Helpie FAQ – Group Sample

Diagnostic and preventive service

Our services aim to evaluate your oral health, maintain the health of your teeth, gums, and mouth, and prevent cavities and gum disease. The covered services include:

• Various dental exams, including comprehensive, routine, specific, and emergency exams
• X-rays
• Cleaning (scaling)
• Fluoride applications
• Sealants

Basic servicesour relevent FAQ answer.

Intended to treat decayed or fractured teeth. Services covered include:

• permanent fillings
• temporary fillings
• pain control for diseased teeth
• other treatments for cavities

Endodontic Services

Designed to treat teeth that are severely decayed, infected, or broken. The covered services include:

• Root canal treatments
• Pulpectomies (the initial step of a root canal treatment)
• Procedures to reduce infection and provide temporary pain relief
• Retreatment of previously completed root canal treatments (requires preauthorization)

Periodontal Services

Focused on treating the areas around the teeth, including the gums and supporting bone. Covered services include:

• Cleaning below the gumline
• Treatment of abscesses
• Bonding for mobile teeth (requires preauthorization)
• Post-surgical evaluations (requires preauthorization)
• Non-surgical management of gum disease
• Major servicesour relevent FAQ answer.

  Restorative Services

  Designed for more extensive procedures when teeth are too damaged for basic fillings. Covered services include:

  • Posts and post removal
  • Repairs to crowns and rebonding of crowns and posts
  • Crowns (requires preauthorization)
  • Cores to support crowns (requires preauthorization)
  • Posts for crowns (requires preauthorization)

  Removable Prosthodontic Services

  Aimed at replacing missing teeth. Covered services include:

  • Complete dentures, including standard and temporary dentures
  • Denture repairs, relines, and rebases
  • Placing linings in dentures for comfort and healing
  • Complete immediate and overdentures (requires preauthorization)
  • Initial placement of partial dentures (requires preauthorization)
  • Replacement of partial dentures

  Oral Surgery

  Intended to address issues in the mouth and jaw requiring surgical intervention. Covered services include:

  • Removal of teeth and roots
  • Surgical removal of tumors and cysts
  • Surgical incisions, including draining
  • Treatments for jawbone fractures
  • Anesthesia/Sedation services
  • our relevent FAQ answer.Restorative Services

    Designed for more extensive procedures when teeth are too damaged for basic fillings. Covered services include:

    • Posts and post removal
    • Repairs to crowns and rebonding of crowns and posts
    • Crowns (requires preauthorization)
    • Cores to support crowns (requires preauthorization)
    • Posts for crowns (requires preauthorization)

    Removable Prosthodontic Services

    Aimed at replacing missing teeth. Covered services include:

    • Complete dentures, including standard and temporary dentures
    • Denture repairs, relines, and rebases
    • Placing linings in dentures for comfort and healing
    • Complete immediate and overdentures (requires preauthorization)
    • Initial placement of partial dentures (requires preauthorization)
    • Replacement of partial dentures

    Oral Surgery

    Intended to address issues in the mouth and jaw requiring surgical intervention. Covered services include:

    • Removal of teeth and roots
    • Surgical removal of tumors and cysts
    • Surgical incisions, including draining
    • Treatments for jawbone fractures
    • Orthodontic Services
    • our relevent FAQ answer.Starting in 2025, certain orthodontic services will be included in the CDCP. These services will be covered only in cases of medical necessity based on strict criteria and will have a maximum spending limit.

      For more information on covered services, please refer to the CDCP Dental Benefits Guide.

      Please note that some services may require preauthorization. This process ensures that prior approval is obtained before treatment, confirming coverage under the plan