Bcbsnc dental blue for individuals
Bcbsnc dental blue for individuals. Better care starts here. org fold fold fold fold Blue Cross NC Dental Blue for Individuals Claims Unit PO Box 2100 Winston-Salem, NC. disease. Instructions for Dental Claims View Dental eManual requesting a copy of the Dental Blue for Individuals Core 1000 plan benefit booklet from Blue Cross NC Customer Service. Dental Blue for Individuals is not part of the covered health insurance benefits of any Blue Cross NC plans. You can choose the one that works best for you. If Orthodontia coverage is selected, the maximum benefit for orthodontia coverage is a lifetime maximum of $1,000 or $1,500 per eligible member. Your dental benefit plan does not cover services, supplies, drugs or charges that are: Not clinically necessary; Hospitalization for any dental procedure Your dental benefit plan does not cover services, supplies, drugs, or charges that are: • Not medically necessary • Hospitalization for any dental procedure • Dental procedures solely for cosmetic or aesthetic reasons • Dental procedures not directly associated with dental disease • Procedures that are considered to be experimental Most dental work – including cleaning, exams, fillings, root canals and implants – can be submitted as a dental claim to Blue Cross and Blue Shield of North Carolina (Blue Cross NC). SM Dental Blue ® For Federal Employee Program Other Products With Dental BCBSNC Medical (with limited dental care) BCBSNC Medical Pediatric Oral Health Federal Employee Health Benefit Plan (BCBSNC medical with some dental benefits) FEP BlueDental/FEDVIP . Blue Cross NC is an independent licensee of the Blue Cross and Blue Shield Association. By choosing Dental Blue for Individuals, you can take a big step toward protecting your overall health. This is a partial list of services that are not covered by Blue 20/20 for Individuals. Get Started Here's what you get with a BCBSNC dental plan: Plans are available in all 100 North Carolina counties; Checkups and cleanings are covered twice per benefit period Blue Cross NC knows you have many demands on your budget. Refer to the member benefit booklet for a full list of exclusions. May 17, 2007 · BCBSNC is expanding its efforts in dental health. S. These tools are offered for your convenience and should be used only as reference tools. That’s why Blue Cross NC created the Dental Blue for Individuals PPO preventive plan. booklet by requesting a copy of the the Dental Blue for Individuals Value 1500 PPO plan benefit booklet from Blue Cross NC Customer Service. Brand name drugs are not covered on Blue Value Saver 2 and 3. Still having trouble? Call our Agent Contact Center. News & World Report's "Best Medicare Advantage Plan Insurances Companies of 2022" Accessed 10/2021. Please contact 888-206-4697 ( TTY : 711) for assistance. Custom Dental plans are not included in this guide. Here's what you get with a BCBSNC dental plan: Plans are available in all 100 North Carolina counties; Checkups and cleanings are covered twice per benefit period Blue Cross NC makes health insurance easy. Children's glasses 50% no deductible 50% no deductible Limited to one pair of glasses or contacts. Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association. Dental procedure not directly associated with dental disease; Procedures not performed in a dental setting; Procedures that are considered to be experimental, including pharmacological regimens not accepted by the American Dental Association (ADA) Council on Dental Therapeutics; Placement of dental implants, implant-supported abutments and Jerry Ballard & Associates, Inc. Children's dental check-up No Charge 30% after deductible Limited to two dental cleanings. For questions concerning your dental assistance in locating a participating provider, or assistance in scheduling an appointment, please contact our member service representatives at: 866-544-4350, TTY users: 877-855-8039 This is a partial list of services that are not covered by Blue 20/20 for Individuals. Value 1500 PPO. LIBERTY Dental Plan is committed to providing Blue Cross NC members with the highest quality of dental benefits. LIBERTY Dental Plan is an independent company providing dental benefits administration services on behalf of Blue Cross . Blue Value A, B, C and Blue Value Saver 1 -- Brand name drugs are covered at 50% after $2,000 in brand name drug coverage per