Basic services, which include oral examinations, prophylaxis, diagnostic evaluations, sealants and X-rays.
Intermediate services, which include restorative procedures such as fillings, prefabricated stainless steel crowns, periodontal scaling, tooth extractions, and denture adjustments.
Major services, which include endodontic services such as root canals; periodontal services such as gingivectomy; major restorative services such as crowns, oral surgery, and bridges; and prosthodontic services such as complete dentures.
Orthodontic services are also included for both children and adults.
Yes, Blue Cross Blue ShieldBCBS FEP Dental offers a Self Plus One Option.
OPM establishes the options that will be available to Federal Employees. Eligible individuals can enroll in a dental and/or vision plan. They may enroll in a plan for Self Only, Self Plus One, or Self and Family coverage. Eligible family members include your spouse and unmarried dependent children under age 22. This includes legally adopted children and recognized natural children who meet certain dependency requirements. This also includes stepchildren and foster children who live with you in a regular parent-child relationship. Under certain circumstances, you may also continue coverage for a disabled child 22 years of age or older who is incapable of self-support.
For Retired Uniform Service members, eligible family members include your spouse, unmarried widow, unremarried widower, unmarried child, an unremarried former spouse who meets the U.S. Department of Defense's 20-20-20 or 20-20-15 eligibility requirements, and certain unmarried persons placed in your legal custody by a court. Children include legally adopted children, stepchildren, and pre-adoptive children. Children and dependent unmarried persons must be under age 21 if they are not a student, under age 23 if they are a full-time student, or incapable of self-support because of mental or physical incapacity.
FEDVIP rules and FEHB rules for family member eligibility are NOT the same. However, the Service Benefit Plan does offer a Self Plus One Option.
There is a $75 deductible per person for Standard Option and $50 deductible per person for High Option when you use an out-of-network provider. A deductible is a fixed amount of expenses you must incur for certain covered services and supplies before we will pay for covered services. You are also required to pay a coinsurance amount after meeting your deductible for out-of-network services and class B and C services. A coinsurance is the percentage of our allowance that you must pay for your care.
In most cases, you will not have to pay anything up front; the provider will bill you for any owed amount.
Yes, FEDVIP age requirements for eligibility are unmarried dependent children under age 22 for Federal Employees. This includes legally adopted, natural children, stepchildren, and foster children in a regular parent-child relationship. For Retired Uniform Service members, unmarried dependent children may be included on your coverage if under age 21 if they are not a student or under age 23 if they are a full-time student. The FEHB rules view unmarried or married children under the age of 26 as eligible.
BCBSBlue Cross Blue Shield FEP Dental provides comprehensive dental coverage your medical coverage does not provide. For instance, Blue Cross Blue ShieldBCBS FEP Dental will cover a percentage of your charges for services such as crowns, root canals, periodontal scaling, dentures, and orthodontic. Whereas the medical coverage is limited to services such as exams, cleanings, some X-rays, etc.
With Blue Cross Blue ShieldBCBS FEP Dental, you automatically pay premiums through payroll deductions using pre-tax dollars. Annuitants/retired uniformed service members automatically pay premiums through annuity deductions using post-tax dollars. The FEDVIP rules are not applicable to Federal DentalBlue.
Blue Cross Blue ShieldBCBS FEP Dental is a nationwide program and also covers overseas employees. Federal DentalBlue is only offered in a few states.
Yes, you can keep your Federal DentalBlue coverage, but it will not be subject to payroll deductions and unlike Blue Cross Blue ShieldBCBS FEP Dental, it will not have the tax advantages.
Simple! If you have our medical coverage your benefits will automatically be coordinated with Blue Cross Blue ShieldBCBS FEP Dental. Just show your dental I.D. card and your medical I.D. card to your dentist. Your dentist will file directly with the local BCBS Plan (or other medical carrier listed on your medical coverage I.D. card) for primary coverage and then the claim will be sent to Blue Cross Blue ShieldBCBS FEP Dental making it seamless to you and your dentist.
You can submit your FEDVIP co-payments/deductibles as eligible expenses against your FSA account. However, FEDVIP insurance premiums are not reimbursable under an FSA.
