Page 9 - Goodwill 2021 Annual Benefits Enrollment
P. 9
2021 Benefits Enrollment
How Can Using an In-Network Dentist
Help Lower My Costs?
You are free to use the dentist or specialist of
your choice. However, dentists participating in the
DentalBlue National Network have agreed to discount
their usual fees. Visiting one of these “in-network”
dentists allows you to take advantage of the discounts
they offer. Treatment is available from dentists who
do not participate in the network, but their fees are
calculated based on the maximum allowable charge
(MAC) for dentists in the same geographic area.
Patients are responsible for fees in excess of the
allowable charge, and there can be signiicant out-of-
pocket expenses if a non-participating dentist is chosen.
What Is Annual Maximum Benefit?
The annual maximum beneit is the maximum dollar
amount BCBST will pay toward the cost of dental care
within the plan year. The amount BCBST pays towards
your preventative care does not apply towards your
annual maximum beneit.
How Much Will My Procedure Cost?
Request a predetermination of beneits from your
dental provider before a procedure is completed so that
you are aware of your estimated costs for the procedure
before receiving a bill.
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How Can Using an In-Network Dentist
Help Lower My Costs?
You are free to use the dentist or specialist of
your choice. However, dentists participating in the
DentalBlue National Network have agreed to discount
their usual fees. Visiting one of these “in-network”
dentists allows you to take advantage of the discounts
they offer. Treatment is available from dentists who
do not participate in the network, but their fees are
calculated based on the maximum allowable charge
(MAC) for dentists in the same geographic area.
Patients are responsible for fees in excess of the
allowable charge, and there can be signiicant out-of-
pocket expenses if a non-participating dentist is chosen.
What Is Annual Maximum Benefit?
The annual maximum beneit is the maximum dollar
amount BCBST will pay toward the cost of dental care
within the plan year. The amount BCBST pays towards
your preventative care does not apply towards your
annual maximum beneit.
How Much Will My Procedure Cost?
Request a predetermination of beneits from your
dental provider before a procedure is completed so that
you are aware of your estimated costs for the procedure
before receiving a bill.
9
