Bluecare dental 4 kidssm 1b blue cross and blue shield of texas herein called bcbstx, we, us, our required outline of coverage i. Our bluecare dental classic plans also help you save on procedures like fillings, bridges and crowns. Dentaquest manages dental claims and services for tenncare members. For full information refer to the members certificate of benefits booklet.
The summary of benefits and coverage sbc document will help you choose a health plan. Florida blue provides plan brochures and summaries of benefits and coverage sbc for each of our plans. Bluecare dental 1b and bluecare dental 4 kids 1b feature. Bluecare dental pposm blue cross blue shield of texas. This outline of coverage provides a very brief description of some important features of your policy. For more information on available dental plans, please choose. Bluecare dental hmo sm advantage the bluecare dental hmo plan encourages your employees to maintain good dental health by offering full coverage for preventive and diagnostic care. The following is a listing of common services available through your bluecare dental ppo network.
To help you make an informed decision about your dental coverage, a nrmm 1 to 100 employees summary of dental benefits document is available for each of our fullyinsured plans. Search for a doctor by name, location or specialty to find a doctor in your area to meet your health care needs. A division of health care service corporation, a mutual legal reserve company, an independent licensee of the blue cross and blue shield association 732646. Shopping for a dental plan, or a plan with dental and adult vision coverage. Bluecare dentalsm 1b blue cross and blue shield of texas herein called bcbstx, we, us, our required outline of coverage i. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at. Information about the cost of this plan called the premium will be. Complete your health care coverage with affordable dental insurance plans from blue cross. Bluecare dentalsm 2a blue cross and blue shield of texas herein called bcbstx, we, us, our required outline of coverage i. Like a medical hmo, you must select a participating primary care dentist to provide and coordinate dental care and treatment for you and your eligible dependents. This policy is issued in the state of texas and is governed in accordance with the laws of this state. For existing members, discover all the advantages the bluecare dental connection can offer you. Dental provider network blue cross blue shield of illinois.
This bluecare dental coverage is designed to provide you with economic incentives for. Bluecare dental 1a blue cross blue shield association. Learn more about plan monthly cost,premimum deductibles,prescription drug coverage, hospital services, accepted doctors and more. The bluecare dental hmo network includes specialists such as oral surgeons, orthodontists, pediatric dentists, endodontists specialists in diseases of the nerve within the tooth and periodontists specialists in diseases of the gums and tissues. Bluecare dental hmo sm advantage blue cross blue shield. Bluecare classicsg choice 1 summary of benefits and. The bluecare dental ppo product is a product available for purchase on a self funded basis only.
Health care service corporation bcbstxoffers bluecare dental and bluecare dental 4 kidssm. Bluecare dental hmo offers a dental network that is one of the largest in illinois. Prescription drug coverage and claims are managed by your pharmacy benefits manager an independent company that specializes in these. Blue cross and blue shield of illinois has separate dental plans that help you save on preventive services like checkups, cleanings and basic xrays. Bluecare dental sm and bluecare dental 4 kids sm for more information on available dental plans, please choose one of the options below. Dnmhr04 this information only provides a summary of the benefits for this dental plan. Whats the difference between an epo and a ppo dental plan.
The ppo dental plan provides a higher level of benefits when members receive treatment from bluecare dental participating providers. Bluecare dental pposm blue cross blue shield association. Bluecare dental classicsm plans blue cross and blue. Bluecross adopts and disseminates specific nationally recognized clinical practice guidelines for use by our network providers. Dpfl03natstxp this information only provides a summary of the benefits for this dental plan. There are three ways to enroll in bluecare dental ppo. Bluecare dental ppo small group summary of benefits blue. Region i consists of anyone living in the following zip codes.
The guidelines address acute and chronic medical services, and behavioral health services to assist practitioners in making appropriate health care decisions for specific clinical circumstances. Bluecare dental sm for student health if you are enrolled in the academicblue sm student health insurance plan available at the university of illinois springfield, you have the option to purchase dental coverage from blue cross and blue shield of illinois. With the bcbstx dental plans, youll get dental coverage on day one with no deductible deductible. Delivering innovative heath insurance coverage to north carolinians for over 65 years. It is, therefore, important that you read your policy carefully. Nonparticipating providers outofnetwork nonparticipating providers have not contracted with bcbsmt to provide services at negotiated rates, and your. Plan details for dependents under age 19 are not shown above. Bluecare dental classic for individuals insure with integrity. If choosing bluecare dental 1b for family coverage, please refer to the policys certificate of benefits booklet. This outline of coverage is not the insurance rider and only the actual rider provisions will control. Important notice due to covid19 emergency temporary guidance regarding provider administration manual 41620 to our valued providers. Prior authorization is required for certain procedures, services and medications, as well as for all inpatient admissions.
