Covered Dental Services

Preventive

• Visits and exams (twice each calendar year)
• Cleanings (twice each calendar year) including scaling and polishing for members over age 14

Diagnostic

• X-rays (once every 36 months)
• Bitewing X-rays (once every six months)

Basic Restorative

• Space maintainers and sealants for individuals under 14 years old

Major Restorative

Covered major services include:

• Prosthodontics
  • Bridges
  • Crowns
  • Repair of bridgework and crowns
  • Dentures and partials
  • Repair of broken dentures and partials
  • Inlays
• Oral Surgery
• Endodontics (root canal therapy)
• Periodontics (treatment of gum problems)

Orthodontics

Orthodontic benefits, including braces and related services during treatment, are provided for adults and children only when care is provided by a dentist located at a Boston University Dental Health Center.

Emergency Care

The plan defines emergency treatment as treatment needed to immediately alleviate pain or infection or to treat an injury.

Emergency treatment is covered as a basic service, regardless of where it is provided.

Emergency treatment does not include any final restorations (ie., root canals, crowns, and dentures).

Cosmetic Services (BU Dental Health Centers only)

Coverage is allowed for cosmetic services, labial veneer, porcelain lab, home bleaching, and in-office bleaching.