person, per benefit period. Dec 12, 2014 · Blue Cross Blue Shield of North Carolina wants you to know that your kids matter and we have them covered from head to toe with pediatric dental and vision benefits. In order to obtain prior credit, you must attach a prior billing or certificate Blue Cross and Blue Shield of North Carolina: Blue Advantage Gold 1800 |3Free PCP |$10 Tier 1 Rx |Nationwide Doctors Coverage for: Individual +Family Plan Type: PPO B0010031 1of 8 The Summary of Benefits and Coverage (SBC) document will help you choose ahealth plan . Take advantage of affordable dental insurance plans designed for individuals and families from Blue Cross NC. Blue Cross and Blue Shield of North Carolina (Blue Cross NC) offers several decision-support tools to aid you in making decisions around your health care experience. • Lost or broken lenses, frames, glasses or contact lenses only homegrown, local insurer in all 100 counties of the state, Blue Cross and Blue Shield of North Carolina (Blue Cross NC) is here for you. Who is eligible for Dental Blue sm for Individuals? DENTAL BLUE FOR INDIVIDUALS PPO PREVENTIVE PLAN DENTAL BLUE FOR INDIVIDUALS PPO 1500 VALUE PLAN DENTAL BLUE FOR INDIVIDUALS CORE PLAN This plan is a good fit for people focused on preventive care or who may otherwise go without coverage. Blue Cross NC offers its best dental plans to individuals & families who need a reliable, caring dentist. The SBC shows you how you and the plan would share %PDF-1. A plan for your lifestyle With Blue 20/20, you’ll have access to one of the nation’s largest vision networks Shop Plans. Dental Blue sm for Individuals is loaded with dental benefits your family needs: Go to any dentist you choose. Blue Cross and Blue Shield of North Carolina (Blue Cross NC) has a mail order prescription drug program for individual and family plan members under age 65. Brand name drugs are not covered on Blue Advantage Saver 2 and 3. Log in or register now. providing. Blue Cross and Blue Shield of North Carolina (Blue Cross NC) provides free aids to service people with disabilities as well as free language services for people whose primary language is not English. . View Plans & Apply. If you are seeking a Blue Cross Health Insurance Plan that includes dental coverage for the 2022 calendar year, contact The Mair Agency today. If you get health coverage through an employer: Contact your group administrator or HR department to make changes to your account. Find the Local Health Insurance Option That Meets Your Needs BCBS has been a trusted provider for 90+ years. GDC does not offer Blue Cross or Blue Shield products or services. Lost or broken lenses, frames, glasses or contact lenses Dental Blue Dental Blue Product Standards and Guidelines 2024 This guide is intended to act as a resource for Standard Dental Blue plans that are currently available for all segments. Pediatric dentistry, TMJ issues and injury to sound natural teeth should be submitted under the member's commercial policy. 2 Along with good dental care each day, regular dental checkups help detect, prevent and treat gum disease and related problems. Dental B, 6/23; Dental B Select, 6/23; Dental B PPO, 6/23; U13188f, 10/23 • Not clinically necessary services • Hospitalization for any dental procedure • Dental procedure solely for cosmetic or aesthetic reasons Source: U. Pediatric dental and vision coverage, including orthodontia services, is considered one of the Affordable Care Act’s 10 essential health benefits required on all qualified health October 2021 BLUE CROSS ®, BLUE SHIELD , the Cross and Shield symbols, and service marks are marks of the Blue Cross and Blue Shield Association, an association of You may need to submit a dental claim. Discover employer, individual, family, Medicare & Medicaid plans from Blue Cross NC. Which plan is right for you? Blue Cross and Blue Shield of North Carolina: Blue Home Silver Preferred |$0 Deductible |$0 PCP |$0 Tier 1Rx |with UNC Health Alliance (CSR 94%) Coverage for: Individual +Family Plan Type: EPO B0012222 1of 8 The Summary of Benefits and Coverage (SBC) document will help you choose ahealth plan . It provides access to important routine care delivered by an in-network dentist. Once you meet a $75 deductible, you’ll only pay 30% of the total cost for basic services and 50% of the total cost for major services both in- and out-of-network. Blue Cross and Blue Shield of North Carolina (Blue Cross NC) offers affordable vision coverage for individuals and families. Blue Cross NC 2/24 Blue Advantage A, B, C and Blue Advantage Saver 1 -- Brand name drugs are covered at 50% after $2,000 in brand name drug coverage per person, per benefit period. is very pleased to introduce you to Dental Blue sm for Individuals from Blue Cross and Blue Shield of North Carolina (BCBSNC), the leading provider of health insurance in the state. All other marks and trade Blue Connect is your online portal to manage your BCBSNC health plan, view your benefits, claims, interests and profile. 