Page 16 - 2018 Insurance Book
P. 16

ILFI Trust












        As a current BCBSIL member, you are familiar with the level of service our organization provides. With
        BlueCare Dental, you and your family have access to one of the largest dental PPO networks of general and specialty
        dentists in Illinois, as well as across the country.  You have the option to choose any dentist you wish, but you will reduce
        your out-of-pocket costs and extend your benefits when you use a dentist who participates in the BlueCare Dental PPO
        network. You and your dependents will receive benefits based on the BCBSIL allowable amount and there is no balance
        billing when using a Network dentist. You are not billed for costs exceeding the allowable amount (except copayments,
        coinsurances and deductibles).

        Below is an example showing the difference between utilizing a BlueCare Dental PPO network dentist versus a non-PPO
        network dentist.


         PPO Savings Example             PPO DENTIST                  NON-PPO DENTIST
                                         Crown (D2752)              Crown (D2752)
         Billed Charge                    $  1026.00                $ 1026.00


         Allowable Amount                 $  749.00                 $ 1026.00

         Dental Plan pays 50%             $  374.50                 $ 500.00


         Member’s Responsibility          $  374.50                 $ 526.00

        *The dollar amount shown is for illustrative purposes only, check your benefit booklet for deductible, coinsurance and dollar maximums that may apply.
        Finding a Dentist is Easy
        For a complete list of contracting general and specialty dentists, go to bcbsil.com and use the Provider Finder tool. You
        can search for a contracting dentist near your home, school or office, and conveniently download a map with driving direc-
        tions.

        BlueCare Dental Connection SM
        As an enhanced service, BCBSIL offers you access to BlueCare Dental Connection. This service offers educational infor-
        mation and other resources to help you make important decisions about your dental care – at no additional cost.

        To help you understand the importance of maintaining good oral/periodontal health, BlueCare Dental Connection provides:
        n  Educational mailings
        n  24-hour online access to the Dental Wellness Center* which offers current educational articles and special tools to as-
            sist members with their oral care
        BlueCare Dental Connection features allow you to:
        n  Ask dental-related questions through Ask a Dentist
        n  Locate a contracting primary care dentist using Provider Finder®
        n  Determine approximate dental fees in the marketplace with the Dental Cost Advisor*
        n  Search the Dental Dictionary of common clinical term
        n  View animations on various dental topics in the Treatment and Procedure tool

        Dedicated Customer Service
        After enrollment, you will receive more specific information regarding your plan. The Dental Customer Service center is
        also available to answer questions about eligibility, claims, coordination of benefits and provider information. Call Custom-
        er Service from 7:30 a.m. to 6 p.m. (CT), Monday through Friday, at 800-367-6401.
        General benefit information is available at bcbsil.com.
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