Bcbsnc dental blue for individuals

Bcbsnc dental blue for individuals. Agent Contact Center. Lost or broken lenses, frames, glasses or contact lenses Jerry Ballard & Associates, Inc. It covers 100% of the cost of preventive services and ensures members will The Dental Blue for Individuals core plan offers full coverage. An independent licensee of the Blue Cross and Blue Shield Association. We agree to provide these instructions to the assigned administrator within 2 days of Blue e registration. Your coverage may be canceled by Blue Cross NC for failure to pay premiums when due and for fraudulent statements on your Many preventive care services are covered at 100% – meaning your plan covers them at no extra cost to you. In order to reduce or waive the dental waiting period, provide the following information about your prior dental coverage in the last 12 months. Blue Cross and Blue Shield of North Carolina: Blue Home Bronze Standard |with UNC Health Alliance Coverage for: Individual +Family Plan Type: EPO B0012253 1of 8 The Summary of Benefits and Coverage (SBC) document will help you choose ahealth plan . O. Blue Cross and Blue Shield of North Carolina: Blue Advantage Bronze 5500 |$60 PCP |$20 Tier 1 Rx |Nationwide Doctors Coverage for: Individual +Family Plan Type: PPO B0010082 1of 8 The Summary of Benefits and Coverage (SBC) document will help you choose ahealth plan . Core 1000 Plan. GDC does not offer Blue Cross or Blue Shield products or services. Here's what you get with a BCBSNC dental plan: Plans are available in all 100 North Carolina counties; Checkups and cleanings are covered twice per benefit period Blue Cross and Blue Shield of North Carolina: Blue Home Silver Preferred |$0 Deductible |$0 PCP |$0 Tier 1Rx |with UNC Health Alliance (CSR 94%) Coverage for: Individual +Family Plan Type: EPO B0012222 1of 8 The Summary of Benefits and Coverage (SBC) document will help you choose ahealth plan . Your plan includes a routine eye exam, discounts on eyeglasses and more from in-network providers. %PDF-1. REASONFOR APPEAL Explore the health insurance options offered by Blue Cross and Blue Shield insurance agencies. Please contact 888-206-4697 ( TTY : 711) for assistance. Blue Cross and Blue Shield of North Carolina (Blue Cross NC) offers several decision-support tools to aid you in making decisions around your health care experience. 6638 Dental Claims Dental Emdeon payor #61473 (electronic claims filing) BCBSNC Dental Blue Claims Unit PO Box 2100 Winston-Salem, NC 27102-2100 Medical Claims (Medical/accident/TMJ) BCBSNC Claims PO Box 35 Durham, NC 27702-0035 Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association. Get information on your policy using the state website found on your membership ID card. Brand name drugs are not covered on Blue Value Saver 2 and 3. Dental Blue for Individuals. Get an Enrollment and Change Application from Customer Service (call the number on the back of your member ID card) or through your employer. SM Dental Blue for Seniors. KENNON WAINWRIGHT. Enter the full name of an individual or a full business name, address and zip code Shop Plans. The SBC shows you how you and the plan would share This is a partial list of services that are not covered by Dental Blue for Individuals PPO, Dental Blue for Individuals PPO 1500 or Dental Blue for Individuals. Custom Dental plans are not included in this guide. Blue 20 / 20 Exam Plan Blue 20 / 20 Exam Plus Plan Blue Cross and Blue Shield of North Carolina: Blue Advantage Silver Standard |Nationwide Doctors Coverage for: Individual +Family Plan Type: PPO B0012073 1of 8 The Summary of Benefits and Coverage (SBC) document will help you choose ahealth plan . If Orthodontia coverage is selected, the maximum benefit for orthodontia coverage is a lifetime maximum of $1,000 or $1,500 per eligible member. Americans over the age of 30 are affected by gum disease, 1 which is linked to booklet by requesting a copy of the the Dental Blue for Individuals Value 1500 PPO plan benefit booklet from Blue Cross NC Customer Service. LIBERTY Dental Plan is committed to providing Blue Cross NC members with the highest quality of dental benefits. Dental Blue® for Individuals℠ plans. Better care starts here. The SBC shows you how you and the plan would share the cost for covered health care services. This plan mainly focuses on preventive care which provides access to important routine care delivered by an in-network dentist. That’s why Blue Cross NC created the Dental Blue for Individuals PPO preventive plan. Children's glasses 50% no deductible 50% no deductible Limited to one pair of glasses or contacts. , visit Medicare. 