Maryland Preferred (PPO) Dental

CareFirst BlueCross BlueShield (Carefirst) Maryland Preferred Dental offers the freedom to see any dentist and the opportunity to lower out-of-pocket costs by visiting a Preferred dental provider.

Advantages:

• Network of Preferred dental providers throughout the Maryland region
• Dental coverage includes:
  • Preventive care such as cleanings and X-rays
  • Basic services such as fillings and extractions
  • Major surgical services including oral surgery and root canal therapy
  • Major restorative services including dentures and fixed bridges and crowns
• Members are only responsible for deductibles and coinsurance when using a Preferred dental provider
• Preferred dental providers accept CareFirst’s allowed benefit as payment in full for covered services
• No claim forms to file when visiting a Preferred dental provider
• Nationwide emergency coverage

Additional Features:

• Orthodontia coverage – An optional orthodontia benefit is available for groups with two or more employees
• Out-of-network care – Members have the option of seeing any dentist and still receive coverage. However, they may have to file their own claim forms and pay higher out-of-pocket costs

How to Use Benefits:

1. When Using Preferred Dental Providers:

• Members can locate a Preferred dental provider by reviewing the Maryland PPO Dental Network in the Find a Doctor section of www.carefirst.com, or referring to the printed directory.
• The CareFirst member ID card is shown to a Preferred dental provider at time of service.
• There are no claim forms to file and no balance billing; members are only responsible for deductible and coinsurance.

2. When Using Non-Preferred Dental Providers:

• If members visit a dentist who participates with CareFirst, but not the Preferred Dental Network, they may be subject to higher out-of-pocket costs, but will not need to file claims and will not be balance billed.
• If members visit a dentist who does not participate with any CareFirst network, they may be subject to higher out-of-pocket costs and be balance billed up to the provider’s charges. Members will also need to file their own claim forms.