Page 38 - Empowered Learning for Dyslexic Children Benefits Guide 2022-2023

BlueDental Plus

Includes access to a national provider network

CareFirst BlueCross BlueShield (CareFirst) offers BlueDental Plus coverage, which allows you
the freedom to see any dentist you choose.

Advantages of the plan
■ Freedom of choice, freedom to save—With BlueDental Plus, Using your plan
you can see any dentist you choose. However, this plan also How do I find a preferred
gives you the option to reduce your out-of-pocket expenses dentist?
by visiting a dentist who participates in our Preferred Provider Visit carefirst.com/doctor to
Network. It’s your choice! access our online directory
■ Comprehensive coverage—Benefits include regular 24 hours a day. Click on Dental
preventive care, X-rays, dental surgery and more. Your plan and then select BlueDental Plus.
even covers orthodontia for members of all ages! A summary How much will I have to pay
of your benefits is available on the following page. for dental services?
■ Nationwide access to participating dentists—You have The chart on the following page
access to one of the nation’s largest dental networks, gives you an overview of many of
with participating dentists throughout the United States. the covered services along with
BlueDental Plus gives you coverage for the dental services the percentage of what you will
you need, whenever and wherever you need them. pay for each class of services,

Three options for care both in and out-of-network.
■ Option 1—By choosing a dentist in the Preferred Provider Is there a lot of paperwork?
Network, you incur the lowest out-of-pocket costs. These There is no paperwork when
dentists accept CareFirst’s allowed benefit as payment in full, you see a participating dentist,
which means no balance billing for you. You are responsible you are free from filing claims.
for deductibles and coinsurance, and also have the However, if you use a non-
convenience of your provider being reimbursed directly. participating dentist, you may be
■ Option 2—By choosing a dentist who participates with required to pay all costs at the
CareFirst, but not through the Preferred Provider Network, time of care, and then submit
you incur slightly higher out-of-pocket costs. Similar to a claim form in order to be
Option 1, there is no balance billing. You are responsible for reimbursed for covered services.
deductibles and coinsurance, and also have the convenience Who can I call with questions
of your provider being reimbursed directly. about my dental plan?
■ Option 3—You can receive out-of-network coverage from Call Dental Customer Service toll
a dentist who has no relationship with CareFirst. With this free at: 866-891-2802 between
option, you may experience higher out-of-pocket costs since 8:30 am and 5:00 pm ET,
you pay your provider directly. You can be balance billed and Monday–Friday.
must pay your deductible and coinsurance as well.

SUM2596-1P (11/17) ■ MD/DC Group ■ Plan 5