305. October 2021 BLUE CROSS ®, BLUE SHIELD , the Cross and Shield symbols, and service marks are marks of the Blue Cross and Blue Shield Association, an association of At Blue Cross and Blue Shield of North Carolina (Blue Cross NC), we care about your total health. Preventive PPO. . Expenses for dental procedures begun prior to the member’s eligibility with Blue Cross NC Fixed or removable prosthodontic restoration procedures for complete oral rehabilitation or reconstruction A child who is a North Carolina resident may have an individual policy in their name. 2 Along with good dental care each day, regular dental checkups help detect, prevent and treat gum disease and related problems. Blue Cross and Blue Shield of North Carolina (Blue Cross NC) offers affordable vision coverage for individuals and families. Dental insurance is a […] If your child needs dental or eye care Children's eye exam No Charge 30% after deductible Limited to one eye exam. Refer to the benefit booklet for a full list of exclusions. com (Accessed July 2022). Here’s your introduction to Dental Blue for Individuals Core 1000, a comprehensive plan that provides the coverage you need. Discover employer, individual, family, Medicare & Medicaid plans from Blue Cross NC. Many people receive coverage through their workplace. PRIOR DENTAL COVERAGE Dental Blue Select - (Enhanced and Complete Only) If your Employer elected to offer the Dental Blue Select – Enhanced or Complete Plan, prior creditable dental coverage may apply towards the dental waiting periods. P. Refer to the member booklet for a full list of exclusions. By choosing Dental Blue for Individuals, you can take a big step toward protecting your overall health. 4746 or go online at ADAcatalog. Learn more about our coverage options including health, Medicare, dental and vision options for you, your family or your employees. If you send the policy back to us within 30 days after you receive it, we will treat the policy as if it had never been issued and return all of your payments. is very pleased to introduce you to Dental Blue sm for Individuals from Blue Cross and Blue Shield of North Carolina (BCBSNC), the leading provider of health insurance in the state. Value 1500 PPO. S. Aug 30, 2022 · There are several options you must consider when choosing a health insurance plan. Once you meet a $75 deductible, you’ll only pay 30% of the total cost for basic services and 50% of the total cost for major services both in- and out-of-network. Blue Cross and Blue Shield of North Carolina: Blue Advantage Gold Standard 2000 |Nationwide Doctors Coverage for: Individual +Family Plan Type: PPO B0010035 1of 8 The Summary of Benefits and Coverage (SBC) document will help you choose ahealth plan . Source: U. DENTAL BLUE FOR INDIVIDUALS PPO PREVENTIVE PLAN DENTAL BLUE FOR INDIVIDUALS PPO 1500 VALUE PLAN DENTAL BLUE FOR INDIVIDUALS CORE PLAN This plan is a good fit for people focused on preventive care or who may otherwise go without coverage. With 90 years of experience in the market and our broad range of plans,1 you can find the coverage that’s right for you. 8887655400. 7 %âãÏÓ 1 0 obj > endobj 2 0 obj >stream TOPAZENRL_UCD Blue Cross Blue Shield of North Carolina endstream endobj 3 0 obj >/MarkInfo >/StructTreeRoot 6 0 R LIBERTY Dental Plan is an independent company providing dental benefits administration services on behalf of Blue Cross . Dental B Select, 6/23; U4261d, 9/23 Blue Cross NC knows you have many demands on your budget. Agent Information. org fold fold fold fold Blue Cross NC Dental Blue for Individuals Claims Unit PO Box 2100 Winston-Salem, NC. You may need to submit a dental claim. The SBC shows you how you and the plan would share E. We are leading the way to faster, more convenient service while maintaining the kind of quality you expect from Blue Cross and Blue Shield of North Carolina®. When