or gum care services for members with qualifying medical conditions.

SmileWay Wellness Benefits not only helps members stay healthy, but it can also help your clients avoid the costs of more serious dental procedures that can be required without additional preventive care.
 

14 covered conditions, better health

The health of teeth and gums is tied to overall wellness, and members with certain chronic medical conditions may benefit from additional teeth and gum cleanings. Regular dental maintenance and care can help prevent further health complications among people with chronic conditions.

That's why our PPO plans offer the option for groups to add enhanced coverage with SmileWay Wellness Benefits.² Covered members and their dependents who have been diagnosed with any of the following 14 chronic conditions will qualify:
 

  • Amyotrophic lateral sclerosis (ALS)
  • Cancer
  • Chronic kidney disease
  • Diabetes
  • Heart disease
  • HIV/AIDS
  • Huntington’s disease
  • Joint replacement
  • Lupus
  • Opioid misuse and addiction
  • Parkinson’s disease
  • Rheumatoid arthritis
  • Sjögren’s syndrome
  • Stroke

Why Delta Dental PPO with SmileWay Wellness Benefits excels in periodontal care

Delta Dental PPO plans with SmileWay Wellness Benefits offer targeted support for members managing qualifying chronic conditions and periodontal disease. By opting in, eligible enrollees receive 100% coverage each calendar or contract year for essential gum disease treatments designed to prevent serious complications.


Covered periodontal care benefits:

  • Periodontal scaling and root planing: 100% coverage for one deep cleaning per quadrant to treat gum disease.
  • Up to 4 procedures per year (any combination): 100% coverage for up to four total routine and specialized cleanings, including
    • Prophylaxis (standard teeth cleaning
    • Periodontal maintenance (cleaning to monitor and treat inflammation and infection following past gum surgery or treatment
    • Scaling in the presence of moderate or severe gingival inflammation (targeted plaque removal)


These specialized benefits make Delta Dental a strong choice for comprehensive periodontal care and proactive oral health management.
 

How members opt in

Opting in is simple, fast and free. For groups with this benefit, members who have been diagnosed with any of the qualifying chronic conditions can log in to their Delta Dental account and select Benefits programs to find registration details.
 

How to add SmileWay Wellness Benefits to a plan

This benefit is available as an add-on for all mid-size and large group plans with Delta Dental PPO. It’s also included on most small business PPO plans.

Chronic diseases cost U.S. employers an average of $4,798 a year in lost productivity because of chronic conditions. The average annual productivity loss per employee with chronic conditions is estimated at $4,798. When employees keep up with regular cleanings, they can reduce the symptoms and complications of their chronic conditions.

Talk to your Delta Dental representative about adding Delta Dental’s SmileWay Wellness Benefits to your group clients’ plans.


¹ Known as SmileWay Enhanced Benefits in Texas.
² SmileWay Wellness Benefits are not available for Delta Dental DHMO plans.