Blue DentalSM
Plan options include:
- Traditional Plus (Passive PPO)
- Traditional Plus Preventive (Passive PPO)
- Community Dental (PPO)
- Exclusive Dental* (EPO – available to ASC and ERS groups)
- Blue Dental Choice SM (Voluntary product – currently available to underwritten groups with 2-99 contracts)
- Personal Dental* (Individual product)
* Members must receive treatment from a network dentist; otherwise, services are not covered.
Advantages:
- Offers groups the cost savings of a network
- Members have the freedom to choose any dentist or specialist
- Choosing a DenteMax** network dentist means lower out-of-pocket expenses for members
** Blue Cross Blue Shield of Michigan uses the DenteMax network for its dental plans. DenteMax is an independent company that provides a network of PPO dentists to Blue members.
Blue Dental and DenteMax
- DenteMax network dentists submit claims on members' behalf
- Network dentists cannot "balance bill" members
- When members see a DenteMax dentist, their cost share is lower
- Members receive discounts for non-covered services
- DenteMax negotiated fees are:
- 10 percent to 20 percent below Blue Traditional ® fees
- 20 percent to 40 percent below average charge
- Provider quality monitored by an NCQA-accredited credentialing verification organization
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