DentalBlue Something to Smile About Lincoln County Health System
DentalBlue <ul><li>Dental is the second most requested employer benefit only behind medical  </li></ul><ul><li>Despite inc...
DentalBlue <ul><li>DentalBlue offers: </li></ul><ul><li>Periodic dental exams and cleanings </li></ul><ul><li>Low or no co...
DentalBlue <ul><li>Considerable cost savings when using a dentist who is a Network Provider  </li></ul><ul><ul><li>70% of ...
<ul><li>Benefits are arranged into four levels of coverage, A-D. Your plan only provides coverage for level A and B servic...
<ul><li>Coverage A includes: </li></ul><ul><li>Diagnostic Services – exams, x-rays </li></ul><ul><li>Preventive Services –...
<ul><li>Coverage B includes: </li></ul><ul><li>Basic Restorative Services – amalgam restorations (silver fillings),  </li>...
<ul><li>Coverage C  includes: </li></ul><ul><li>Major Restorative – crowns, inlays, onlays, veneers,  </li></ul><ul><li>an...
<ul><li>Coverage D includes: </li></ul><ul><li>Orthodontic Services – for the straightening and </li></ul><ul><li>alignmen...
DentalBlue <ul><li>DentalBlue brings you additional value: </li></ul><ul><li>Responsive customer service here in Tennessee...
<ul><li>DentalBlue: </li></ul><ul><li>Affordable plans </li></ul><ul><li>A focus on preventive dental care </li></ul><ul><...
Thank you. Any questions? Visit  www.bcbst.com DentalBlue
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Presenting DentalBlue

  1. 1. DentalBlue Something to Smile About Lincoln County Health System
  2. 2. DentalBlue <ul><li>Dental is the second most requested employer benefit only behind medical </li></ul><ul><li>Despite increased attention to health, many adults neglect dental care. </li></ul><ul><li>Approximately 98 percent of all serious dental problems begin with gradual deterioration of the teeth and gums. </li></ul><ul><li>An estimated 7 million days of work are lost in the United States annually because of &quot;dental conditions.&quot; </li></ul><ul><li>New studies show that dental health is linked to other </li></ul><ul><li>serious medical conditions such as heart disease, </li></ul><ul><li>diabetes, stroke and birth of pre-term low-birth weight babies. </li></ul><ul><li>Regular exams can also detect oral cancers. </li></ul>Dental Care Is Important
  3. 3. DentalBlue <ul><li>DentalBlue offers: </li></ul><ul><li>Periodic dental exams and cleanings </li></ul><ul><li>Low or no cost sharing on routine exams and x-rays </li></ul><ul><li>Savings on periodontics, endodontics, oral surgery and more </li></ul><ul><li>Largest dental PPO network in the state </li></ul><ul><li>Freedom to choose any dentist </li></ul>Dental Care Is Part of Your Overall Health
  4. 4. DentalBlue <ul><li>Considerable cost savings when using a dentist who is a Network Provider </li></ul><ul><ul><li>70% of all dentists in Tennessee are in the network, over 2,000 in all </li></ul></ul><ul><ul><li>Network dentists have agreed to discount fees that can save you an average of 15-30% off retail charges </li></ul></ul><ul><ul><li>Periodontal surgery can cost $800 or more, but may only cost $560 if a network dentist is used. If your plan pays 50% for Coverage C you can pay $400 or $280 depending on the dentist you use. </li></ul></ul><ul><li>National network coverage through DenteMax – Now if you or a family member lives or travels outside of the service area can have access to over 65,000 dental network providers </li></ul>Advantages of In-network Care
  5. 5. <ul><li>Benefits are arranged into four levels of coverage, A-D. Your plan only provides coverage for level A and B services. </li></ul><ul><li>The standard coverages are summarized on the next four pages. However, this summary should only be used as a general guide as there are additional limitations and exclusions which will apply. A sample Evidence of Coverage and a Schedule of Benefits should also be made available to you. </li></ul>DentalBlue Standard Plan Designs
  6. 6. <ul><li>Coverage A includes: </li></ul><ul><li>Diagnostic Services – exams, x-rays </li></ul><ul><li>Preventive Services – prophylaxis (cleanings), </li></ul><ul><li>fluoride, sealants, and space maintainers </li></ul>DentalBlue Coverage A
  7. 7. <ul><li>Coverage B includes: </li></ul><ul><li>Basic Restorative Services – amalgam restorations (silver fillings), </li></ul><ul><li>resin composite restorations (tooth colored fillings), and stainless </li></ul><ul><li>steel crowns </li></ul><ul><li>Basic and Major Endodontics – pulpotomy, pulpal therapy, and </li></ul><ul><li>root canal treatment </li></ul><ul><li>Basic and Major Periodontics – non-surgical periodontics, </li></ul><ul><li>including periodontal scaling and root planning, debridement and </li></ul><ul><li>periodontal maintenance procedures; surgical periodontics </li></ul><ul><li>including gingivectomy, osseous surgery and grafting </li></ul><ul><li>Basic and Major Oral Surgery - non-surgical or simple extractions, </li></ul><ul><li>surgical extractions and other surgical procedures typically not </li></ul><ul><li>covered under a medical plan </li></ul><ul><li>Other Services – palliative (emergency) treatment for the relief of </li></ul><ul><li>pain, denture repairs </li></ul>DentalBlue Coverage B
  8. 8. <ul><li>Coverage C includes: </li></ul><ul><li>Major Restorative – crowns, inlays, onlays, veneers, </li></ul><ul><li>and other restorative services </li></ul><ul><li>Prosthodontic Services - fixed partial dentures </li></ul><ul><li>(bridges), removable dentures, and other prosthodontic </li></ul><ul><li>services </li></ul><ul><li>These services are not covered under your plan. </li></ul>DentalBlue Coverage C
  9. 9. <ul><li>Coverage D includes: </li></ul><ul><li>Orthodontic Services – for the straightening and </li></ul><ul><li>alignment of teeth, including exams, photographic </li></ul><ul><li>images, diagnostic casts, x-rays, installation, and </li></ul><ul><li>adjustment of orthodontic appliances </li></ul><ul><li>These services are not covered under your plan. </li></ul>DentalBlue Coverage D
  10. 10. DentalBlue <ul><li>DentalBlue brings you additional value: </li></ul><ul><li>Responsive customer service here in Tennessee </li></ul><ul><li>On-line claim look-up with BlueAccess </li></ul><ul><li>Discounts on vision care, weight loss, health clubs, massage therapy, acupuncture and more with BluePerks </li></ul>DentalBlue Value Added Features
  11. 11. <ul><li>DentalBlue: </li></ul><ul><li>Affordable plans </li></ul><ul><li>A focus on preventive dental care </li></ul><ul><li>Freedom to use any dentist </li></ul><ul><li>Largest PPO network in Tennessee with national network access </li></ul><ul><li>Big savings with In-network dentists. </li></ul><ul><li>Value added features with BlueAccess and BluePerks </li></ul>Summary
  12. 12. Thank you. Any questions? Visit www.bcbst.com DentalBlue

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