Covered
Dental Services Covered
dental services are organized into the following four categories:
Basic Services (see how
you are covered)
Covered basic services include: - Preventive
-
Visits and exams (twice a year)
- Cleanings
(twice a year) including scaling and polishing for members over age 14
- Fluoride treatments
for children up to age 19
- Diagnostic
- X-rays
(once every 36 months)
- Bitewing
X-rays (twice a year)
-
Restorative
- Space
maintainers and sealants for individuals under 14 years old
Major
Services (see how you are
covered)
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
(see how you are covered)
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 restrorations (ie., root canals,crowns and
dentures). | 
