DentalBlueSomething to Smile About

Lincoln County Health System

DentalBlue

Dental is the second most requested employer benefit only behind medical

• Despite increased attention to health, many adults neglect dental care.

• Approximately 98 percent of all serious dental problems begin with gradual deterioration of the teeth and gums.

• An estimated 7 million days of work are lost in the United States annually because of "dental conditions."

• New studies show that dental health is linked to other serious medical conditions such as heart disease, diabetes, stroke and birth of pre-term low-birth weight babies.

• Regular exams can also detect oral cancers.

Dental Care Is Important

DentalBlue

DentalBlue offers:

• Periodic dental exams and cleanings

• Low or no cost sharing on routine exams and x-rays

• Savings on periodontics, endodontics, oral surgery and more

• Largest dental PPO network in the state

• Freedom to choose any dentist

Dental Care Is Part of Your Overall Health

DentalBlue

• Considerable cost savings when using a dentist who is a Network Provider

• 70% of all dentists in Tennessee are in the network, over 2,000 in all

• Network dentists have agreed to discount fees that can save you an average of 15-30% off retail charges

• Periodontal surgery can cost $800 or more, but may only cost $560 if a network dentist is used. If your plan pays 50% for Coverage C you can pay $400 or $280 depending on the dentist you use.

• National network coverage through DenteMax – Now if you or a family member lives or travels outside of the service area can have access to over 65,000 dental network providers

Advantages of In-network Care

• Benefits are arranged into four levels of coverage, A-D. Your plan only provides coverage for level A and B services.

• The standard coverages are summarized on the next four pages. However, this summary should only be used as a general guide as there are additional limitations and exclusions which will apply. A sample Evidence of Coverage and a Schedule of Benefits should also be made available to you.

DentalBlueStandard Plan Designs

Coverage A includes:

• Diagnostic Services – exams, x-rays

• Preventive Services – prophylaxis (cleanings),

fluoride, sealants, and space maintainers

DentalBlueCoverage A

Coverage B includes:

• Basic Restorative Services – amalgam restorations (silver fillings),

resin composite restorations (tooth colored fillings), and stainless

steel crowns• Basic and Major Endodontics – pulpotomy, pulpal therapy, and

root canal treatment• Basic and Major Periodontics – non-surgical periodontics,

including periodontal scaling and root planning, debridement and

periodontal maintenance procedures; surgical periodontics

including gingivectomy, osseous surgery and grafting• Basic and Major Oral Surgery - non-surgical or simple extractions,

surgical extractions and other surgical procedures typically not

covered under a medical plan• Other Services – palliative (emergency) treatment for the relief of

pain, denture repairs

DentalBlueCoverage B

Coverage C includes:

• Major Restorative – crowns, inlays, onlays, veneers,

and other restorative services

• Prosthodontic Services - fixed partial dentures

(bridges), removable dentures, and other prosthodontic

services

These services are not covered under your plan.

DentalBlueCoverage C

Coverage D includes:

• Orthodontic Services – for the straightening and

alignment of teeth, including exams, photographic

images, diagnostic casts, x-rays, installation, and

adjustment of orthodontic appliances

These services are not covered under your plan.

DentalBlueCoverage D

DentalBlue

DentalBlue brings you additional value:• Responsive customer service here in Tennessee

• On-line claim look-up with BlueAccess

• Discounts on vision care, weight loss, health clubs, massage therapy, acupuncture and more with BluePerks

DentalBlueValue Added Features

DentalBlue:

• Affordable plans

• A focus on preventive dental care

• Freedom to use any dentist

• Largest PPO network in Tennessee with national network access

• Big savings with In-network dentists.

• Value added features with BlueAccess and BluePerks

Summary

Thank you.

Any questions?

Visit www.bcbst.com

DentalBlue