Your card. Your dental health. - Premera Blue Cross

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Welcome!It’s no secret—good dental health affects your overall health.As your dental plan, we are here to provide you with the benefits and widerange of services to help you maintain and improve your dental—andeveryday—health. And we get you the best value when you need care.This guide highlights the many ways you can use your Premera Blue Cross BlueShield of Alaska DentalBlue plan to your advantage—whether it’s finding thedentist you want, getting the preventive care you need, or receiving the serviceyou expect.It all starts with your Premera member card—always carry your card with youand present it to your dentist when you seek care.premera.comTake control of your dental benefits and health withjust a few clicks. See page 7 for more information.2
Know how your dental plan works.Save yourself time and money. Your benefits are easy to find. Take a fewminutes to register and log in at premera.com. What you learn about yourplan could mean big savings.A dental plan in actionHere’s an example of how youmight share costs with yourdental plan when you visit anin-network dentist. Thisexample is based on a dentalplan where the member:• Is covered-in-full for preventive and diagnostic services, suchas routine exams, cleanings and x-rays. You pay no deductiblefor these services.• Pays a $50 deductible for basic and major dental servicesbefore the plan benefits take effect.• Pays 20 percent for basic dental services, such as fillings andsimple extractions. Your plan pays the remaining 80 percent.• Pays 50 percent for major dental services, such as crowns,dentures, bridges and implants. Your plan pays the remaining50 percent.SERVICE Cost Your share Plan’s shareRoutine exam $50 $0 $50Bitewing x-rays (4) $50 $0 $50Routine cleaning $100 $0 $100Simple extraction $175 Deductible $50 / $25 $100Anterior root canal $750 Deductible met / $150 $600Total $1,125 $225 $900Having a dental plan saved you $900!**This is only an example. Actual coverage varies by plan.Need a new card, or other help?Register and log in at premera.com when you need to order anew card or call Customer Service at 800-508-4722, Monday–Friday,between 8 a.m.–5 p.m., for assistance.3
Page 1: Your card. Your dental health.
Page 5 and 6: Access our dental providernetwork a
Page 7 and 8: Free online member tools.Inform and
Page 9 and 10: When you use an in-network dentist,
Page 11 and 12: Thank youWe are proud to have serve

Your card. Your dental health. - Premera Blue Cross

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