Page 9 - 2024 HCTec Benefits Guide
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Dental Plan
It’s important to have regular preventative dental care, including exams and cleanings so problems are detected before
they become painful — and expensive. Keeping your teeth and gums clean and healthy will help prevent most tooth
decay and is an important part of maintaining your overall health. We offer a dental plan through BlueCross BlueShield
of Tennessee. Please see complete summary for exclusions and limitations.
Plan Provisions BCBST Dental PPO*
Annual Deductible $50/$150
(Individual/Family)
Calendar Year Maximum $2,000 per individual
Orthodontia Lifetime
Maximum $2,000 per individual
Diagnostic and Preventive
Services (e.g., X-rays, cleanings, Covered at 100%
exams)
Plan Provisions Amount you pay after deductible*
Basic and Restorative
80%
Services (e.g., fillings)
Major Services
50%
(e.g., dentures, crowns, bridges)
Orthodontia 50% for children up to age 19
*In order to avoid balance billing, be sure to utilize In-Network providers.
Find a Provider
Search for in-network providers at bcbst.com/findadoctor. You will have lower
cost if you stay in-network.
.
• Select: Dental
• Or call: 1-800-565-9140 8am to 6pm EST Monday through Friday
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