DentalBlue Gold, Silver & Bronze Members
BlueCare Dental Members
DentalBlue Gold, Silver and Bronze Member
Deductibles, Coinsurance and "Roll Overs"
- In most cases, members are responsible for deductibles and coinsurance at the time
services are performed.
- If you met your deductible on another dental plan, you cannot receive credit toward
this plan’s deductible.
- With DentalBlue Gold, you may "roll over" a portion of your unused maximum benefit
to the next year ($350) if you submit at least one claim during the year and your
total claims do not exceed $500 for the year.
Dependent Coverage
- Stepchildren are eligible for coverage.
- Single, dependent children are covered to age 26 as long as premiums are paid when
due. When a dependent turns age 26, he or she will be enrolled automatically in
an individual dental plan of his or her own. A notice will be sent to you and your
dependent.
Payment of Premium
- Members have a "grace period" of 31 days to pay a premium after it is due. However,
if the payment is not received, the policy will be terminated on the date the premiums
were due.
- If your policy does get cancelled due to non-payment of premiums, it may be reinstated
within 60 days if the premium is paid (certain rules may apply). To get your policy
reinstated and pay your premium, call 1-800-238-8379.
Waiting Periods
- If you had dental coverage with another insurance company and now you have either
our Silver or Gold plans, the waiting period for minor restorative services can
be waived if you submit proof of Minor Restorative Creditable Coverage. Your Certificate
of Creditable Coverage needs to reflect minor restorative coverage.
- If you have applied for coverage under DentalBlue and your coverage has been in
place for at least six months with BlueCare Dental, we will waive the six-month
minor restorative waiting period.
- Although you have had prior dental coverage, the waiting period for major restorative
services under the Gold plan cannot be waived.
Other Things to Know
- Monthly premiums can automatically be deducted from your bank account. Call 1-800-238-8379
for more information.
- Orthodontic services are not covered.
- If you visit a nonparticipating dentist and need to have your claim processed, please
mail your claim form to:
Dental Claims Administrator
P.O. Box 69436
Harrisburg, PA 17106-9436
BlueCare Dental Members
Deductibles, Coinsurance and "Roll Overs"
- In most cases, members are responsible for deductibles and coinsurance at the time
services are performed.
- BlueCare Dental does not allow members to "roll over" any unused benefits for use
in the next calendar year.
- If you met your deductible on another dental plan, you cannot receive credit toward
this plan’s deductible.
Dependent Coverage
- Stepchildren are eligible for coverage.
- Single, dependent children are covered through age 18 as long as premiums are paid
when due. When a dependent turns age 19, he or she will be enrolled automatically
in an individual dental plan of his or her own. A notice will be sent to you and
your dependent.
Payment of Premium
- Members have a "grace period" of 31 days to pay a premium after it is due. However,
if the payment is not received, the policy will be terminated on the date the premiums
were due.
- If your policy does get cancelled due to non-payment of premiums, it may be reinstated
within 60 days if the premium is paid (certain rules may apply). To get your policy
reinstated and pay your premium, call 1-800-238-8379.
Waiting Periods
- If you had dental coverage with another insurance company, it does not count toward
offsetting the waiting periods or deductibles with BlueCare Dental.
Other Things to Know
- New enrollments for this product are no longer being accepted after Jan. 1, 2011. However, new affordable plans are available.
- Orthodontic services are not covered.
- If you visit a nonparticipating dentist and need to have your claim processed, please
mail your claim form to:
Dental Claims Administrator
P.O. Box 69436
Harrisburg, PA 17106-9436