Ue-f}zM^+r5{dV9KfK.K.K.#Q6zzz=^W+kta8e6E6e6Eldtdx$LNp9- endstream endobj 27 0 obj <> endobj 28 0 obj <>stream BlueCare Dental Connectionis a program benefit that provides members with education and intervention through support tools and educational mailings. 0000041603 00000 n Personal Health and Dental Plan - Pacific Blue Cross A voluntary health insurance program for federal employees, retirees and their dependents and survivors. a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association Call us at 800-531-4456 or contact an independent, authorized Blue Cross and Blue Shield of Texas agent. Members choose in-network care or out-of-network care at the time they make their dental appointment and usually incur higher out-of-pocket costs for out-of-network care. BCBS FEP Dental is here to help you learn more about your oral health. Select Blue Cross Blue Shield Globalor GeoBlue if you have international coverage and need to find care outside the United States. collect outside the U.S. BCBS FEP Dental has a larger nationwide network with nearly half a million provider access points. BlueCross BlueShield of Illinois - Dental Plan Benefits Your deductible is the amount you pay for dental services each year before your insurance begins to pay. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. Scroll. Unfortunately, Medicaid does not cover cosmetic dentistry procedures like veneers. 44 79 contact your local Blue Cross Blue Shield company. All Canada. Please call 1-888-288-2738 and we'll help. A contract provision, included in all standard provider contracts, that allows either the MCO (managed care organization) or the provider to terminate the contract when the other party does not live up to its contractual obligations. BlueCard Enables members to receive healthcare services wherever they live or travel, nationally or internationally. Table of Contents. Allows members to save money into tax-advantaged accounts. State and Federal Privacy laws prohibit unauthorized access to Member's private information. The Pacific Blue Cross Mobile app helps you manage your benefits and improve the health & wellbeing of you and your family. To view this file, you may need to install a PDF reader program. If you have any questions or comments regarding the Dental Wellness Center website, you should direct them to go2dental.com, Blue Cross and Blue Shield of Illinois, aDivision of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association, PDF File is in portable document format (PDF). Periodontal maintenance %PDF-1.6 % For more information on specific coverage you can contact customer service. 0000005867 00000 n 0000009480 00000 n Learn more about dental services for adult STAR members, 8 a.m. to 5 p.m. Central Time Monday through Friday. The health plan physician executive who is responsible for the quality and cost-effectiveness of the medical care delivered by the plan's providers. It also gives you the freedom to choose any dentist you want by helping to cover the cost of care when you see a dentist who isn't in our PPO network. Addresses the health and lifestyle needs of consumers through unique partnerships and experiences designed exclusively for Blue365 members. A joint federal and state program that provides hospital expense and medical expense coverage to the low-income population and certain aged and disabled individuals. BlueCare Dental Connections SM Research shows there may be a link between oral health and illnesses like heart disease, stroke, diabetes and premature birth. BlueCare Dental HMOSM is a Chicago metropolitan based program that emphasizes preventive and diagnostic care. 0000045487 00000 n The site may also contain non-Medicare related information. Pursuant to Section 1557 Blue Cross Blue Shield FEP Dental does not discriminate, exclude people, or treat them differently on the basis of race, color, national origin, age, disability, or sex (including pregnancy and gender identity). For Providers: Drug lists | BCBSM Qualified contributions made to HSAs are tax-deductible, and funds withdrawn to pay for qualified medical expenses are tax-free. trailer <<52597CAB61384F8F8DEED1C6F907D3A3>]/Prev 159881>> startxref 0 %%EOF 63 0 obj <>stream There is no waiting period for pediatric dental. Blue Cross and Blue Shield of Oklahoma (BCBSOK) is providing access to the Dental Wellness Center website as a courtesy, as part of its BlueCare Dental Connection program. Does Blue Cross and blue shield of Texas (bcbstx) have a dental Wellness Center? Dependent coverage Unmarried dependent children are covered under age 26 or under age 30 if a military veteran. Call us at (312) 726-6565 Benefits & Rates Understanding your Blue Cross Blue Shield FEP Dental coverage is the key to making the most of your benefits, keeping your smile healthy and protecting your overall health. The direct care provider should file claims to the local Blue Cross Blue Shield company. 