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  • Coverage Documents

Coverage documents
Coverage documents explain what your plan contract includes and/or does not include, how to access care, what services require preauthorization, and more.

Go to Health plan coverage and cost information, and click on Coverage documents.

  • If a tooth or dental appliance breaks, take the following steps: Remove loose dentures and the parts of broken dentures. Find the pieces. Find any pieces of tooth or the broken dental appliance and take them with you when you go to see your dentist. Your dentist will want to check for missing pieces of tooth or dental...
  • Chewing disclosing tablets stains the plaque on your teeth. The stain lets you see how well you are brushing and flossing your teeth. Dental plaque is a film of bacteria that sticks to your teeth, the spaces between the teeth, and under your gums. Plaque can harden into tartar.
  • What is an abscessed tooth? An abscessed tooth is an infection in or around the tooth. It can be very painful. If the infection isn't treated right away, it can spread and you can lose your tooth or have other health problems. What causes it? Damage to the tooth, an untreated cavity (tooth decay), or gum disease can...
  • If you have Washington dental coverage through your Kaiser Permanente health plan, find a dentist or get information about benefits.
  • Provides links to information about mouth and dental health. Includes info about toothaches, thrush, TM disorders, canker sores, wisdom teeth, and dental care.
  • Discusses tooth decay and cavities (dental caries). Covers preventing decay by brushing and flossing. Discusses increasing risk of tooth decay by letting a child sleep with a bottle in their mouth. Discusses reversing slight decay by using fluoride.
  • A dental sealant is a strong liquid-plastic material that helps protect teeth from plaque. Plaque is a thin film of bacteria that sticks to teeth. The bacteria in plaque use sugars in food to make acids. These acids can damage the tooth's surface and cause tooth decay. The sealant is put on the chewing surfaces of the...
  • Dental care for older people is much the same as for younger adults. But older adults do have concerns that younger adults do not. These may include: Caring for dentures. Having trouble holding a toothbrush. Having gum disease. Having tooth decay on the roots of teeth. Replacing missing teeth and broken fillings...
  • A crown (often called a cap) fits over and replaces the entire part of a decayed tooth above the gum line. It encases the tooth and becomes the tooth's new outer surface. You may need two or more visits to your dentist to repair a severely decayed tooth with a crown. Crowns may be made of porcelain or a metal base...
  • Explains what dental X-rays are and why they are done. Covers commonly used types of dental X-rays, including bitewing and panoramic X-rays. Includes info on risks. Also covers what results mean.
  • A dental implant is an artificial tooth. Your dentist may suggest it if a permanent tooth fell out from an injury or was taken out because of bad tooth decay. An anchor and post will be placed in your jawbone. Your new tooth will attach to the post. Implants look natural. They can provide support for dentures, and they...
  • Here are some tips for children's dental care. Use a soft cloth to clean your baby's gums. Start a few days after birth, and do this until the first teeth come in. Start caring for your child's teeth as soon as you see the first baby (primary) tooth. Brush your child's teeth twice a day using a small, soft brush. If...
  • Provides info on basic dental care like brushing and flossing regularly, seeing your dentist or dental hygienist for regular checkups and cleanings, and eating mouth-healthy foods. Offers info on dental care for children.
  • Kaiser Permanente Advantage Plus: Enhance your Medicare health plan with optional supplemental benefits such as dental, vision, fitness, and more for comprehensive coverage.
  • Kaiser Permanente's drug formulary is a list of medications that are usually covered under a member's medical coverage agreement.
  • It's important to take care of your body when you are pregnant. This includes your teeth and gums. A healthy mouth—and good dental habits—will help you and your baby. Taking care of your teeth while you are pregnant helps prevent cavities and other dental problems. Brush, floss, and try to limit sugary foods and drinks...
  • Dental splints are the most common dental treatment for temporomandibular disorders (TMDs). These splints are used for short periods of time. They don't cause permanent changes in the teeth or jaw. Dental splints, also called occlusal splints, include bite plates and mouth guards. They are custom-made by a dentist. They...
  • Indigenous farmworkers may qualify for new Kaiser Permanente coverage.
  • Congress should act to make COVID-19 policies permanent and ensure millions of people can keep their affordable health care coverage beyond 2025.
  • Discusses teething and what to expect during teething. Covers symptoms and common concerns. Offers home treatment suggestions and tips for keeping your child's teeth healthy. Explains when to call the doctor.
  • All children need early and regular dental care. During well-child visits the doctor will check your child's dental health. A visit to a dentist is recommended within 6 months of when your child's first tooth comes in but no later than your child's first birthday. Some parents may worry about their child's first visit...
  • Looks at the importance of good dental health habits. Suggests when and how to brush and floss.
  • A filling is a material that your dentist uses to fill a cavity after the dentist removes any tooth decay. To fill a tooth, your dentist will numb the area, drill out the decay, and put in a filling. There are many types of fillings. Types of fillings Fillings can be made from many types of material. Talk to your...
  • Plaque is a clear, sticky substance made in the mouth. It clings to the teeth and gums. Plaque has bacteria that make acids and other chemicals that can damage the teeth, gums, and bone if the plaque is not removed. Plaque forms all the time, but it can be controlled by proper brushing and flossing. If plaque is not...
  • Describes a test you can do at home that will show how well you're brushing and flossing your teeth. Covers over-the-counter products that can be used to identify plaque. Covers how to do the self-exam and what results mean.
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