The BlueCare Dental PPO product offered by Blue Cross and Blue Shield of Texas (BCBSTX) is a product available for purchase on a self-funded basis only. The PPO dental plan provides a higher level of benefits when members receive treatment from BlueCare Dental participating providers. Members also have the option to receive care from dentists who are not in the network. However, the lower benefit plan level will apply and out-of-pocket expenses will be higher when receiving care from an out-of-network dentist. Non-contracting dentists will charge employees their regular fee and may bill them for the balance not covered by the dental benefit plan. Additionally, members may have to submit claims for reimbursement.
Fully Insured Summary of Dental Benefits
BlueCare Dental Freedom
The BlueCare Dental Freedom product provides lower out-of-pocket costs when the member chooses a dentist in the BlueCare DentalSM network. Members may also choose to access a DentaBlueSM dentist and receive benefits based on the Blue Cross and Blue Shield of Texas (BCBSTX) DentaBlue allowable amount. In addition, members are not responsible for charges over the allowable amount for covered services—just deductible, coinsurance amounts, and limited or non-covered services.
BlueCare Dental Freedom provides members the option to receive care from dentists not in the network, and still receive benefits.
You may choose to provide a Dual Option Dental plan offering. This allows a choice between two BlueCare Dental Freedom plans. For groups with 51 to 150 employees, available dual option pairings can be found in the link below.
Both BlueCare Dental PPO and BlueCare Dental Freedom offer members access to the BlueCare Dental ConnectionSM program. This program integrates dental care management and health care management with a focus on preventive care and individual involvement. It provides members with education and intervention through support tools and educational mailings.
For more detailed information on the plan designs available, covered benefits, services and supplies that are limited or excluded, general administration of the plan, or any other questions you may have regarding our products and services, visit the Contact Us page for the number of the regional sales office near you.
Dental Wellness Center
BlueCare Dental Connection