0000005103 00000 n This new site may be offered by a vendor or an independent third party. The Voluntary Plan is available for groups of 151+ employees. e.g., oral surgery, fillings, gum scaling, e.g., crowns, bridges, implants, root canals, dentures, Premium Standard Options Chart - Self Only, Average Cost Savings Chart - What you pay with High Option, Standard and High Option Plan Benefits and Premiums. The member's location at the time of service is irrelevant. Healthcare services that are generally considered outside standard medical-surgical services because of the specialized knowledge required for service delivery and management. For more detailed information on the plan designs available, covered benefits, services and supplies that are limited or excluded, general administration of the plan, or any other questions you may have regarding our products and services, please contact your account representative for the phone number of the regional sales office near you. If a member . For all of your dental questions and/or claim forms, please contact your local Blue Cross Blue Shield company. The PPO dental plan provides a higher level of benefits when members receive treatment from BlueCare Dental participating providers. 0000107816 00000 n Coverage for treatments varies depending on the member's benefit plan. Our health plan advisors can help you choose a plan, calculate your costs and tell you whether you're eligible for a subsidy. An individual or organization that offers care to patients from outside the local Plan's service area. Get access to your employer portal.Register Now, Not registered? Fully Insured Summary of Dental Benefits 2023 BlueCare Dental PPO (Small Group) Plans Get access to your online account. 0000002644 00000 n The Patient Protection and Affordable Care Act was signed into law on March 23, 2010, and was amended by the Health Care and Education Reconciliation Act on March 30, 2010. by: Nichole Niemann. The BlueCare Dental PPO product is a product available for purchase on a self-funded basis only. Oral surgery PPOs have lost some of their popularity in recent years as health plans reduce the size of their provider networks and increasingly switch to EPOs and HMOs in an effort to control costs. /E!{"I+e1m5 Ni!V4H b~G}.5]W=7)Rxk[L9S7)cb?4 01=G35`{uio)}li.\ Ne:~Mo)ccpsYSG#xE^-x9L)qEK,duLGJNek. Need help understanding and choosing a benefit plan? Basic services like fillings and root canals. 0000055326 00000 n uuid:12624d0f-e408-42fe-a02c-8c7e042553c9 Glossary | Blue Cross Blue Shield In addition, some sites may require you to agree to their terms of use and privacy policy. The site may also contain non-Medicare related information. Member Services | Blue Cross Blue Shield This drug list is updated monthly. 3. Adult BCBSTX STAR members aged 21 and older are eligible to receive dental services as a Value-Added Services. To access your member services, please visit your BCBS company. 0000012040 00000 n To view this file, you may need to install a PDF reader program. 0000107561 00000 n uuid:63d11d8f-8f4f-474a-a014-6ba0ac5e1aeb Maximum dollar amounts set by MCOs (managed care organizations) that limit the total amount the plan must pay for all healthcare services provided to a subscriber per year or in his/her lifetime. endstream endobj 45 0 obj <> endobj 46 0 obj <> endobj 47 0 obj <> endobj 48 0 obj <>/Font<>/ProcSet[/PDF/Text/ImageB]/XObject<>>> endobj 49 0 obj <> endobj 50 0 obj <> endobj 51 0 obj <> endobj 52 0 obj <> endobj 53 0 obj <> endobj 54 0 obj <> endobj 55 0 obj <> endobj 56 0 obj <> endobj 57 0 obj <> endobj 58 0 obj <> endobj 59 0 obj <> endobj 60 0 obj <> endobj 61 0 obj <> endobj 62 0 obj <> endobj 63 0 obj <> endobj 64 0 obj <> endobj 65 0 obj <>stream 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: Note: The information provided by the BlueCare Dental Connection program is not a substitute for professional health care. Download a paper application and email to help@ihealthagents.com or fax to 847-220-9280. A group of healthcare providers that agrees to deliver coordinated care, meeting performance benchmarks for quality and affordability in order to manage the total cost of care for their member populations. See specialty health maintenance organization. 0000049726 00000 n Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. Is your health coverage changing | KARK Services may be provided from a single site or from multiple locations. An extension of the Blue Cross Blue Shield WalkingWorks program, this event helps people incorporate physical activity into their workday and encourages them to increase their daily physical activity by walking at lunch. Provides greater healthcare transparency by delivering detail about healthcare trends and best practices, resulting in healthier lives and affordable access to safe and effective care.