Dental coverage is different from medical coverage, with unique terms and conditions.
- Basic dental plans help offset the costs of diagnostic and preventive dental care.
- More comprehensive plans may also cover a percentage of services related to restorative care (such as fillings), oral surgery, orthodontics, or other complex procedures.
- Most plans apply a limit on benefit expenditures per calendar year (or per lifetime, in the case of orthodontic benefits). Once this calendar-year limit is reached, no additional services will be covered until the following year.
Participating dentists send claims to Blue Cross Blue Shield of Massachusetts for you; just show them your Dental Blue ID card. We will send payment directly to your dentist, if we receive claims within one year of completed service.
If you receive covered services that are provided in an emergency from a non-participating dentist because an in-network dentist was unavailable, you or the dentist may file an
Itemized Claim Form. Send the completed claim form to:
Blue Cross Blue Shield of Massachusetts
P.O. Box 986030
Boston, MA 02298