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CareFirst BlueCross BlueShield (CareFirst) Traditional Indemnity Dental
(Maryland) offers a range of dental coverage with the freedom
to select any dental provider for care. Members will have the lowest out-of-pocket
cost by using a participating dental provider.
Advantages:
- Network of participating 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 participating dental provider
- Participating dental providers accept CareFirst’s allowed benefit as payment in full for covered services
- No claim forms to file when visiting a participating 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 Access Care:
1. When Using Participating Dental Providers:
- Members can locate a participating dental provider by reviewing the Traditional/Indemnity
Network (Maryland) in the Find
a Doctor section of www.carefirst.com,
or referring to the printed directory.
- The CareFirst member ID card is shown a participating dental provider at
time of service.
- There are no claim forms to file and no balance billing; members are only
responsible for deductibles and coinsurance.
2. When Using Non-Participating Dental Providers:
- If members visit a dental provider who does not participate with CareFirst,
they may be subject to higher out-of-pocket costs and be balance billed up
to the provider's charges. They will also need to file their own claim forms.
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