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Short Term Medical | No More Surprises at the Dentist!
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There is a $75 annual deductible, but no deductible for preventive services.
You will have coverage for basic services like routine fillings and extractions, and
coverage for major services include crowns, dentures and bridges.
There is no wait to receive preventive services with Dental Blue®. As soon as you obtain coverage, your checkups and cleanings are covered twice per benefit period. So, you can protect your teeth by visiting the dentist every six months.
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Waiting Periods
If you have had a creditable, dental plan from another company in force for the past 12-months, then, there are NO WAITING PERIODS! |
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Call to schedule an appointment with any licensed dentist.
Present your BCBSNC® ID card at the dentist’s office.
File your claim. (Usually, the dentist will file the claim for you.)
You will receive the status of your claim in two to three weeks.
100%
Preventive Services
Routine oral exams
Adult & child cleaning
Bitewing x–rays
Pulp testing
Annual fluoride cleaning (members under 18–years–old only)
Palliative emergency treatment & emergency oral examinations
Other diagnostic & preventive services
No deductible and No Wait
60%
Basic Services
Routine fillings
Sealants (members 5 – 15–years–old only)
Space maintainers (members under 16–years–old)
Endodontics
Simple extractions
Oral surgery
Other basic services
50%
Major Services
Gingival curettage
Gingivectomy and gingivoplasty Dental Blue®
Periodontal maintenance
Inlays and onlays (once per 5 years)
Crowns and bridges
Dentures
Other major services
Annual maximum, all services - $1,000
(per covered member)
Q: What are waiting periods and how do they apply to me?
A: Waiting periods are the time from your effective date of the policy to the day when you can receive a covered service.
With Dental Blue® for Individuals, the waiting period for basic services is six months and for major services, it is 12 months.
NOTE: There are no waiting periods for preventive and diagnostic services.
Q: What if I already have had coverage with another creditable dental insurance company for the last twelve months? Will they waive the waiting periods?
A: Yes, if you can show proof of prior coverage, and if you are insured by the DentalBlue® before 63 days has elapsed, then, the waiting periods will be waived.
Q: What does my deductible apply to?
A: Your $75 deductible applies to basic and major services. After this deductible is met, Dental Blue® will pay 50% of the allowable charge, up to your annual maximum of $1,000. Each member under your policy has a $75 deductible for basic and major services.
Q: Is orthodontic care covered?
A: No. Dental Blue® for Individuals does not provide coverage for orthodontic care.
Q: Can I cancel coverage and reapply again a short time later?
A: No. If you cancel your coverage, there is a 12 month waiting period before you can purchase another Dental Blue® for Individuals policy.
Q: When are my rates subject to change?
A: On your renewal, which is January 1st of each year.
Richard Day is an independent authorized producer/agency licensed to sell and promote products from Blue Cross. The content contained in this site is maintained by Richard Day. Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association. (R) Registered mark of the Blue Cross and Blue Shield Association. (SM) Service mark of the Blue Cross and Blue Shield Association. |