The deductibles, coinsurance, benefit period maximum and outofpocket maximums shown below are subject to change as permitted by. Use your bluecare sm or tenncare select member id card for dental care. Provider administration manual prior authorization information. Utilize tools like ask a dentist, dental wellness center. Our dental insurance plans provide you with savings on preventive services like checkups. This is not the insurance policy and only the actual policy provisions will control.
Children and young adults under 21 are also covered for dental care. Get health insurance plan info on bluecare bronze 1483 from florida blue hmo a bluecross blueshield fl company. Annual maximum does not apply to members up to age 21. Blue care dental connection blue cross and blue shield of texas. Our dental plans provide you with savings on preventive services like checkups, cleanings and basic xrays, as well as on procedures like fillings, bridges and crowns. To help you make an informed decision about your dental coverage, a small group 1 to 100 employees summary of dental benefits document is available for each of our fullyinsured plans. Bluecare dental classicsm plans blue cross and blue shield of. Dental sg 2015 dpfh23natsmto fld bluecare dentalsm 1a participating providers innetwork bcbsmt has a participating dental network. Bluecare dentalsm 2a blue cross blue shield association. The bluecare dental ppo product is a product available for purchase on a selffunded basis only. Select yes next to the dental option when you apply online for any qualifying blue cross and blue shield of texas health plan. The sbc shows you how you and the plan would share the cost for covered health care services. Call 18005079820 or visit us at if you arent clear about any of the underlined terms used in this form, see the glossary.
If you are a member with either employer offered dental benefits or employer offered medical and dental benefits, you can go to bluecare dental connection by logging in to blue access for members. Jul 01, 2020 bluecross adopts and disseminates specific nationally recognized clinical practice guidelines for use by our network providers. Bluecare dental hmo gives you the convenience of receiving affordable dental care from one of the largest dental hmo networks in illinois. You have the right to return the contract for any reason within 10 days of its delivery to you and have any paid dues refunded to you. Bcbsnc offers a range of health plans for groups and individuals. Bluecare dental sm 1b blue cross blue shield association. Health care providers bluecare plus dsnp bcbs of tennessee. Dpkh23natstxo this information only provides a summary of the benefits for this dental plan. The policy itself sets forth in detail the rights and obligations of both you and blue cross and blue shield of illinois the plan.
The ppo dental plan provides a higher level of benefits when. With the spread of the coronavirus in tennessee, were adapting for our members health. International students mandatory all international students holding. Bluecare bronze 1483 plan details for 2020 healthpocket. With bluecare dental ppo, members have the option to receive care from dentists who are not in the network. Nonparticipating providers outofnetwork nonparticipating providers have not contracted with bcbsmt to provide services at. Member handbooks including spanish bluecare tennessee. Independent licensee of the blue cross and blue shield association. Please refer to your dental benefit booklet for additional benefit information. If you arent clear about any of the underlined terms used in this form, see the. The members share of the costs is determined when care is received from a contracting dentist. Your blue medicare supplement insurance plan helps you pay for some healthcare costs that original medicare doesnt, but. Bluecare dental connection sm blue cross blue shield. Michigan health insurance customer service dental plans.
The bluecare dental contract is of a limited nature and, as such, is not required to meet the minimum standards for accident and sickness insurance prescribed by law. Bluecare everyday health 1477c schedule of benefits this schedule of benefits is part of your contract, where more detailed information about your benefits can be found. If choosing bluecare dental 1b, refer to bluecare dental 4 kids 1b for plan details for dependents under 21. This bluecare dental coverage is designed to provide you with economic incentives for using designated dental care providers. Bluecare dental 4 kids sm 1a for members under age 19 marketing id. You can choose your dentist from our statewide provider network, at a low monthly rate. The members share of the cost is determined by whether care is received from a contracting or noncontracting provider. Information on a wide range of dental topics, like pediatric care, prevention, treatments and dental diseases. Managed care fmc ist hin prasent, zusammen mit bluecare.
In the event there is a conflict between this summary and your florida blue coverage documents the terms and conditions of the coverage documents will control. Find a doctor or hospital blue cross blue shield of oklahoma. Bluecare direct hmo kit3oocppo 1209 anthem blue cross and blue shield is the trade name for anthem health plans, inc. These documents highlight key features of your plan or coverage, such as the covered benefits, costsharing provisions, and coverage limitations and exceptions. Annual maximum does not apply to members under age 21. Find 2 listings related to bluecare tenncare dentists in knoxville on. Summary of dental benefits blue cross blue shield association. If choosing family coverage, for bluecare dental 1a please refer to bluecare dental 4 kids 1a for plan details for dependents under 21. In the event there is a conflict between this summary and your florida blue coverage documents the terms conditions of the coverage documents will control.
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