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CareFirst BlueCross BlueShield (CareFirst) Traditional Indemnity Dental (National Capital Area) offers a range of dental coverage with the freedom to select any dentist for care. Members will have the lowest out-of-pocket cost by using a participating dental provider.
Advantages:
- Network includes participating dental providers throughout the National Capital Area
- 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
- Participating dental providers accept CareFirst’s allowed benefit as payment in full for covered services
- No balance billing when visiting a participating dental provider
- 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 51 or more employees
- Out-of-network care - Members have the option of seeing any dentist for care; however, they will be required to file their own claim forms and may 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 DC Traditional/Indemnity Dental Network in the Find a Doctor section of www.carefirst.com, or referring to the printed directory.
- The member ID card is shown to 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 dentist 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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