Dental Blue

printer-friendly

Dental Blue Healthy Supplement
Dental Blue Healthy Supplement is an optional dental plan with fitness and weight loss benefits for Service Benefit Plan members who live in Massachusetts.

Dental Blue Healthy Supplement enhances the dental benefits in Standard Option and Basic Option. What does that mean for you? You get additional dental benefits for less cost. The advantages of this plan include:

  • Coverage for preventive services and fillings

  • Composite resin fillings (tooth color) on all teeth covered in full

  • Network includes 90 percent of Massachusetts dentists

  • Affordable premiums

  • Plus a $150 Fitness Benefit and $150 Weight Loss Benefit

New for 2013
Your Dental Blue Healthy Supplement coverage does not need to "match" your Service Benefit Plan coverage. If you have a family medical coverage, you do not need to have family dental coverage. You decide! Cover yourself with a Self-Only plan, cover yourself and one eligible dependent with Self + One coverage or choose family dental coverage if you want all, eligible family members enrolled in the dental plan.

2013 Dental Blue Healthy Supplement

Monthly Premiums

Self Only

Self + One

Family

$29.34

$69.13

$87.98

You can review our Dental Blue Healthy Supplement at a Glance brochure for an overview, or download our full program brochure for more detailed information.

PDF 2013 Dental Blue Healthy Supplement at a Glance
PDF 2013 Dental Blue Healthy Supplement Brochure

To find out if your dentist is participating, visit www.bluecrossma.com.

How to Enroll or Change Your Dental Coverage
Print, complete (with signature), and mail the PDF Dental Blue Healthy Supplement Enrollment Form or the PDF Dental Blue Healthy Supplement Enrollment Change Form to:

Blue Cross Blue Shield of Massachusetts
Dental Blue Healthy Supplement
Enrollment Operations
PO Box 986001
Boston, MA 02298

Monthly premiums are billed directly to the subscriber. If you would like to sign up for EFT (Electronic Funds Transfer) or eBilling to make electronic payments, please visit www.bcbsmaebilling.com to register.

How to Get Reimbursed for fitness and weight loss
After you have been a member of a health club and Dental Blue Healthy Supplement for at least 4 months in a calendar year, you can download and submit the PDF Fitness Benefit Form and receive up to $150 per calendar year toward your club membership.

After you have collected up to $150 in paid receipts from your qualified weight loss program, you can download the Weight Loss Benefit Form and file a claim for your PDF Weight Loss Benefit. For complete instructions on how to get reimbursed for fitness and weight loss, download the PDF 2013 Dental Blue Healthy Supplement Brochure.