would you like your coverage to start? Continue . Coverage you can smile about With Dental Blue for Individuals, you’re covered for a broad range of dental Blue Cross and Blue Shield of North Carolina (Blue Cross NC) has a mail order prescription drug program for individual and family plan members under age 65. Blue Cross and Blue Shield Association Internal Data: about. com Visit Get Dental Blue for Individuals Contact your authorized agent to apply for Dental Blue for Individuals today. Winston Salem, NC 27102-2100 Fax: 336-714-0224 In accordance with Blue Cross and Blue Shield of North Carolina policies, all information contained herein or attached is subject to review by any Blue Cross NC staff member as is appropriate. com 2012 Financial Performance 16 Revenue $5. The SBC shows you how you and the plan would share Quote Dental Blue Plans . Brand name drugs are not covered on Blue Advantage Saver 2 and 3. P0040204. U41623, 6/23 Preventive PPO Value 1500 PPO Core 1000 Blue Cross and Blue Shield of North Carolina (Blue Cross NC) provides free aids to service people with disabilities as well as free language services for people whose primary language is not English. BLUE CROSS ®, BLUE SHIELD , the Cross and Shield symbols, and service marks are marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield plans. Part B Premium Reduction The Part B Premium Reduction,* or “giveback,” contributes $50 per month Blue Cross and Blue Shield of North Carolina (Blue Cross NC) offers several decision-support tools to aid you in making decisions around your health care experience. Pediatric dentistry, TMJ issues and injury to sound natural teeth should be submitted under the member's commercial policy. With Blue Cross and Blue Shield of North Carolina (Blue Cross NC), you can explore resources, wellness programs, and more to get the most out of your plan. Preventive care is covered at 100% when 1) it is provided by an in-network doctor, 2) the claim is filed as a preventive visit and 3) services are identified as preventive care under the Affordable Care Act (ACA). This is a partial list of services that are not covered by Blue 20/20 for Individuals. Dental procedure not directly associated with dental disease; Procedures not performed in a dental setting; Procedures that are considered to be experimental, including pharmacological regimens not accepted by the American Dental Association (ADA) Council on Dental Therapeutics; Placement of dental implants, implant-supported abutments and disease. Q: What happens if I visit a doctor during my "free-look" period and cancel my coverage within the "free-look Dental Blue for Individuals 36 Dental Blue for Individuals Dental Customer Service 1. Get Started Here's what you get with a BCBSNC dental plan: Plans are available in all 100 North Carolina counties; Checkups and cleanings are covered twice per benefit period If you get health coverage through an employer: Contact your group administrator or HR department to make changes to your account. A person is ineligible if they have had a Dental Blue sm for Individuals policy within the last 12 months. This value plan covers preventive, basic and major services with richer benefits in-network. m. Join the Blue Cross NC provider network, trusted by doctors, dentists, pharmacists and hospitals across North Carolina for more than 90 years. Take advantage of affordable dental insurance plans designed for individuals and families from Blue Cross NC. You can choose the one that works best for you. Refer to the member benefit booklet for a full list of exclusions. Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association. Core 1000. ®, SM Marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield plans. Instructions for Dental Claims View Dental eManual Dental Blue Dental Blue Product Standards and Guidelines 2024 This guide is intended to act as a resource for Standard Dental Blue plans that are currently available for all segments. This preventive plan covers preventive services and offers savings on basic and major services. ®, SM are marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield plans. We have a number of health insurance agents that can help you choose which insurance is correct for you during open enrollment in the fall of 2021. COVID-19 tests that are administered by a provider, consistent with Centers for Disease Control (CDC) guidance and cleared, approved or given EUA by the Food and Drug Administration (FDA) are covered based on each individual’s insurance plan, and members may be responsible for a portion of their costs 1 to include copayments, coinsurance and deductible amounts. Blue Cross NC provides this service at no cost to registered Blue Connect ℠ members enrolled in individual and family plans. 