How To Find An In
Dentists that participate in the Dental Blue network submit claims directly to Blue Cross and accept either the dentists actual charge for covered services or the maximum amount allowed by Blue Cross Blue Shield of Massachusetts, whichever is lower.
You may also call Blue Cross Blue Shield at 1 257-8171 for assistance.
The Dental Open Enrollment Period Ends September 30 2022 At 1: 59 Pm Est We Are Unable To Process Applications Received After The Open Enrollment Deadline Without A Life
DENTAL BLUE PREVENTIVE
This plan only provides coverage for diagnostic and preventive care, such as routine cleanings. If you need other care, such as fillings and root canals, youll be responsible for paying the full cost of those services.
DENTAL BLUE COMPREHENSIVE
This is a good option if you want the most dental protection. In addition to diagnostic and preventive care, youll receive additional coverage for basic and major services, such as fillings, crowns, and root canals.
Please review the Dental Plan Comparison Guide for detailed information about each plans benefits to make an informed decision.
|Effective Dates of Coverage and Enrollment Period|
|Fall Term: August 1 – July 31|
Spring Term: February 1 – July 31
Spring Term enrollment is for new students or those returning from a leave of absence.
*Applications received after the deadline will only be granted with either a life-changing event or confirmation that an online application was submitted prior to the deadline or during the next open enrollment period.
Bcbs Dental Vs Competitors
BCBS offers an extensive network of dental providers and competitive rates for its plans. Since dental plans are offered through 34 different companies located throughout the country, its important to look into your local company when comparing dental plans to competitors. Benzingas guide to how dental insurance works can help you evaluate each of your options to determine which plan is best for you.
- More DetailsPeople who want dental coverage for their whole familyOverall Rating
- Adult and child orthodontia benefitsOverall Ratingsecurely through Ameritas Dental Insurance’s websiteMore Details
- securely through Careington Dental’s websiteMore Details
Not every plan is available in every area or to every customer.
- securely through UnitedHealthcare Dental’s website
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Dental Vision And Life Insurance Plans
Complete your health benefits package with dental, vision and life insurance coverage.Help your employees be part of a healthier and happier workforce with Blue Shield specialty products. Specialty products can be purchased with or without a Blue Shield medical plan.
See how integrating medical and specialty coverage into one consolidated experience adds value for your employees.
Vision Care Is Important
Did you know that a simple comprehensive vision care exam can diagnose at least 25 health conditions? Not only eye-related health concerns, but conditions like diabetes, hypertension and cardiovascular disease. Youd be amazed at what you can find out about your health from a vision care exam before it becomes a problem.
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Dental Claims And Appeals
In most cases, the dental provider will submit the claim for you. To submit a claim, complete and send in the Arkansas Blue Cross Blue Shield Dental Claim form.
If you have a denied claim with Arkansas Blue Cross Blue Shield, you may appeal the denied claim following the steps below:
- Write to the Claims Administrator within 180 days of the date on the notice of the claims denial.
- State why the claim should not have been denied.
- Include the denial notice you received from Arkansas Blue Cross Blue Shield and any other documents, information or comments that you believe may have an influence on your appeal.
If requested, claimant will receive, free of charge, reasonable access to and copies of documents, records, and other information relevant to the denied claim.
For an expedited review of an urgent care claim, the request may be submitted orally or in writing .
Send your appeal to:
Get Three Free Cleanings And More
A healthy smile is an important part of your overall health. Thats why BCBS FEP Dental offers the supplemental coverage you and your family need to keep your teeth healthy, including three free cleanings a year. Were proud to offer our coverage to federal employees and retirees plus eligible retired uniformed service members.
These benefits are neither offered nor guaranteed under contract with the FEHB Program but are made available to all enrollees and family members who become members of BCBS FEP Dental.
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What Ontario Blue Cross Covers
Our dental insurance can help offset the expenses of common dental treatments and oral surgery that OHIP does not cover. Have peace of mind in knowing that if an unforeseen dental issue arises, you can go to the dentist to get proper treatment without an expensive dental bill. We offer a variety of affordable and flexible health insurance plans for you and your family. Our plans have no deductible, making our coverage ideal for anyone who does not have group insurance.
Blue Cross Blue Shield Fep Visionsm
For additional coverage beyond our health plan benefits, we offer supplemental vision coverage for federal employees and eligible retired uniformed service members and active duty family members.
See how were supporting BCBS FEP Vision members health during this time, including following the Centers for Disease Control and Prevention guidelines and coordinating with our partners to provide uninterrupted service for eyewear orders. Learn more here.
