Dental Benefit

Your Blue Advantage (HMO) and Blue Advantage (PPO) dental benefit is administered through a company called United Concordia. Your Blue Advantage ID card includes the dental information. When you make a dental appointment, please be sure to tell the office staff you have Blue Advantage dental benefits through United Concordia. Also, be sure to confirm that the dental office is still participating with United Concordia and taking Blue Advantage members. Show your Blue Advantage ID card to the dental office staff when you arrive at each visit.

To take full advantage of your dental benefits, you must use a dentist in the network. The plan covers both preventive and comprehensive services (see list below). The amounts you pay for these services will not count toward your maximum out-of-pocket amount. These benefits do not apply to Medicare-covered dental services, such as dental care required to treat illness or injury, which may require prior authorization. Please contact customer service at 1-866-215-2357 (TTY 711) for more information on your dental benefit.

Preventive Services at Zero Coinsurance or Copayment:
  • Two visits for dental cleaning every year
  • One horizontal bitewing x-ray every three years
  • One oral exam every year
  • One fluoride treatment every year
Comprehensive Services at 50% Coinsurance:
  • One amalgam restoration (metal fillings) per tooth every three years
  • One resin-based composite restoration (anterior) per tooth per lifetime (amalgam only)
  • One endodontic therapy (root canals, etc.) and other endodontic services per tooth per lifetime
  • One adjustment of prosthetics (one per arch) every two years
  • One repair of prosthetics (one per arch) every three years
  • Simple extractions
  • Surgical extractions
  • One Palliative treatment (emergency treatment for dental pain) every year

Note: One every year means one every 12 months, not calendar year. (For example, one oral exam performed in June would mean the next oral exam could be performed the following June.)

Coverage limited to $1,000 per year.

Out-of-pocket maximum: None

For dental providers, please search the Blue Advantage Dental provider website or call 1-866-215-2357 (TTY 711).

Y0132_19-529_ITLU - Last updated 01/30/2020