Blue cross blue shield medicare advantage dental providers

You may be used to traditional health insurance that covers routine dental care. But Medicare works a little differently.

Table of Contents Show

BCN AdvantageSM
Medicare Plus BlueSM
Blue Cross Medicare Supplement or Legacy Medigap
DentalEssentials
Coverage A Benefits
Coverage B Benefits
Coverage C Benefits***
Request your Medicare Options Guide
Does Blue Cross Blue Shield of Kansas have an app?
Does Blue Cross Blue Shield of Kansas work in other states?
What is the phone number for Blue Cross Blue Shield customer service?
How do I cancel my Blue Cross Blue Shield insurance in Kansas?

Whether you have dental benefits will depend on what type of Medicare coverage you have.

Original Medicare (Part A and Part B) is run by the U.S. government. It doesn’t cover routine dental exams, cleanings, procedures or dentures. It does cover some dental care related to hospitalizations, surgeries and the treatment of diseases. You’ll pay for routine dental care and dentures out of your own pocket with Original Medicare.
Private health insurance companies offer Medicare Advantage (Part C) plans that include everything Original Medicare offers, plus extra benefits. They may include routine dental care. What’s covered depends on your plan.

BCN AdvantageSM

Most of our BCN Advantage HMO and HMO-POS plans include routine dental exams, cleanings and X-rays. You may buy an optional supplemental plan that includes fillings, root canals, extractions, crowns and fluoride treatments. It also includes vision and hearing benefits.

Learn more about how to get extra coverage for your HMO or HMO-POS plan.

Medicare Plus BlueSM

Medicare Plus Blue PPO Vitality, Signature and Assure plans include routine dental exams, cleanings and X-rays. Medicare Plus Blue PPO Essential doesn’t. Additional coverage that includes fillings, root canals, extractions, crowns and fluoride treatments is also available with our PPO plans.

Learn more about how to get extra coverage for your PPO plan.

Blue Cross Medicare Supplement or Legacy Medigap

Blue Cross Medicare Supplement plans do not include routine dental exams, cleanings and X-rays. You may choose to pair a new or existing Blue Cross Medicare Supplement or Legacy Medigap plan with the Dental Vision Hearing Package that includes coverage for fillings, root canals, extractions, crowns and fluoride treatments. It also includes vision and hearing benefits.

Learn more about how to get coverage for your Blue Cross Medicare Supplement or Legacy Medigap plan.

This is a solicitation of insurance. We may contact you about buying insurance. Blue Cross Medicare Supplement plans aren’t connected with or endorsed by the U.S. government or the federal Medicare program.

Choose a dental network from the list below to search for a dentist. If your the Blue Cross and Blue Shield of Oklahoma (BCBSOK) plan includes pediatric dental coverage, choose "BlueCare Dental (Traditional National PPO)" as your network. To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC).

BlueCare Dental (Traditional National PPO)*
BlueCare Dental (CHOICE Network)*
Medicare Advantage Plans*

Provider Finder® Disclaimer

You are about to leave the Blue Cross and Blue Shield of Oklahoma (BCBSOK) website. You are going to a different website. This other site may have information about:

Medical conditions
Providers (doctors, dentists, hospitals or other health care professionals)
Prescription drugs
Treatments
Products or services

Please note that your health plan may not cover the items found on this other site.

The information on this other site may not always state the views of BCBSOK. You should not think BCBSOK endorses all views you find on this other site.

BCBSOK is not liable or responsible for damage or injury to persons or property that result from the use of anything found on this other site such as:

Products or services
Information or ideas
Instructions, especially for health care

BCBSOK cannot guarantee the accuracy of any statements made on other websites.

The information on this other site does not replace professional health care. For example, if you have questions about dental care, talk with your dentist. For questions about your BCBSOK health plan, call Customer Service at the number on the back of your ID card.

* Dental Network of America, LLC (DNoA) is a separate company that provides dental benefits for some BCBSOK plans. DNoA contracts with go2dental.com, Inc., an independent company that provides dental website information and tools for BCBSOK plans.

