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
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You deserve more during pregnancy and menopause
Pregnancy and menopause bring unique health challenges, including hormonal changes that impact oral health. Changes for pregnant women may include bleeding gums, gingivitis and oral growths ("pregnancy tumors"), while menopausal women may experience dry mouth, gum recession and tooth decay.
The Next Stage™ Women's Health program offers enhanced dental benefits to address the oral health impacts of pregnancy and menopause, and includes comprehensive support like specialty telehealth visits, curated partner products and member resources to help promote whole-body health during these pivotal life stages.
Log in to your Delta Dental account and select Benefits programs to find registration details. Program benefits are available to those who meet the eligibility criteria.
Take care of your oral health with Next Stage™ Women’s Health
If you qualify, Next Stage™ Women’s Health provides enhanced benefits under your employer-sponsored dental PPO plan, at no extra cost to you. Opt in to the program to get the following teeth and gum cleaning procedures covered at 100% each plan year.¹ These benefits are effective 24 hours after opting in.
| Codes | Procedure | Next Stage™ Women’s Health benefits |
|---|---|---|
| D0120 | Oral exams | 2 additional per year for up to 4 exams |
| D1110 | Teeth cleaning (prophylaxis) | Any combination up to 4 per year² |
D4910 |
Periodontal (gum) 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 year³ |
| D1206, D1208 | Topical application of fluoride (adults) | 2 per year regardless of age |
Support your overall health
We've teamed up with trusted companies to bring you helpful products and services that go hand-in-hand with your dental benefits.
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Midi Health
Meet with a clinician trained specifically in menopause and other aspects of female midlife health. Midi is a virtual clinic that provides specialty care for women.
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Embr Labs
Embr Labs offers Embr Wave, the first wearable temperature device that intelligently delivers cooling sensations for immediate relief during hot flashes and night sweats.
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Get started with Next Stage™ Women’s Health
Log in to your Delta Dental account and select Benefits programs to find registration details. Program benefits are available to those who meet the eligibility criteria.
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FAQs
A first-of-its-kind, holistic program that supports women’s health needs during pregnancy and menopause. Next Stage™ Women’s Health offers enhanced dental benefits, specialty telehealth visits, products and education to support women’s oral health and overall well-being.
You will need to log in to your online account and complete a form that affirms your condition as either pregnancy or menopause and includes your physician’s contact information.
Not everyone. Your employer must offer the Next Stage™ Women’s Health program as part of your dental benefits. If your employer offers it, you’ll also need to meet the program’s eligibility requirements.
No, there's no additional fee to opt in to the Next Stage™ Women's Health program. However, the program is only available if your employer-sponsored group PPO plan offers it and you meet the eligibility requirements.
Next Stage™ Women’s Health benefits are effective for the plan year determined by your employer-sponsored group PPO plan. This may or may not be a standard calendar year. Within 65 days of your group’s plan year end date, those who have opted in will have the option to reconfirm their status as pregnant or menopausal to continue receiving benefits for the following group plan year.
These terms are applicable as long as the group participates in the program. If a group decides to discontinue participation in the program, those who opted in during the year are only eligible to receive these benefits until that end date, regardless of when they opted in.
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 you choose to opt in to the Next Stage™ Women’s Health program, these benefits will replace the standard additional pregnancy benefit in your plan.
Some employer-sponsored plans may offer more than one additional benefits program to their members. As an eligible plan member, you may only opt in to one program at a time. If you want to switch programs, you’ll need to opt out of your current program before enrolling in another.
- Next Stage™ Women’s Health benefits are subject to any applicable maximums and deductibles under the terms and conditions outlined in your Evidence of Coverage. Please review your plan booklet for specific details about your coverage.
- Please consult with your dentist about the exact procedure combinations required for your treatment.
- Please consult with your dentist about the exact type and number of x-rays required.
- In TX, SmileWay Wellness Benefits are known as SmileWay Enhanced Benefits.
Current Dental Terminology (CDT) coding and nomenclature are the copyright and a trademark of the American Dental Association, all rights reserved.
Delta Dental is a registered trademark of Delta Dental Plans Association.
Delta Dental is a registered trademark of Delta Dental Plans Association.