7 %âãÏÓ 1 0 obj > endobj 2 0 obj >stream TOPAZENRL_UCD Blue Cross Blue Shield of North Carolina endstream endobj 3 0 obj >/MarkInfo >/StructTreeRoot 6 0 R ®, SM are marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield plans. PO Box 2100. These tools are offered for your convenience and should be used only as reference tools. May 17, 2007 · BCBSNC is expanding its efforts in dental health. For example, under a separate initiative from Dental Blue Select, the company is collaborating with North Carolina dentists to develop the company’s most comprehensive dental network to use in future product offerings for BCBSNC members. The current wait time to speak with a representative is: 14 minutes Agent Contact Center: 1-888-868-5598 with our dental and vision plans Dental and vision checkups can detect diseases early Along with good dental care each day, regular dental checkups help detect, prevent and treat gum disease and other health problems. Health plan members Medicare members J43024 (Same as ADA Dental Claim Form – J43124, J43224, J43424, J43024T) C. Leadership The BCBSNC store in Hickory was one of the first BCBSNC neighborhood stores to open in NC. On the other hand, Medicare (a public health program created by the federal government) might be the most suitable for the elderly or retired. Blue Cross NC offers its best dental plans to individuals & families who need a reliable, caring dentist. kennonw@nchealthplans. Blue Cross NC 2/24 Dental Blue for Individuals is not part of the covered health insurance benefits of any Blue Cross NC plans. Check with your bank for more information. Dental Blue sm for Individuals gives you the freedom to see any licensed dentist you Blue Cross and Blue Shield of North Carolina. Do I have to choose a dentist in Blue Cross NC's network? A: No. A: No. Dental Blue Select provides a $1,000 or $1,500 annual benefit maximum per person on diagnostic and preventive, basic and major services. Shop Plans. Dental Blue for Individuals must be purchased separately. A: For Blue Advantage, and Dental Blue for Individuals, you have a 10-day "free-look" period. The amounts that appear in the benefit booklet represent member responsibility. Get insurance delivered through your local BCBS agency. 3. For questions concerning your dental assistance in locating a participating provider, or assistance in scheduling an appointment, please contact our member service representatives at: 866-544-4350, TTY users: 877-855-8039 only homegrown, local insurer in all 100 counties of the state, Blue Cross and Blue Shield of North Carolina (Blue Cross NC) is here for you. The "free-look" period begins after you have received your welcome kit. If yes, and you want to contract with Blue Cross and Blue Shield of North Carolina (Blue Cross NC), you will need to confirm your supervising physician (if required for licensure) is already credentialed with Blue Cross NC by calling 800-777-1643 option 6. LIBERTY does not offer Blue Cross or Blue Shield products or services. Dental Blue for Individuals PPO, our preventive plan No one should have to go without important preventive care because they think dental insurance is too expensive. Blue Cross and Blue Shield of North Carolina does not discriminate on the basis of race, color, national origin, sex, age or disability in its health programs and activities. DENTAL BLUE FOR INDIVIDUALS Benefit Summary. Get Started Blue Connect is your online portal to manage your BCBSNC health plan, view your benefits, claims, interests and profile. and Blue Shield of North Carolina. If you find that you are not satisfied with your policy, you may return it to Blue Cross NC, Attention: Blue Medicare Supplement Enrollment, P. For Blue Medicare