The Paperless Reimbursement (PR) is an optional program available to Blue Cross Blue ShieldBCBS FEP Dental participants who have elected to participate in the FSAFEDS program. Participants can have their out-of-pocket dental expenses sent electronically from Blue Cross Blue ShieldBCBS FEP Dental to FSAFEDS for processing towards their health care FSA account. To enroll in PR, visit www.FSAFEDS.com and log into "My Account Summary", then Paperless Reimbursement. You may also contact FSAFEDS at 1-877-FSAFEDS (372-3337), TTY: 1-800-952-0450, Monday through Friday, 9 AM- 9 PM EST.
You can obtain care from any licensed dentist in the United States or overseas. You are not required to select a primary care dentist. Members are free to select the dentist of their choice. If you use an in-network provider, you are responsible only for covered charges up to our negotiated plan allowance per procedure.
If the dentist you use is not part of our network, benefits will be considered out-of-network. Because these providers are out of our network, we pay for their services based on an out-of-network plan allowance. You are responsible for the difference between the plan's payment and the amount billed.
There are over 375,000 access points nationwide to receive in-network services. To find a provider in your area, please visit www.bcbsfepdental.com and click on Find A Provider or call 1-855-504-BLUE (2583).
You can find the in-network dentists on our website - www.bcbsfepdental.com and click on Find A Provider or call 1-855-504-BLUE (2583).
Yes. By checking with your dentist or looking on www.bcbsfepdental.com (click on Find a Provider), you are assured that your dentist is still participating in the network. Additionally, only providers listed with their corresponding locations are in network. Not all dentists at a location may be in network and the same provider at a different location may not be in network. It is your responsibility to ensure the listed provider is active and in network at the time you receive services. Consult your Blue Cross Blue Shield FEP Dental Brochure for more information regarding your plan design.
Yes, generally you will pay less out of your pocket if you use our in-network dentists. If the dentist you use is not part of our network, benefits will be determined based on the out-of-network benefit level. Because these providers are out of our network, payment will be based on the lesser of the provider's actual charge or the maximum allowed amounts established by Blue Cross Blue Shield FEP Dental for services rendered by out-of-network providers. You are responsible for the difference between our payment and the amount billed. If a member chooses to go out of network, payment will be made directly to the member. Additionally, if you use an out-of-network dentist you may have to pay the dentist first, and then submit the claim to Blue Cross Blue Shield FEP Dental.
There is a $75 deductible per person for Standard Option and $50 deductible per person for High Option when you use an out-of-network provider. A deductible is a fixed amount of expenses you must incur for certain covered services and supplies before we will pay for covered services. You are also required to pay a coinsurance amount after meeting your deductible for out-of-network services and class B and C services. A coinsurance is the percentage of our allowance that you must pay for your care.
In most cases, you will not have to pay anything up front; the provider will bill you for any owed amount.
Get recommendations from friends, neighbors, coworkers and family members to find a dentist who matches your needs and values. A convenient location and clinic hours, possibly including Saturday and evening hours, may also be important considerations for you.
Having a dentist whom you visit regularly and feel comfortable with is important to your overall oral health. The dentist you select should be someone you can talk to, who will listen to your questions and concerns and who will answer your questions fully. Here are some questions to ask when selecting a dentist:
Start by asking questions. Having more information puts you in a better position to make informed decisions. Depending on your situation, you might consider asking the following questions:
No. If you are currently eligible for enrollment under the FEHB program, (even if you are not currently enrolled) you are eligible to enroll in FEDVIP. Eligible family members include your spouse and unmarried, dependent children under age 22, or over age 22 if incapable of self-support. For Retired Uniform Service members, unmarried dependent children may be included on your coverage if under age 21 if they are not a student or under age 23 if they are a full-time student.
If you sign up for Blue Cross Blue ShieldBCBS FEP Dental during the 2020 Open Season, your coverage will begin on January 1, 2021. Premium deductions will start with the first full pay period beginning on/after January 1, 2021.
You may also enroll within 60 days after you become eligible as:
The time for you to sign up for Blue Cross Blue ShieldBCBS FEP Dental is Open Season.
You may also enroll within 60 days after you become eligible as: