Important: You won’t be able to enroll in a BCBS dental plan unless you’re ALSO currently signing up for a health plan during a Special Enrollment Period. Check out your other dental options here. Open Enrollment for all plans is 11/01/20-12/15/20. We recommend Ameritas Dental as the best alternative in the meantime. Show
BlueCross BlueShield of Texas Dental Plan
With the BCBSTX dental plans, you’ll get dental coverage on day one with no deductible required for check-ups, cleanings and other preventive services. Most important, costs are typically reduced when you receive care from any BCBSTX participating network dentists. However, you also have the option to see any dentist not in the network, but your out-of-pocket costs may be higher. Some highlights of Dental Indemnity USA coverage:
Eligibility RequirementsYou must enroll in a BCBSTX health plan in order to enroll in the dental plan. You have up to 31 days from the effective date of your policy to enroll. All members on that health plan must be enrolled in Dental Indemnity USA. Once your dental plan is dropped for any reason, you cannot re-enroll unless you reapply for a new health insurance plan. There are three ways to enroll in BlueCare Dental PPO:
* Includes insured, spouse, and three or more children 1. This document does not contain a complete listing of the exclusion, limitations and conditions that apply to the benefits shown. For full information refer to the member’s certificate of benefits booklet. 2. Annual maximum does not apply to members under age 21. 3. Rates subject to change. 4. Region 1 rates apply to members residing in the following counties: Archer, Austin, Bastrop, Brazoria, Caldwell, Chambers, Clay, Collin, Dallas, Delta, Denton, Ellis, Fort Bend, Galveston, Grayson, Harris, Hays, Hunt, Johnson, Kaufman, Liberty, Montgomery, Parker, Rockwall, San Jacinto, Tarrant, Travis, Waller, Wichita, Williamson and Wise. 5. Region 2 rates apply to all members residing in counties outside Region 1 6 Out of Pocket Maximum only applies to members under age 21. 7. The plans listed above refer to the following plans on your Outline of Coverage: 01 = 1A, 02 = 1B, 03 = 2A, 96 = 4 Kids 1A, 97 = 4 Kids 1B All benefits are based upon the Allowable Amount, which is the amount determined by BCBSTX as the maximum amount eligible for payment of benefits. A Contracting Dentist cannotbalance bill for charges in excess of the Allowable Amount. Benefits for services provided by a Non-Contracting Dentist will be based upon the same Allowable Amount, and it is likely that the Non-Contracting Dentist will balance bill for amounts above this, resulting in higher out-of-pocket expenses. General Inquiries1-972-766-6900 Blue Cross and Blue Shield of Texas FEP Service Claims/Customer ServiceBlue Cross and Blue Shield of Texas PrecertificationDisease/Care Management ProgramsAsthma Chronic Obstructive Pulmonary Disease If you are deaf, hard of hearing, or have a speech disability, dial 711 for TTY relay services. For other language assistance or translation services, please call the customer service number for your local Blue Cross and Blue Shield company. Below you will find the claims address, customer service phone numbers, and plan contact information for all plan administrators. Contact your Human Resources office for more information.
How do I file a claim with Blue Cross Blue Shield of Texas?Any claim that can be submitted on paper can be submitted electronically. If you need more information on how to submit claims electronically call 1-800-AVAILITY (282-4548) or log on to Availity .
What is the payer ID for Blue Cross Blue Shield of Texas?Plan health care providers submitting claims via the Availity Health Information Network must use payer identification code 84980. If you use another clearinghouse, please confirm that the correct electronic payer identifier for BCBSTX is used with your electronic claim vendor. Electronic Data Interchange (EDI)?
Is BCBS the same as BCBS of Texas?BCBSTX is a Division of Health Care Service Corporation (which operates Blue Cross and Blue Shield plans in Texas, Illinois, Montana, Oklahoma and New Mexico), the country's largest customer-owned health insurer and fourth largest health insurer overall.
Where is BCBS Texas located?We maintain our state headquarters in Richardson, with regional offices in Houston, Austin and Lubbock. In addition, we process our members' claims in Texas in our claims and customer service facilities in Abilene, Marshall, Richardson, San Angelo, Waco and Wichita Falls.
How do I contact BCBS Texas?Call us toll-free at 1-888-657-6061 (TTY 711).
What is the timely filing for BCBS of Texas?Participating physicians, professional providers, ancillary and facility providers are requested to submit claims electronically to Blue Cross and Blue Shield of Texas (BCBSTX) within 95 days of the date of service, or by using the standard CMS-1500 or UB04 claim form.
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