With BlueCross BlueShield, it’s important to know that coverage may be different from plan to plan, so even if your friends or family have BlueCross BlueShield, their policy may not be identical to yours. Here’s a closer look at some of the important details that apply to most plans:
With PPO plans, there are both in-network and out-of-network dentists to choose from. In most cases, you are welcome to see either, however, when you select an in-network dentist it will generally cost you less. In most cases, your PPO plan will be subject to the following:
Although PPO plans typically have higher premiums, they often are a better value because they offer more expansive coverage. Here’s a closer look at what they usually cover:
Please be aware, however, that the exact definition of “major” and “minor” may depend on the dentist, so be sure to verify your coverage before your procedure. If you’d like help with this, our dental insurance team is also happy to help!
HMO plans are different from PPO plans in that with HMOs, you must visit an in-network dentist if you want to receive coverage. In fact, in many cases you may be required to choose a primary care dentist up front.
However, with an HMO plan, your terms will generally be more affordable and may not have an annual maximum or deductible. In most cases, HMOs are best for patients who are already in good oral health and aren’t anticipating needing any major dental work.
Although you’ll likely get the same high-quality dental care from an out-of-network dentist, when you choose to use your BlueCross BlueShield coverage with an in-network provider like Aegis Dental, we truly have your back. Not only are we here to help you navigate the terms of your plan, but we are also happy to file your claims on your behalf and grant you the maximum coverage allowed by your plan when you visit us for treatment. In fact, we’re so willing to put our money where our mouth is, we’d be happy to give you a quote for your upcoming visit if you contact us and provide your BlueCross BlueShield information today!