Dental Health Assessment

Our entire body, including our teeth and gums, work together and impact our overall health. If one part of the body is not healthy, it can affect other areas.

Gum disease can affect the heart and is suspected of increasing the risk of delivering preterm and/or low birth weight babies. Gum disease may also make it more difficult to control blood sugar levels in people with diabetes. This questionnaire is designed to help you assess your dental and overall health.

Excellus BlueCross BlueShield is an HMO plan and PPO plan with a Medicare contract. Enrollment in Excellus BlueCross BlueShield depends on contract renewal. Submit a complaint about your Medicare plan at www.Medicare.gov or learn about filing a complaint by contacting the Medicare Ombudsman. Y0028_8094_C.

This page last updated 10-01-2021.

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