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If you're looking for dental insurance options in Arkansas, Blue Cross and Blue Shield (BCBS) is a popular choice. BCBS Arkansas offers a range of dental plans to fit different budgets and needs.
Their dental insurance options include individual, group, and family plans, as well as plans for seniors and those with Medicare.
You can choose from a variety of coverage levels, including basic, standard, and premium plans. The costs of these plans vary depending on factors like your age, location, and the level of coverage you choose.
BCBS Arkansas dental insurance plans often have a maximum annual deductible, which can range from $50 to $1,000 or more, depending on the plan.
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Dental Coverage Details
Preventive care, such as cleanings and exams, is 100% covered through many PPO dental insurance options.
The annual deductible for in-network plans is $50 per person, with a maximum of $100 for families.
Preventive care is also no cost and no deductible for in-network plans.
Suggestion: How Does Out of Network Dental Insurance Work
In-network plans cover 20% of basic care, such as fillings and extractions, after the deductible.
Major care, including crowns and bridges, is covered at 50% after the deductible for in-network plans.
The annual maximum benefit for in-network plans is $1,750 per person.
Here's a breakdown of the coverage details:
In-network plans have a lifetime maximum benefit of $2,000 combined.
Benefits and Coverage
Arkansas BlueCross BlueShield (BCBS) offers a range of dental plans, each with its own unique set of coverage details. Reviewing the specifics of your policy is essential to understand exactly how it works.
Preventive care, including cleanings, exams, and x-rays, is typically 100% covered in-network, and there's no deductible. This means you won't pay a dime out of pocket for routine care. Out-of-network, preventive care is covered at 10%, with no deductible.
Here's a breakdown of what you can expect to pay for different types of care:
Keep in mind that your plan may have a deductible and an annual maximum, which can range from $1,000 to $1,500.
BlueCross BlueShield Coverage
Arkansas BlueCross BlueShield offers a range of dental plans with unique coverage details. Therefore, it's essential to review your policy specifics to understand exactly how it works.
Preventive care, such as cleanings, exams, and x-rays, is usually 100% covered for in-network patients. Out-of-network patients may be responsible for 10% of the cost.
Minor services like fillings, extractions, and root canals are typically covered at 20% after the deductible for in-network patients, while out-of-network patients may pay 28% after the deductible.
Major services, including crowns, bridges, and implants, are usually covered at 50% after the deductible for in-network patients, while out-of-network patients may pay 55% after the deductible.
The annual maximum benefit for in-network patients is typically around $1,750 per person, while out-of-network patients may have a combined maximum benefit of $2,000.
Here's a breakdown of the costs for in-network and out-of-network patients:
Keep in mind that your plan may have a deductible and an annual maximum, which can affect the amount you pay out-of-pocket.
Waiting Periods
Waiting periods apply to certain dental services, and it's essential to understand who's affected and how long you'll have to wait. Pediatric Minor and Major Restorative Services are not subject to waiting periods.
Adult members enrolled in Dental Silver will have a 6-month waiting period for Minor Restorative services. This waiting period can be waived if you meet specific criteria.
Members enrolled in Dental Gold or Gold Plus Vision have a more favorable waiting period policy. They'll have the 6-month waiting period for Minor and Major Restorative services waived if certain criteria are met.
Here's a quick rundown of the waiting periods for different plans:
Frequently Asked Questions
Does Blue Cross Blue Shield Basic have dental?
Yes, Blue Cross Blue Shield Basic offers dental benefits, including coverage for evaluations and other services with a $30 copayment. To receive benefits, you must use a Preferred dentist.
Is Blue Advantage of Arkansas the same as Blue Cross Blue Shield?
BlueAdvantage is an operating division of Arkansas Blue Cross and Blue Shield, but it's a separate entity that provides customized health benefits administration services. It's not a direct substitute for Blue Cross Blue Shield, but rather a specialized service offered by the same parent company.
What is the payer ID for BCBS Arkansas dental?
The payer ID for BCBS Arkansas dental is 00520. You can submit electronic dental claims through Availity or your clearing house using this ID.
Sources
- https://www.blueadvantagearkansas.com/employers/looking-for-insurance/dental-blue
- https://www.arkansasbluecross.com/members/individual-and-family/dental/information-for-members-with-individual-or-family-dental
- https://www.sunsetavenuedental.com/arkansas-bluecross-blueshield-dentist.html
- https://benefits.uasys.edu/health/dental/
- https://www.combsdental.com/bluecross-blueshield.html
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