Supplement, you have a 30-day "free-look" period. Preventive PPO Plan. ACS is an independent company providing dental benefit administration services on behalf of Blue Cross and Blue Shield of North Carolina. geo-blue. BE40, 9/07 BCBSNC. The SBC shows you how you and the plan would share If you are seeking a Blue Cross Health Insurance Plan that includes dental coverage for the 2022 calendar year, contact The Mair Agency today. News & World Report's "Best Medicare Advantage Plan Insurances Companies of 2022" Accessed 10/2021. In order to obtain prior credit, you must attach a prior billing or certificate Shop Plans. Children's dental check-up No Charge 30% after deductible Limited to two dental cleanings. 800. Register for the Blue Connect member portal from Blue Cross NC to get your health, dental and vision insurance plan benefits and resources all in one place. 7 %âãÏÓ 1 0 obj > endobj 2 0 obj >stream TOPAZENRL_UCD Blue Cross Blue Shield of North Carolina endstream endobj 3 0 obj >/MarkInfo >/StructTreeRoot 6 0 R ©2019 American Dental Association J430 (Same as ADA Dental Claim Form – J431, J432, J433, J434, J430D) Dental Claim Form To reorder call 800. It has its own deductible and cost share structure. Which plan is right for you? Jan 1, 2024 · 7 days a week, 8 a. If your insurance plan includes dental coverage, this coverage is separate from your health plan. Dental B, 6/23; Dental B Select, 6/23; Dental B PPO, 6/23; U13188f, 10/23 • Not clinically necessary services • Hospitalization for any dental procedure • Dental procedure solely for cosmetic or aesthetic reasons Blue Cross and Blue Shield of North Carolina (Blue Cross NC) offers several decision-support tools to aid you in making decisions around your health care experience. providing. A plan for your lifestyle With Blue 20/20, you’ll have access to one of the nation’s largest vision networks Blue Cross Blue Shield Association internal data; February 2023. Still having trouble? Call our Agent Contact Center. ®, SM Marks of the Blue Cross and Blue Shield Association. Blue Options HSA prescription drug benefits are subject to the plan deductible and coinsurance. Shop Blue Cross NC for affordable health plans, vision plans, dental plans, Medicare, and Medicaid. Get a free dental rate quote on a Blue Cross NC health insurance plan in minutes! The start date of your coverage will depend on the date of your application. Your dental benefit plan does not cover services, supplies, drugs or charges that are: Not clinically necessary; Hospitalization for any dental procedure Blue Value A, B, C and Blue Value Saver 1 -- Brand name drugs are covered at 50% after $2,000 in brand name drug coverage per person, per benefit period. BlueCrossNC. BCBSNC Dental Products Blue Cross NC makes health insurance easy. Log in or register now. Find the best health insurance for you and your family. Your dental benefit plan does not cover services, supplies, drugs, or charges that are: • Not medically necessary • Hospitalization for any dental procedure • Dental procedures solely for cosmetic or aesthetic reasons • Dental procedures not directly associated with dental disease • Procedures that are considered to be experimental Here's what you get with a BCBSNC dental plan: Plans are available in all 100 North Carolina counties; Checkups and cleanings are covered twice per benefit period Blue Advantage A, B, C and Blue Advantage Saver 1 -- Brand name drugs are covered at 50% after $2,000 in brand name drug coverage per person, per benefit period. Most dental work – including cleaning, exams, fillings, root canals and implants – can be submitted as a dental claim to Blue Cross and Blue Shield of North Carolina (Blue Cross NC). Get Started Blue Cross and Blue Shield of North Carolina: Blue Advantage Gold 1800 |3Free PCP |$10 Tier 1 Rx |Nationwide Doctors Coverage for: Individual +Family Plan Type: PPO B0010031 1of 8 The Summary of Benefits and Coverage (SBC) document will help you choose ahealth plan . Audra Leonhardt Group Account Executive. All other marks and names are property of their respective owners. Our Medicare Advantage plans give you additional benefits not offered by Original Medicare for a low – or no – additional premium. With over 88 years of experience in the