Notice:
If you have questions about your coverage or benefits, please contact Member Services:
Members who have purchased insurance directly through Delta Dental of Massachusetts: 888-899-3734
Members enrolled in a plan through their employer or Massachusetts Health Connector members: 800-872-0500
TotalHealth Wellness
Extra support where it matters most.
With TotalHealth Wellness, members navigating certain chronic or acute health conditions may be eligible for additional oral health benefits. It's added care that supports healthier smiles and better overall health.
How it works
After enrolling in the program, TotalHealth Wellness provides enhanced benefits and coverage for eligible members with qualifying health conditions.
Who is eligible?
Members enrolled in a participating Delta Dental of Massachusetts plan
(TotalHealth Wellness is currently only available to employer groups that have more than 100 employees and have opted into the program.)
Members with one or more of the following qualifying conditions
- Cancer
- Diabetes
- Heart disease
- Menopause
- Oral Cancer
- Pregnancy
- Sjogren's syndrome
- Stroke
Enroll in 3 easy steps
1
Log in
Log into your online member account
2
Complete the form
Complete the TotalHealth Wellness self-attestation form found on your main Dental Dashboard
3
Submit
Click Submit Form.
That's it! Once your enrollment is processed, you'll receive a confirmation email along with information about your TotalHealth Wellness benefits and tips to help manage chronic conditions and improve your oral and overall health.
What to do next
Maximize your TotalHealth Wellness benefits by scheduling your next dental appointment. When speaking with your dentist, be sure to let them know about any qualifying condition you're managing so they can provide care and guidance tailored to your needs.
Enroll Today
Supporting Oral and Overall Health
with TotalHealth Wellness
Cancer treatments—such as chemotherapy, radiation, and certain medications—can affect your oral health. Many people experience dry mouth, which increases the risk of cavities, along with mouth sores or infections. Treatments can also affect the gums and bone that support the teeth, increasing the risk of oral health problems, including gum disease. These changes can make it more challenging to keep your mouth healthy during treatment, but extra care and support can help.
How TotalHealth Wellness benefits can help:
-
4 Cleanings a Year
More frequent cleanings help reduce plaque and bacteria, keep gums healthier, and lower risk of dental problems.
-
Coverage for Deep Cleaning (Scaling and Root Planing)
If gum disease starts, deep cleaning can help stop it from getting worse and protect your teeth and gums.
-
Fluoride Treatments Up to 4 Times a Year
Dry mouth and changes in saliva can increase cavity risk. Fluoride strengthens teeth and helps prevent decay.
Diabetes doesn’t just affect blood sugar, it can also impact your oral health. People with diabetes are more likely to develop gum disease, experience dry mouth, and heal more slowly after dental work. Gum disease can also make diabetes harder to manage, so caring for your oral health is an important part of caring for your overall health.
How TotalHealth Wellness benefits can help:
-
4 Cleanings a Year
More frequent cleanings help reduce plaque and keep gums healthy. Healthy gums can make it easier to manage diabetes and help prevent serious dental problems.
-
Coverage for Deep Cleaning (Scaling and Root Planing)
If gum disease starts, deep cleaning can help stop it from getting worse and support better gum health.
-
Fluoride Treatments Up to 4 Times a Year
Diabetes can increase the risk for cavities. Fluoride strengthens teeth and helps prevent decay.
TotalHealth Wellness in Action for Members with Diabetes
- Let your dentist know you have diabetes at your next checkup so they can watch for gum issues and help keep your mouth healthy.
- Keep your dentist informed about your blood sugar levels so they can provide the best care and understand any risks for healing.
Question to ask your dentist:
“I want to inform you I have diabetes. Does that change anything for my treatment?”
Your oral health and heart health are connected. Research has shown a connection between gum disease and heart disease. Gum disease can contribute to inflammation throughout the body, which is one reason keeping your mouth healthy is important for overall health. Some heart medications can also cause dry mouth, which raises the risk of cavities. Taking care of your mouth is an important part of taking care of your heart.
How TotalHealth Wellness benefits can help:
-
4 Cleanings a Year
Heart disease and gum disease share inflammation as a common factor, so more frequent cleanings help reduce plaque, bacteria, and gum inflammation.
-
Coverage for Deep Cleaning (Scaling and Root Planing)
If gum disease develops, deep cleaning can help stop it from getting worse and protect your teeth and gums, and ultimately your overall health.
-
Fluoride Treatments Up to 4 Times a Year
Some heart medications can cause dry mouth, which can lead to cavities. Fluoride strengthens teeth and helps prevent decay.
Hormonal changes during menopause can impact your oral health. Many people experience dry mouth, which can raise the risk of cavities, along with a burning sensation in the mouth or changes in taste. Menopause can also increase the risk of gum disease and bone loss around the teeth. Together, these changes can make it harder to keep your mouth healthy and comfortable—but staying informed and proactive can help.