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How Often Do I Need To Go To The Dentist
Its important to see the dentist at least once a year.8
Thats because regular visits to the dentist keep your smile bright and dentists can also see if there are other health issues.
Dentists can detect larger health issues, like bone disease, heart problems, digestion issues and stress.1 In fact, your dentist can see up to 90% of systemic diseases in your mouth.9
Over 53 million Americans live with untreated tooth decay, but routine dental visits can prevent this.10
Poor oral health and tooth decay can cause: 11
- Complications with pregnancy and birth
- Worsen ongoing health conditions, like diabetes
Its especially important for minorities to go to the dentists, since Black and Hispanic adults are 2x more likely to have untreated oral health issues than their white counterparts.12
I Dont Need To Wear Glasses Why Should I Go To The Eye Doctor
You may be struggling to see and not even realize it. The Mayo Clinic suggests that adults who dont wear glasses should see a doctor when they turn 40 because thats when vision starts to change, and it can help detect early diseases.4
Even if you dont wear glasses, there are many times throughout life when your vision should be checked: 4
- Children 3-5 should see an eye doctor to check for vision problems or issues with eye alignment.
- School-age children entering kindergarten.
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How Do I Apply For Adult Dental Coverage
You can apply for adult dental coverage at ibx.com/enrolldental or by calling . Adult dental plans can be purchased throughout the year, with or without the purchase of a health plan. Adult dental plans are a 12-month contract that will renew on your anniversary date.
Tip: If you would like your dental insurance plan to be effective on January 1 and renew at the same time as your Independence Blue Cross health plan, be sure to purchase your adult dental plan between November 1 and December 15.
What Is Blueprint Portal
Blueprint Portal is a members-only website that will help you understand and manage your health plan so youre able to find quality, patient-focused healthcare at the best possible price.
- Review claims history
- Check deductible and out-of-pocket totals
- View and order replacement ID cards
- Find a doctor or hospital
- Estimate treatment costs
- Review a recent doctor visit
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Pediatric & Adult/family Dental Plans
Dental care is important to your overall health. That’s why our dental plans include comprehensive oral health coverage. You can purchase a dental plan with your Blue Cross Blue Shield individual or family plan, or separately.
- Blue Pediatric dental benefits and cost-sharing are included in all Blue Value dental plans. Pediatric Dental is an essential health benefit, as outlined in the Affordable Care Act.
- Blue Value Dental plans offer a range of coverage including braces for children and adults .
- You have the flexibility to see out-of-network dentists.
Note: Members can receive dental services from a provider who does not participate in the Blue Cross Blue Shield contracted network of providers. Out-of-network services are reimbursed at 100% of the in-network fee schedule and the non-participating provider may balance bill the member for the remainder.
*Available on New York State of Health Marketplace
**Blue Value Dental 3 includes coverage for children up to age 19 for medically necessary orthodontics subject to an out-of-pocket maximum and cosmetic orthodontics subject to a lifetime maximum per member. Adults and adult dependents have coverage for cosmetic orthodontics subject to a lifetime maximum per member.
When Will My Adult Vision Benefits Be Effective
If you purchase by the 15th of the month, your adult vision plan will be effective on the first of the following month. If you purchase after the 15th of the month, your adult vision plan will be effective on the 1st of the second month following the application submission date.
- Purchase between March 1 and March 15, your vision plan will be effective on April 1
- Purchase between March 16 and March 31, your vision plan will be effective on May 1
There is a 30-day waiting period for all covered services and supplies for new contracts. After you have satisfied your waiting period, you can start using your adult vision benefits.
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What The Dental Vision Hearing Package Covers
This additional coverage gives you:
- Dental exams, cleanings, x-rays and fluoride at no additional cost when you use an in-network provider
- In-network vision coverage that includes standard lenses every 12 months
- One hearing exam every 12 months and savings of up to 60% off average retail hearing aid prices at a TruHearing® provider
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Bcbs Fep Dental Offers More Benefits That Make You Smile:
- Free in-network preventive care, including up to three dental cleanings a year
- A large nationwide network with over 488,000 provider access points
- No deductibles for in-network services like fillings and root canals
- Benefits starting from day one of your coverage being active
- An unlimited annual benefit with our High Option
- Benefits that work overseas
- Access to health and wellness discounts with Blue365®
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Bcbs Fep Vision Offers The Coverage You Want:
- Free comprehensive vision care exams for all members
- Access to over 117,000 eye care providers nationwide, including Visionworks, LensCrafters, Costco, Walmart, Sams Club, Target Optical, Pearle Vision and more
- An extensive fully covered Exclusive Collection of frames
- A $200 frame allowance with our High Option that covers about 90% of national retailers frames in full
- Benefits that work overseas
Bcbs Dental Customer Service
The customer service offered by BCBS varies based on the local company that provides the insurance plans. BCBS does offer a main phone line that anyone can call to learn about insurance options. You can also call this phone line to be connected with your local BCBS company. For specific questions about coverage and benefits, its best to call the number for your local BCBS company.