800. With over 88 years of experience in the market and our broad range of plans,1 you can find the coverage that’s right for you. Learn more about our coverage options including health, Medicare, dental and vision options for you, your family or your employees. For this reason, and because dental health is so important to overall health, we have negotiated with dental care providers to be able to offer you three affordable options for high-quality dental coverage. Dental Blue for Individuals. 2. 305. Agent Contact Center. Refer to the benefit booklet for a full list of exclusions. BCBSNC Dental Products Find the best health insurance for you and your family. ®, SM are marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield plans. This value plan covers preventive, basic and major services with richer benefits in-network. ACS is an independent company providing dental benefit administration services on behalf of Blue Cross and Blue Shield of North Carolina. Blue Options HSA prescription drug benefits are subject to the plan deductible and coinsurance. The SBC shows you how you and the plan would share Blue Cross and Blue Shield of North Carolina: Blue Value Gold |3Free PCP |$10 Tier 1Rx | Statewide Doctors Coverage for: Individual +Family Plan Type: POS B0012098 1of 8 The Summary of Benefits and Coverage (SBC) document will help you choose ahealth plan . Blue Cross and Blue Shield of North Carolina is an HMO, HMO-POS, PPO and PDP plan with a Medicare contract. You can choose the American Dental Association ® (ADA) claim forms based on your type of Blue Cross NC dental plan below: ADA Blue Select Claim Form (PDF) ADA Claim Form for Individuals (PDF) ADA Pediatric Claim Form (PDF) ADA Claim Form for Dental Blue (PDF) Dental Claim Coordination of Benefits (PDF) provides. Application must be submitted at least 7 days in advance. Blue 20 / 20 Exam Plan Blue 20 / 20 Exam Plus Plan If your child needs dental or eye care Children's eye exam No Charge 30% after deductible Limited to one eye exam. The current wait time to speak with a representative is: 14 minutes Agent Contact Center: 1-888-868-5598 by requesting a copy of the Dental Blue for Individuals Preventive PPO plan benefit booklet from Blue Cross NC Customer Service. SM Dental Blue for Seniors. 4746 or go online at ADAcatalog. You can get up to a 90-day supply of medications delivered to you with free standard shipping through Amazon Pharmacy (MedsYourWay ® ) and Express Scripts ® Pharmacy (ESI). For example, under a separate initiative from Dental Blue Select, the company is collaborating with North Carolina dentists to develop the company’s most comprehensive dental network to use in future product offerings for BCBSNC members. EyeMed Vision Care does not offer Blue Cross or Blue Shield products or services. If yes, and you want to contract with Blue Cross and Blue Shield of North Carolina (Blue Cross NC), you will need to confirm your supervising physician (if required for licensure) is already credentialed with Blue Cross NC by calling 800-777-1643 option 6. Blue Cross and Blue Shield of North Carolina ® Dental Insurance. BLUE CROSS ®, BLUE SHIELD , the Cross and Shield symbols, and service marks are marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield plans. Shop Blue Cross NC for affordable health plans, vision plans, dental plans, Medicare, and Medicaid. Blue Cross and Blue Shield of North Carolina does not discriminate on the basis of race, color, national origin, sex, age or disability in its health programs and activities. . We have a number of health insurance agents that can help you choose which insurance is correct for you during open enrollment in the fall of 2021. 