Delta Dental of California, Delta Dental Insurance Company, Delta Dental of Pennsylvania and affiliates
Delta Dental of California, Delta Dental Insurance Company, Delta Dental of Pennsylvania and affiliates
Empowering dentists to be whole health partners
Hormonal changes in pregnancy and menopause are well known. But their impact on oral health is often overlooked. Next Stage™ Women’s Health is an expanded coverage program that supports the oral health of women during these two crucial life stages.
This program includes tailored support like additional exams, cleanings, X-rays and fluoride treatments so your patients can maintain good oral health through biological changes. We also have resources and guides to help you support them and enhance their experience beyond oral care.
Stepping up patient experiences with expanded dental benefits
Tailored to pregnant and menopausal women, our new Next Stage™ Women’s Health program aims to enhance overall well-being by providing life stage-specific benefits and comprehensive support.
| Codes | Procedure | Next Stage™ Women’s Health program benefits |
|---|---|---|
| D0120 | Oral exams | 2 additional per year for up to 4 exams |
| D1110 | Teeth cleaning (prophylaxis) | Any combination up to 4 per year |
D4910 |
Periodontal maintenance procedure | |
| D4346 | Scaling in presence of moderate to severe gingival inflammation | |
| D0270, D0272, D0273, D0274, D0277 | Additional bitewing X-rays | 1 additional set per year |
| D1206, D1208 | Topical application of fluoride — for adults | 2 per year regardless of age |
Expanded benefits to boost women’s oral health
The Next Stage™ Women’s Health program is designed to support women during transformative life changes like pregnancy and menopause, when shifting hormones can affect the mouth in unexpected ways. From extra preventive care to specialized treatment guidance in partnership with Midi Health and Embr Labs, these expanded benefits make it easier for you to support your patients’ oral and whole health.
Tools to help you understand the connection between oral health and pregnancy, as well as menopause.
Embr Labs introduces Embr Wave, the first biowearable for instant cooling relief for hot flashes and night sweats.
Access to virtual, menopause-trained practitioners for patients seeking specialized care and treatment options.
How to verify patient eligibility
- Log in to Provider Tools to check patient eligibility. Patients must have self-enrolled on our website to be eligible.
- If the patient is eligible for enhanced benefits through Next Stage™ Women’s Health, you’ll see a message clearly stating the same.
- If the patient is already enrolled in the program, “Women’s Health participant” will appear after their name under the Eligibility and Benefits section.
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Why we created Next Stage™ Women’s Health
Hormonal changes during pregnancy and menopause affect oral health. Pregnancy can cause gingivitis, while menopause lowers estrogen, leading to gum disease and tooth loss. Many women are unaware of this connection.
Our 2025 survey shows 81% of dentists would discuss menopause-related oral health more if menopause-specific benefits were available. Next Stage™ Women’s Health offers enhanced coverage for pregnancy and menopause, helping women connect oral, hormonal and overall health, and encouraging specialized care during these key life stages. According to our 2024 Menopause Survey, over 80% of women 40+ say they’d maintain better oral care with additional dental benefits.
Frequently asked questions
Pregnancy and menopause bring unique health challenges, including hormonal changes that impact oral health. Menopausal women may notice symptoms such as dry mouth, gum disease, tooth loss and receding gum lines, while those who are pregnant face the risk of gingivitis and oral pregnancy tumors.
The Next Stage™ Women’s Health program recognizes the unique care that these conditions require by offering tailored benefits, as well as comprehensive support and education to enhance women’s overall well-being during these pivotal life stages.
When a member opts in to the Next Stage™ Women’s Health program, the following teeth and gum cleaning procedures are covered at 100% each group plan year. These benefits are effective 24 hours after opting in to the program.
Enhanced dental benefits for pregnancy and menopause:
- 2 additional oral exams (up to 4 in the group’s plan year)
- 1 additional set of X-rays (bitewings)
- 2 topical applications of fluoride — for adults
- Teeth cleanings, periodontal treatments and plaque removal/scaling in presence of moderate to severe gingivitis
Members will need to log in to their online account and complete an information form that includes designating their condition of either pregnancy or menopause and providing their physician’s contact information.
Many Delta Dental PPO™ employer-sponsored plans include general pregnancy health benefits that are still available to members. However, opting in to the Next Stage™ Women’s Health program offers pregnant members more comprehensive care. The Next Stage™ Women’s Health program provides more robust benefits than the standard pregnancy benefit. If members choose to opt in to the Next Stage™ Women’s Health program, these benefits will replace the standard additional pregnancy benefit in your plan.
Women’s health needs require specialized support during pivotal life stages such as pregnancy and menopause, which bring unique health challenges including hormonal changes that impact oral health and overall health. Dentists and dental hygienists are in a unique position to help improve women’s oral and overall health through oral health education, preventive treatments and early detection of oral health changes. Through the expanded benefits of the Next Stage™ Women’s Health program, providers can do more to help improve patient well-being and satisfaction.
Midi Health is a virtual care clinic specialized in midlife care for women experiencing menopause and perimenopause. Delta Dental has strategically partnered with them to bring an enhanced benefits program for women in these crucial life stages. Learn more at www.joinmidi.com/deltadental.
Embr Labs is a company that makes a wearable device called Embr Wave. It helps with hot flashes by cooling or warming your wrist. It’s a natural, discreet way to feel more comfortable and is perfect for managing some of the menopause symptoms.