How TotalHealth Wellness benefits can help:
-
4 Cleanings a Year
More frequent cleanings help reduce plaque and bacteria, and keep gums healthier, which is important as bone and gum changes occur during menopause.
-
Coverage for Deep Cleaning (Scaling and Root Planing)
If gum disease develops, deep cleaning can help stop it from getting worse and protect your teeth and gums.
-
Fluoride Treatments Up to 4 Times a Year
Dry mouth and hormonal changes can increase cavity risk. Fluoride strengthens teeth and helps prevent decay.
Oral cancer and treatments such as surgery, radiation, or chemotherapy can cause significant changes in your mouth. Common issues include dry mouth, which raises the risk of cavities, mouth sores or infections, difficulty chewing or swallowing, and a higher risk of gum disease. Together, these challenges can make it harder to keep your mouth healthy and comfortable during and after treatment.
How TotalHealth Wellness benefits can help:
-
4 Cleanings a Year
More frequent cleanings can help reduce plaque and bacteria, keep gums healthier, and lower the risk of dental problems.
-
Coverage for Deep Cleaning (Scaling and Root Planing)
If gum disease develops, deep cleaning can help stop it from getting worse and prevent serious oral infections.
-
Fluoride Treatments Up to 4 Times a Year
Dry mouth and changes in saliva can increase cavity risk. Fluoride strengthens teeth and helps prevent decay.
-
Additional Oral Exams
Additional exams allow your dentist to monitor your oral health more closely and identify potential problems early, when they are often easier to treat.
Pregnancy changes your body—and your mouth too. Hormonal changes can make gums more sensitive and increase the risk of gum disease. Some studies have found a link between gum disease during pregnancy and pregnancy complications such as preterm birth and low birth weigh, making good oral health especially important. Morning sickness and acid reflux can also increase the risk of cavities.
How TotalHealth Wellness benefits can help:
-
4 Cleanings a Year
More frequent cleanings help keep gums healthy and reduce inflammation caused by pregnancy hormones. They can also helps prevent early gum disease (called gingivitis) from becoming more serious.
-
Coverage for Deep Cleaning (Scaling and Root Planing)
If gum disease develops, deep cleaning can stop it from getting worse.
-
Fluoride Treatments Up to 4 Times a Year
Acid exposure from morning sickness or reflux can increase cavity risk. Fluoride strengthens teeth and helps prevent decay.
Sjögren’s Syndrome is an autoimmune condition that reduces the body’s ability to produce moisture, especially saliva, leading to dry mouth. Without enough saliva to protect teeth and wash away bacteria, the risk of cavities, gum disease, and mouth infections increases. Dry mouth can also make everyday activities like eating and speaking uncomfortable.
How TotalHealth Wellness benefits can help:
-
4 Cleanings a Year
More frequent cleanings help reduce plaque and bacteria, which can guild up more quickly when there is less saliva to protect your teeth and gums.
-
Coverage for Deep Cleaning (Scaling and Root Planing)
If gum disease develops, deep cleaning can help stop it from getting worse and protect your teeth and gums.
-
Fluoride Treatments Up to 4 Times a Year
Dry mouth makes teeth more vulnerable to cavities. Fluoride strengthens teeth and helps prevent cavities.
-
Additional Oral Exams
Because dry mouth can increase the risk of cavities and other oral health problems, additional exams can help identify issues early before they become more difficult to treat.
After a stroke, taking care of your oral health can be more challenging. Some people may have difficulty brushing or flossing due to limited movement, or experience dry mouth from medications, which can increase the risk of cavities. Difficulty with daily oral care after a stroke can also increase the risk of gum disease and other oral health problems. Maintaining good oral care is an important part of overall health and well being.
How TotalHealth Wellness benefits can help:
-
4 Cleanings a Year
More frequent cleanings can help reduce plaque and bacteria, keep gums healthier, and lower the risk of dental problems.
-
Coverage for Deep Cleaning (Scaling and Root Planing)
If gum disease develops, deep cleaning can help stop it from getting worse and protect your teeth and gums. This helps lower inflammation and supports recovery.
-
Fluoride Treatments Up to 4 Times a Year
Dry mouth and difficulty cleaning teeth can increase cavity risk. Fluoride strengthens teeth and helps prevent decay.
Limitations
Benefits are based on specific medical conditions and limitations may apply.
Periodontal maintenance procedures are covered only if a patient has completed active periodontal treatment.
Additional cleanings for pregnancy will be available in the current Benefit Period after you notify us of your pregnancy and for one Benefit Period thereafter.
For all other qualifying conditions besides pregnancy, additional cleanings are available in the current Benefit Period and for each Benefit Period thereafter, as long as you continue to have one or more qualifying medical conditions.
A maximum of up to four cleanings are allowed in a Benefit Period.
Sources:
“Gum Disease and Heart Disease.” American Academy of Periodontology. http://www.perio.org/consumer/heart_disease
Accessed 2013.
