Blue Cross Blue Shield Dental Copay




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. Premera Blue Cross is an Independent Licensee of the Blue Cross Blue Shield Association MEDICAL PLAN BALANCE 2000 SILVER + FAMILY DENTAL HERITAGE SIGNATURE AND DENTAL CHOICE IN-NETWORK OUT-OF-NETWORK Mental Health Office Visit (Unlimited) $70 Copay Specialist and non designated PCP, applies to the $8,150 Out of Pocket Maximum. Dental Blue offers a condition-specific total health solution, with a complete program for at-risk members with qualifying medical conditions. Our Enhanced Dental Benefits provide additional support, including full coverage for preventive and periodontal services that have been connected to improved overall health.

Blue Advantage from Blue Cross and Blue Shield of Louisiana is a PPO plan with a Medicare contract. Enrollment in either Blue Advantage plan depends on contract renewal. Blue Advantage (HMO) members must use plan providers except in emergency or urgent care situations. If you choose to access other websites from this website, you agree, as a condition of choosing any such link or access, that Arkansas Blue Cross and Blue Shield (ABCBS) is not and shall not be responsible or liable to you or to others in any way for your decision to link to such other websites.

Groups with 1-100 Employees

Fully-Insured Small Group Summary of Dental Benefits

Groups with 101-150 Employees

Our BlueCare DentalSM program offers two network-based dental products. Both products have multiple plan options. Your clients can choose the best dental plan(s) that meets the needs of their employees.

BlueCare Dental PPOSM has one of the largest dental PPO networks of general and specialty dentists in both Illinois and nationally, which offers members flexibility in choosing a provider. Dental PPO plans are available to both insured and administrative services only (ASO) accounts. Dental PPO can be purchased as a stand-alone dental product or in conjunction with dental HMO.

BlueCare Dental HMOSM is a Chicago metropolitan based program that emphasizes preventive and diagnostic care. It is only available under an insured funding arrangement for groups sized 51 or more lives. The group must also offer an alternate dental option to HMO.

Blue Cross Blue Shield Dental Copay Program

BlueCare Dental ConnectionSM is a program benefit that provides members with education and intervention through support tools and educational mailings. BlueCare Dental Connection integrates dental care management and health care management with a focus on preventive care and individual involvement.

Groups with 151+ Employees

Our BlueCare DentalSM program offers two network-based dental products. Both products have multiple plan options. Your clients can choose the best dental plan(s) that meets the needs of their employees.

BlueCare Dental PPOSM has one of the largest dental PPO networks of general and specialty dentists in both Illinois and nationally, which offers members flexibility in choosing a provider. Dental PPO plans are available to both insured and administrative services only (ASO) accounts. Dental PPO can be purchased as a stand-alone dental product or in conjunction with dental HMO.

BlueCare Dental HMOSM is a Chicago metropolitan based program that emphasizes preventive and diagnostic care. It is only available under an insured funding arrangement for groups sized 51 or more lives. The group must also offer an alternate dental option to HMO.

BlueCare Dental HMOSM Voluntary Plan is a PPO that requires no employer contribution while still offering the employees the benefit of dental coverage in one of the largest dental PPO networks. The Voluntary Plan is available for groups of 151+ employees.

BlueCare Dental ConnectionSMis a program benefit that provides members with education and intervention through support tools and educational mailings. BlueCare Dental Connection integrates dental care management and health care management with a focus on preventive care and individual involvement.

Dental Wellness Center

Blue Cross Blue Shield Dental Copay

An important component of BlueCare Dental Connection is the Dental Wellness CenterTM*, which will be available to members and offers online resources and support tools that allow members to:

Blue Cross Blue Shield Dental Coverage Illinois

  • Ask licensed dentist dental-related questions through Ask A Dentist
  • Locate a network general dentist or specialist with Provider Finder®
  • Determine approximate dental fees in the marketplace with the Dental Cost AdvisorTM
  • Access educational information on a wide range of dental topics including pediatric care, prevention and dental treatments.
Copay

Blue Cross Blue Shield Dental For Seniors

Please note: The information provided by the BlueCare Dental Connection program is not a substitute for professional health care. For personal medical guidance, please consult your dentist and/or physician. Coverage for treatments varies depending on the member's benefit plan. If you are a BCBSIL member and have questions about your health care plan benefits, check with your group benefits administrator or contact Customer Service at the number on the back of your member ID card.

Blue Cross Blue Shield Of Alabama Dental

* Blue Cross and Blue Shield of Illinois (BCBSIL) is providing access to the Dental Wellness Center Web site as a courtesy, as part of its BlueCare Dental Connection program. The content on the Dental Wellness Center Web site is provided by go2dental.com, Inc. (go2dental.com). BCBSIL and go2dental.com are separate companies. BCBSIL assumes no liability or responsibility for damage or injury to persons or property arising from the use of any product, information, idea, or instruction contained on the Dental Wellness Center Web site; go2dental.com is solely responsible for the content and any advice given on its Web site. If you have any questions or comments regarding the Dental Wellness Center Web site, you should direct them to go2dental.com

Blue Cross Blue Shield Dental Coverage Massachusetts

Basic Option
Preventive Care Nothing for covered preventive screenings, immunizations and services
Physician Care

$30 for primary care1
$40 for specialists1

Virtual doctor visits by Teladoc®

$0 for first 2 visits
$15 all additional visits

Urgent Care Center $35 copay
Prescription Drugs Preferred Retail Pharmacy:
Tier 1 (Generics): $10 copay
Tier 2 (Preferred brand): $55 copay2
Tier 3 (Non-preferred brand): 60% of our allowance ($75 minimum)2
Tier 4 (Preferred specialty): $65 copay2
Tier 5 (Non-preferred specialty): $90 copay2
Mail Service Pharmacy:
Available to members with Medicare Part B primary only. Visit the Medicare page for more information.
Tier 1 (Generics): $20
Tier 2 (Preferred brand): $100 copay
Tier 3 (Non-preferred brand): $125 copay
Specialty Pharmacy:
Tier 4 (Preferred specialty): $85 copay2
Tier 5 (Non-preferred specialty): $110 copay2
Maternity Care $175 inpatient
$0 outpatient
Hospital Care

Inpatient (Precertification is required): $175 per day; up to $875 per admission

Outpatient: $100 per day per facility1

Surgery

$150 in an office setting1

$200 in a non-office setting1

ER (accidental injury)

$175 per day per facility

ER (medical emergency)

$175 per day per facility

Lab work (such as blood tests) $0 copay1
Diagnostic services
(such as sleep studies, CT scans)

Up to $100 in an office1

Up to $150 in a hospital1

Chiropractic Care $30 per treatment; up to 20 visits per year
Dental Care $30 copay per evaluation; up to 2 per year
Rewards Program

Earn $50 for completing the Blue Health Assessment3

Earn up to $120 for completing three eligible Online Health Coach goals3