market and our broad range of plans,1 you can find the coverage that’s right for you. • Lost or broken lenses, frames, glasses or contact lenses Find resources for Blue Cross NC Providers in- and out-of-network to manage patient claims and appeals, eligibility, prior authorization and more. For this reason, and because dental health is so important to overall health, we have negotiated with dental care providers to be able to offer you three affordable options for high-quality dental coverage. To be covered, the medical or dental service you receive must be given at an in-network doctor or facility, filed by your doctor as preventive care, and identified as preventive care under the Affordable Care Act (ACA). Blue Cross NC is an independent licensee of the Blue Cross and Blue Shield Association. Blue Cross and Blue Shield of North Carolina: Blue Value Gold |3Free PCP |$10 Tier 1Rx | Statewide Doctors Coverage for: Individual +Family Plan Type: POS B0012098 1of 8 The Summary of Benefits and Coverage (SBC) document will help you choose ahealth plan . You can choose the American Dental Association ® (ADA) claim forms based on your type of Blue Cross NC dental plan below: ADA Blue Select Claim Form (PDF) ADA Claim Form for Individuals (PDF) ADA Pediatric Claim Form (PDF) ADA Claim Form for Dental Blue (PDF) Dental Claim Coordination of Benefits (PDF) Some dental services on the Dental Blue for Individuals Core Plan and Dental Blue for Individuals PPO 1500 Plan are subject to a waiting period unless you had prior dental coverage. provides. 947. com or contact your Blue Cross NC Authorized Independent Agent. Box 17509, Winston-Salem, NC 27116. It provides access to important routine care delivered by an in-network dentist. Here’s your introduction to the Dental Blue for Individuals Preventive PPO plan. SM1 Mark of Blue Cross and Blue Shield of North Carolina. com Esolutions provides instructions outlining the duties and functions of a Blue e Administrator, and delivers an email to that individual upon registration. All other marks and trade No. Most dental plans help pay for services such as: Routine cleanings and exams; Dental X-rays; Fillings and crowns; Root canals; Some plans even include coverage for specialty services, such as braces. Your Blue Connect℠ member portal gives you access to everything you need to manage your health, vision or dental plan all in one place. Blue Cross and Blue Shield of North Carolina is an HMO, HMO-POS, PPO and PDP plan with a Medicare contract. You can buy a Blue 20 / 20 vision plan even if you don't have a Blue Cross and Blue Shield of North Carolina (Blue Cross NC) health plan. Get in touch with your local Blue Cross and Blue Shield company. You can get up to a 90-day supply of medications delivered to you with free standard shipping through Amazon Pharmacy (MedsYourWay ® ) and Express Scripts ® Pharmacy (ESI). 7 billion Dental Blue for IndividualsSM Individual dental plan Discount Programs: Parents, universities and colleges have trusted Blue Cross NC health insurance to protect their students, post docs, TAs, and RAs for more than 90 years. Although Blue Cross NC does not charge for this service, some banks may charge a fee for automatic bank drafts. Most dental work - including cleaning, exams, fillings, root canals and implants - can be submitted as a dental claim to Blue Cross NC. Almost half of . Blue Cross NC provides this service at no cost to registered Blue Connect members enrolled in individual and family plans. – 8 p. Dental Blue sm for Individuals is loaded with dental benefits your family needs: Go to any dentist you choose. 27102 only homegrown, local insurer in all 100 counties of the state, Blue Cross and Blue Shield of North Carolina (Blue Cross NC) is here for you. SM Dental Blue ® For Federal Employee Program Other Products With Dental BCBSNC Medical (with limited dental care) BCBSNC Medical Pediatric Oral Health Federal Employee Health Benefit Plan (BCBSNC medical with some dental benefits) FEP BlueDental/FEDVIP . (919) 489-7431 bcbsnc. Rates quoted are estimates valid between 01/01/2019 and 12/31/2019. EyeMed Vision Care does not offer Blue Cross or Blue Shield products or services. lolk vtttam ihzpz swyqriuds khmgb rlysyf cvex xvxy txza gdhqr