Blue Cross®, Blue Shield® and the Cross and Shield symbols are registered service marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans.

DentalEssentials

With DentalEssentials from Blue Cross and Blue Shield of Nebraska, you can get valuable dental care benefits at the cost that is affordable and accessible with the Blue Cross and Blue Shield network of providers. Choose from four DentalEssentials options:

	Preventive Plus	Enhanced	Premier
Deductible	$50 per person per calendar year	$100 per person per calendar year	$100 per person per calendar year
Annual Benefit Maximum	$1,000 per person per calendar year	$1,500 per person per calendar year	$2,000 per person per calendar year
Coinsurance(What You Pay)
	In Network	Out of Network	In Network	Out of Network	In Network	Out of Network
Coverage A Services	0% (deductible waived)	20%	0% (deductible waived)	20%	0% (deductible waived)	20%
Coverage B Services (6 Month Waiting Period*)	20%	30%	20%	30%	20%	30%
Coverage C Services (12 Month Waiting Period)	50%	50%	50%	50%	50%	50%
Monthly Premium Rates
Deductible	$50 per person per calendar year	$100 per person per calendar year	$100 per person per calendar year
Annual Benefit Maximum	$1,000 per person per calendar year	$1,500 per person per calendar year	$2,000 per person per calendar year
* Waived for seniors purchasing a Medicare Supplement plan at the same time as a DentalEssentials plan.

Coverage A Benefits

Preventive and Diagnostic Dentistry

Two comprehensive and/or periodic oral examinations per calendar year

Consultations with a dental consultant
Two prophylaxis, including cleaning, scaling and polishing of teeth per calendar year
Dental x-rays**
- One full mouth or panorex series of x-rays in any period of three consecutive calendar years
- One set of four supplemental bitewing x-rays in a calendar year

** X-rays related to services provided under a different coverage classification are excluded under Coverage A benefits

Coverage B Benefits

Maintenance and Simple Restorative Dentistry and Oral Surgery

Oral surgery consisting of:

Simple and impacted extractions (extractions for orthodontia services are excluded)
Removal of dental cysts and tumors

Other services:

General anesthesia
Restorations of silver and/or composite materials
Palliative treatment
Problem focused and/or emergency oral examinations

Coverage C Benefits***

Complex Restorative Dentistry, Periodontic and Endodontics

Coverage C services:

Crowns
Installation of permanent bridges
Dentures – full and partial
Denture adjustments
Repair of dentures, bridges, crowns and cast restorations
Core buildup

Periodontic services consisting of:

Up to four periodontic cleanings per calendar year
Gingivectomy
Gingival curettage
Osseous surgery
Treatment of acute infection and oral lesions

Endodontic services consisting of:

Pulp cap
Vital pulpotomy
Root canals (includes treatment plan, clinical procedures and follow-up care)
Apical curettage

***Benefits for Coverage C services are subject to a 12-month waiting period.

This is a brief description of DentalEssentials coverage. A more complete list can be found in the DentalEssentials contract. For information about limitations and non-covered services, view the DentalEssentals information brochure below.

DentalEssentials Information Brochure [pdf]

Request your Medicare Options Guide

Understanding all the coverage options available may feel confusing. Download information from Blue Cross and Blue Shield of Nebraska about Medicare options, important dates to remember and more.

Request Information

Does Blue Cross Blue Shield of Kansas have an app?

As a Blue KC member, you can download the free MyBlueKC app to help make the most of your Blue KC plan. With new and improved features, the MyBlueKC app gives you easy access to your healthcare coverage 24/7, wherever you are.

Does Blue Cross Blue Shield of Kansas work in other states?

Most Blue Cross Blue Shield members can rest easy since Blue Cross Blue Shield coverage opens doors in all 50 states and is accepted by over 90 percent of doctors and specialists. And if your extended travel plans take you abroad, you can ensure you have access to quality care through GeoBlue.