The ratings for BCBS are assigned for each individual company, so theyre not the same across the country. For example, the J.D. Power rating for BCBS of Alabama is 760 and BCBS of Rhode Island is 722.
|Varies by company|
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About Blue Cross Blue Shield Association
The Blue Cross and Blue Shield Association is a national federation of 34 independent, community-based and locally operated Blue Cross and Blue Shield companies that collectively provide health care coverage for one in three Americans.
The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies.
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Bcbs Dental Application Experience
To enroll in a BCBS dental plan, you can go through your states health insurance marketplace or through your local companys website. Each companys application process may be different. With Highmark BCBS of Western New York, for example, you can easily submit an enrollment application.
When you fill out the application, you can indicate whether youre applying for a medical plan only, dental plan only or both a medical and dental plan. Youll be asked details about where you live to ensure that youre applying with the appropriate local company. In the next step, you need to indicate why you are enrolling in a dental plan. It could be as simple as because its Open Enrollment and you want a new dental plan. Or, you can indicate that youve lost coverage or you want to change your policy.
If you have children, you have a few different options. You can enroll in a family plan to extend coverage to your children. You can also enroll in a pediatric dental plan for the children. BCBS requires you to complete a separate application for each child if you want them each to have a pediatric dental plan.
Finally, you can choose the date when you want your dental plan to begin. You can also choose whether you want to pay your premiums monthly or quarterly.
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Blue Cross Blue Shield Dental & Vision Plans
For additional coverage beyond our health plan benefits, we offer supplemental dental and vision plans, available to federal employees and eligible uniformed service members.
The Federal Employees Dental and Vision Insurance Program is a voluntary, enrollee-pay-all dental and vision program that offers you the chance to choose your carrier. Backed by the strength of Blue Cross Blue Shield, were proud to offer plans that help keep your mouth and eyes healthy.
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How To Buy An Affordable Care Act Plan
You can purchase ACA healthcare plans through a federal marketplace called the Health Insurance Marketplace® or outside the Health Insurance Marketplace®. The route you should take depends on your individual healthcare needs and financial situation. Our representatives can answer your questions and help you navigate these choices. Available plans and pricing may vary depending on whether you purchase your plan on or off the Health Insurance Marketplace®.
When Will My Adult Dental Plan Be Effective
If you purchase adult dental insurance from Independence Blue by the 15th of the month, your adult dental plan will be effective on the first day of the following month. If you purchase after the 15th of the month, your adult dental plan will be effective on the first day of the second month following the application submission date.
- Purchase between March 1 and March 15, your dental plan will be effective on April 1
- Purchase between March 16 and March 31, your dental plan will be effective on May 1
Please note that some services, such as crowns, have waiting periods that must be satisfied before they can be covered by the plan. However, preventive and diagnostic services such as exams, cleanings, and X-rays do not have waiting periods.
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How Can I Get Dental Vision And Hearing Coverage With My Medicare Supplement Plan
Who is this for?
If you have a Blue Cross Medicare Supplement or Legacy Medigap plan, this tells you how to get dental, vision and hearing coverage to go with your plan.
Blue Cross Medicare Supplements do not cover dental, hearing or vision exams, or cleanings, or other items like cleanings, prescription lenses or hearing aids. For $15.25 a month you can the Dental Vision Hearing Package to enhance your Medicare supplement plan. The premium cost may be re-evaluated each year and is subject to change.
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Using Your Dental Insurance Couldnt Be Easier:
Choose a licensed dentist practicing in North Carolina
Make an appointment
Show your Blue Cross NC member ID card at the dentists office
Though most dentist offices will file a claim for you, if they dont offer that service, you will need to file the claim.
Participating providers will file the claim on your behalf. If your dentist office does not file claims, you should pay the dentist in full and submit your claim to Blue Cross NC for reimbursement. Complete a dental claim form and mail it to us within 180 days from the date of your service.
Mail the completed claim form to:
Blue Cross and Blue Shield of North CarolinaDental Claims Unit
Yes, Blue Cross NC may waive or reduce any applicable dental waiting period by the number of month of prior dental coverage. Proof of prior dental coverage with less than 63 days lapse in coverage is required.
Dental Blue for Individuals is not part of the covered health insurance benefits of any Blue Cross NC plans. Dental Blue for Individuals must be purchased separately.