Covered Dental Services

Covered dental services are organized into the following four categories:

Basic Services

Covered basic services include:

  • Preventive
    • Visits and exams (once every six months)
    • Cleanings (once every six months) 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 (once every six months)
  • Restorative
    • Space maintainers and sealants for individuals under 14 years old

Major Services

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.

Cosmetic Services

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