DentalBlue TM. Dental plans to smile about

DentalBlue – Dental plans to smile about. TM DentalBlueTM plans from BlueCross BlueShield of Tennessee offer you flexibility, convenience, and excep...
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DentalBlue – Dental plans to smile about. TM

DentalBlueTM plans from BlueCross BlueShield of Tennessee offer you flexibility, convenience, and exceptional customer service - all from one of the most trusted names in the business. Whether added as a complement to your existing health plan with BlueCross BlueShield of Tennessee or stand-alone with another group health plan, DentalBlue advantages include:

• A wide selection of comprehensive and preventive plans to meet your needs



• The largest dental PPO network in Tennessee - it actually delivers claim savings!



• A choice of the level of payments made to non-network dentists



• Access to a national network of 74,000 dentists outside Tennessee



• Administrative ease with combined ID cards and billing for your dental and

medical plans from BlueCross BlueShield of Tennessee



Essential to your employee’s good health. Believe it or not, an estimated 7 million workdays are lost in this country each year due to “dental conditions.” However, many of these serious conditions could have been prevented with regular checkups and proper dental hygiene. BlueCross BlueShield of Tennessee’s DentalBlue plans offer a choice of benefits designed to encourage good dental health, restore teeth and gums - and most of all - keep your employees on the job.

Four good reasons to

1) Flexible products with new features!

2) Do we have a network for you!

Whether 2 employees or 2,000, choose from many popular features to design a DentalBlue plan that meets your needs.

With over 2,000 dentist locations, DentalBlue plans have the largest PPO network in Tennessee. Best of all, our dental PPO network delivers the savings others can’t!

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Looking for a comprehensive or preventive plan? Want additional variety of coinsurance, deductibles, benefit maximums, and orthodontic benefits? DentalBlue is just for you. New Feature #1

Introducing Choice Option and Preferred Option. Although all DentalBlue plans use our PPO network - the largest in Tennessee - you now have a choice in how non-network claims are paid! • Choice Option has a higher Usual and Customary Rate (UCR) for non-network dentists. Because we allow more, Choice Option can significantly lessen balance billing and out-of-pocket costs for your employees. • Preferred Option has our more familiar, lower Maximum Allowable Charge (MAC) schedule for non-network dentists. Because we allow less, Preferred Option provides extra value by encouraging the use of network dentists. New Feature #2 One size doesn’t fit all? Now you can let your employees choose from 2 or more DentalBlue plans at open enrollment. With underwriting approval, you can even offer DentalBlue alongside a dental plan from another carrier.

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Most PPO networks are small with less than 30% of dentists participating due to the big discounts required. Some indemnity networks may be slightly larger, but provide little if any claim savings compared to the average fees of Tennessee dentists. With DentalBlue, we negotiate moderate but significant discounts on a PPO network that is often triple the size of other PPO’s - and even rivals an indemnity network. What does this mean for you? When you combine our PPO discounts and our large network size, DentalBlue often delivers superior claim savings. An Exciting National Network Option! We realize that groups of all sizes frequently have employees living outside Tennessee. DentalBlue can now provide a seamless, integrated product to all employees wherever they live. We have partnered with DenteMax to provide access to their nationwide network of over 74,000 dentists! How does it work? Exactly the same - we have one product and ID card and do all of the billing, claims, and customer service. We simply load the DenteMax providers and fee schedules onto our claims systems.

o choose DentalBlue

3) Added convenience and exceptional customer service

4) Vision discounts and more with BluePerks

By adding a DentalBlue plan to your existing BlueCross BlueShield of Tennessee health plan, you’ll enjoy the added convenience of a single member ID card, combined billing and one-source account service.

In addition to the great benefits with our DentalBlue plans, we sweeten the pot with our value-added discounts. Created exclusively for our members, BluePerks features discounts of 30% on non-covered products and services like routine vision and LASIK corrective vision surgery.

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Seamless coordination of benefits between your medical plan and DentalBlue enables us to provide better customer service and keep members from being caught in the middle. You’re also just a phone call away from BlueCross BlueShield of Tennessee’s highly trained customer service representatives who know and understand every aspect of your benefit plan. And, along with a host of other support tools available on bcbst.com, BlueAccess enables you to look up claims and view benefits online, any time.

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But unlike many other dental plans, we don’t stop with vision discounts! BluePerks also includes discounts on weight loss programs, vitamins, health club memberships, personal trainers, massage therapy, spa services, acupuncture and other Complementary Alternative Medicine (CAM) services.

Taking advantage of BluePerks is easy. There are no necessary referrals or paperwork to complete. Just flash your BlueCross BlueShield of Tennessee membership card when receiving products and services from the more than 28,000 affiliated practitioners in 36 CAM disciplines, vision care centers and more coast to coast and receive instant discounts.

Here’s a DentalBlue tip: Members may visit the dentist of their choice, but receive the maximum value of benefits when they choose care from dentists who participate in their plan’s provider network. Choosing care from participating network dentists results in lower out-of-pocket costs. Therefore, it is important to consider the scope of providers in your area before choosing between Preferred Option and Choice Option.

DentalBlue - the flexible choice. As an additional benefit to a BlueCross BlueShield of Tennessee health plan or as a stand-alone group benefit, DentalBlue plans provide employees with something to smile about. DentalBlue offers one of the largest provider networks in Tennessee, and across the country. And, no other dental provider offers the kind of exceptional customer service and value-added discount programs you’ve come to expect from BlueCross BlueShield of Tennessee. For more information on DentalBlue plans, contact your agent/broker, visit bcbst.com or call one of our representatives at 1-800-565-9140.

801 Pine Street Chattanooga, TN 37402 bcbst.com

BlueCross BlueShield of Tennessee, Inc., an Independent Licensee of the BlueCross BlueShield Association ® Registered marks of the BlueCross BlueShield Association, an Association of Independent BlueCross BlueShield Plans This document has been classified as public information COMM-433 (7/07)