If you'd like the freedom to visit any dentist you wish, you'll enjoy Dental Blue PPO.
This plan gives you coverage for the essential care services that are so important for good health and coverage for both in-network and out-of-networkAny health care provider that does not belong to one of our provider networks. Members can use their benefits for out-of-network expenses, but miss out on in-network discounts.
providers
Dental Blue PPO offers:
- Access to a network of approximately 1,630 dentists and more than 2,500 preferred dentist locations in Massachusetts and Rhode Island.
- Access to nearly 65,000 credentialed provider locations nationwide through the DenteMax network.
- The freedom to seek out-of-network care (at a greater out-of-pocket cost than in-network care).
Depending on the specifics of your plan, you may have coverage for:
- Preventive services, such as routine cleanings and exams
- Basic services, including the treatment of advanced inflammatory and infectious problems.
- Major services, which allow for the replacement and restoration of lost or decayed teeth through crowns, bridges, and dentures
- Orthodontic services for members
Review the
consumer disclosure notice for an overview of our dental coverage.
Dental coverage is different from medical coverage, with unique terms and conditions.
- Basic dental plans help offset the costs of diagnostic and preventive dental care.
- More comprehensive plans may also cover a percentage of services related to restorative care (such as fillings), oral surgery, orthodontics, or other complex procedures.
Most plans apply a limit on benefit expenditures per calendar year (or per lifetime, in the case of orthodontic benefits). Once this calendar-year limit is reached, no additional services will be covered until the following year.
Filing Claims
Participating dentists will send claims to Blue Cross Blue Shield of Massachusetts for you; just show them your Dental Blue ID card. We will send payment directly to your dentist, if we receive claims within one year of completed service.
If you receive covered services that are provided in an emergency from a non-participating dentist because an in-network dentist was unavailable, you or the dentist may file an Itemized Claim Form. Send the completed claim form to:
Blue Cross Blue Shield of Massachusetts
Dental Operations
P.O. Box 986030
Boston, MA 02298
Your Dental Blue PPO plan gives you access to more than 65,000 credentialed provider locations across the nation through the DenteMax network.
In addition, you have the freedom to seek out-of-network care (at a greater out-of-pocket cost than in-network care)
If you already have a dentist and want to know if he or she participates, call the dentist or use our Find a Doctor feature.
Getting Started Guides—An easy-to-follow introduction to our dental plans.
Dental Health Education Packet—Test your own knowledge and learn how you can have healthier teeth and gums.
Claim Form—For use if you receive covered services that are provided in an emergency from a nonparticipating dentist because an in-network dentist was unavailable.