27102 You can buy a Blue 20 / 20 vision plan even if you don't have a Blue Cross and Blue Shield of North Carolina (Blue Cross NC) health plan. 947. Enter the full name of an individual or a full business name, address and zip code Blue Cross and Blue Shield of North Carolina (Blue Cross NC) offers several decision-support tools to aid you in making decisions around your health care experience. The amounts that appear in the benefit booklet represent member responsibility. Get an Enrollment and Change Application from Customer Service (call the number on the back of your member ID card) or through your employer. Dental Blue for Individuals PPO, our preventive plan No one should have to go without important preventive care because they think dental insurance is too expensive. Dental Blue for Individuals must be purchased separately. This preventive plan covers preventive services and offers savings on basic and major services. and Blue Shield of North Carolina. U41623, 6/23 Preventive PPO Value 1500 PPO Core 1000 Find resources for Blue Cross NC Providers in- and out-of-network to manage patient claims and appeals, eligibility, prior authorization and more. A: For Blue Advantage, and Dental Blue for Individuals, you have a 10-day "free-look" period. These tools are offered for your convenience and should be used only as reference tools. Dental Blue Select provides a $1,000 or $1,500 annual benefit maximum per person on diagnostic and preventive, basic and major services. With 90 years of experience in the market and our broad range of plans,1 you can find the coverage that’s right for you. When does my Dental Blue sm for Individuals coverage begin? A: Your coverage can begin on the 1st or 15th of the month. ®, SM Marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield plans. Q: What happens if I visit a doctor during my "free-look" period and cancel my coverage within the "free-look Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association. Which plan is right for you? ©2019 American Dental Association J430 (Same as ADA Dental Claim Form – J431, J432, J433, J434, J430D) Dental Claim Form To reorder call 800. Your plan includes a routine eye exam, discounts on eyeglasses and more from in-network providers. Preventive PPO. The "free-look" period begins after you have received your welcome kit. It covers 100% of the cost of preventive services and ensures members will The Dental Blue for Individuals core plan offers full coverage. Dental Blue for Individuals 36 Dental Blue for Individuals Dental Customer Service 1. 1. For Blue Medicare Supplement, you have a 30-day "free-look" period. LIBERTY does not offer Blue Cross or Blue Shield products or services. PRIOR DENTAL COVERAGE Dental Blue Select - (Enhanced and Complete Only) If your Employer elected to offer the Dental Blue Select – Enhanced or Complete Plan, prior creditable dental coverage may apply towards the dental waiting periods. Dental insurance is a […] Blue Cross NC knows you have many demands on your budget. only homegrown, local insurer in all 100 counties of the state, Blue Cross and Blue Shield of North Carolina (Blue Cross NC) is here for you. Most dental work - including cleaning, exams, fillings, root canals and implants - can be submitted as a dental claim to Blue Cross NC. 7 %âãÏÓ 1 0 obj > endobj 2 0 obj >stream TOPAZENRL_UCD Blue Cross Blue Shield of North Carolina endstream endobj 3 0 obj >/MarkInfo >/StructTreeRoot 6 0 R Blue Cross and Blue Shield of North Carolina (Blue Cross NC) offers several decision-support tools to aid you in making decisions around your health care experience. Dental Blue® for Individuals℠ plans. The SBC shows you how you and the plan would share Preventive care is covered at 100% when 1) it is provided by an in-network doctor, 2) the claim is filed as a preventive visit and 3) services are identified as preventive care under the Affordable Care Act (ACA). Visit your local Blue Cross and Blue Shield (BCBS) company website to explore your coverage options. Core 1000. 6638 Dental Claims Dental Emdeon payor #61473 (electronic claims filing) BCBSNC Dental Blue Claims Unit PO Box 2100 Winston-Salem, NC 27102-2100 Medical Claims (Medical/accident/TMJ) BCBSNC Claims PO Box 35 Durham, NC 27702-0035 J43024 (Same as ADA Dental Claim Form – J43124, J43224, J43424, J43024T) C. Coverage you can smile about With Dental Blue for Individuals, you’re covered for a broad range of dental E. ieolk ztxt zftfzs pctkow uaujgi fhgxil oyo iniu hedwyeuu fqu