DentalBlueSomething to Smile About
Lincoln County Health System
DentalBlue
Dental is the second most requested employer benefit only behind medical
• Despite increased attention to health, many adults neglect dental care.
• Approximately 98 percent of all serious dental problems begin with gradual deterioration of the teeth and gums.
• An estimated 7 million days of work are lost in the United States annually because of "dental conditions."
• New studies show that dental health is linked to other serious medical conditions such as heart disease, diabetes, stroke and birth of pre-term low-birth weight babies.
• Regular exams can also detect oral cancers.
Dental Care Is Important
DentalBlue
DentalBlue offers:
• Periodic dental exams and cleanings
• Low or no cost sharing on routine exams and x-rays
• Savings on periodontics, endodontics, oral surgery and more
• Largest dental PPO network in the state
• Freedom to choose any dentist
Dental Care Is Part of Your Overall Health
DentalBlue
• Considerable cost savings when using a dentist who is a Network Provider
• 70% of all dentists in Tennessee are in the network, over 2,000 in all
• Network dentists have agreed to discount fees that can save you an average of 15-30% off retail charges
• Periodontal surgery can cost $800 or more, but may only cost $560 if a network dentist is used. If your plan pays 50% for Coverage C you can pay $400 or $280 depending on the dentist you use.
• National network coverage through DenteMax – Now if you or a family member lives or travels outside of the service area can have access to over 65,000 dental network providers
Advantages of In-network Care
• Benefits are arranged into four levels of coverage, A-D. Your plan only provides coverage for level A and B services.
• The standard coverages are summarized on the next four pages. However, this summary should only be used as a general guide as there are additional limitations and exclusions which will apply. A sample Evidence of Coverage and a Schedule of Benefits should also be made available to you.
DentalBlueStandard Plan Designs
Coverage A includes:
• Diagnostic Services – exams, x-rays
• Preventive Services – prophylaxis (cleanings),
fluoride, sealants, and space maintainers
DentalBlueCoverage A
Coverage B includes:
• Basic Restorative Services – amalgam restorations (silver fillings),
resin composite restorations (tooth colored fillings), and stainless
steel crowns• Basic and Major Endodontics – pulpotomy, pulpal therapy, and
root canal treatment• Basic and Major Periodontics – non-surgical periodontics,
including periodontal scaling and root planning, debridement and
periodontal maintenance procedures; surgical periodontics
including gingivectomy, osseous surgery and grafting• Basic and Major Oral Surgery - non-surgical or simple extractions,
surgical extractions and other surgical procedures typically not
covered under a medical plan• Other Services – palliative (emergency) treatment for the relief of
pain, denture repairs
DentalBlueCoverage B
Coverage C includes:
• Major Restorative – crowns, inlays, onlays, veneers,
and other restorative services
• Prosthodontic Services - fixed partial dentures
(bridges), removable dentures, and other prosthodontic
services
These services are not covered under your plan.
DentalBlueCoverage C
Coverage D includes:
• Orthodontic Services – for the straightening and
alignment of teeth, including exams, photographic
images, diagnostic casts, x-rays, installation, and
adjustment of orthodontic appliances
These services are not covered under your plan.
DentalBlueCoverage D
DentalBlue
DentalBlue brings you additional value:• Responsive customer service here in Tennessee
• On-line claim look-up with BlueAccess
• Discounts on vision care, weight loss, health clubs, massage therapy, acupuncture and more with BluePerks
DentalBlueValue Added Features
DentalBlue:
• Affordable plans
• A focus on preventive dental care
• Freedom to use any dentist
• Largest PPO network in Tennessee with national network access
• Big savings with In-network dentists.
• Value added features with BlueAccess and BluePerks
Summary
Thank you.
Any questions?
Visit www.bcbst.com
DentalBlue
Top Related