BlueCross BlueShield of Oklahoma Dental
Group Number: K19574
Customer Service Telephone: (877) 219-4301
Customer Service Hours: 8 a.m. to 8 p.m. Monday-Friday
The dental plan offers two options: Low Plan Option and High Plan Option. The dental plan allows you the freedom to choose any dentist you wish. However, your benefit will be greater and out of pocket expenses will be lower when you choose a Contracting Network Dentist. Below highlights the differences between choosing a Contracting Network Dentist (In-Network) and a Non-Contracting Dentist (Out-of-Network), who is not part of the BlueCross BlueShield of Oklahoma’s Dental network.
Please note that dental is a “freestanding” product and can be purchased separately from the health product.
Please refer to Retiree Guide to Benefits or Plan Documents for more comprehensive information.
What is a predetermination request?
When the course of treatment will be in excess of $300, a predetermination request should be submitted to BlueCross BlueShield of Oklahoma in advance of treatment. Failure by the dental provider to submit a predetermination request prior to treatment may result in the claim(s) being denied.
Does the dental plan have a pre-existing condition exclusion?
A pre-existing condition exclusion will apply to expenses involving the replacement of teeth that were missing prior to the effective date of the dental contract. This exclusion will not apply to:
Any participant who becomes effective on the dental contract date who was covered under a previous group dental care contract by the Employer.
Any participant who has been continuously covered for 24 months under a group dental care contract with BlueCross BlueShield of Oklahoma which included prosthetic benefits.