BCBS Dentist Scottsdale

A woman filling out a dental insurance form.

Learn More About the Benefits of BCBS/BCBS Anthem

While dental care is an essential service, it isn’t always easy on a person’s finances. A given treatment for your smile can prove expensive in many cases. With that said, our practice tries to make things easier by serving as a BCBS/BCBS Anthem dentist in Scottsdale. We’re proudly in-network with BlueCross Blue Shield and its Anthem counterpart, so insured patients can enjoy more affordable care. For further details, please keep reading or book a consultation today.

An insurance agent discussing dental insurance with a client.

BCBS/BCBS Anthem Coverage Availability & Fees

Between “regular” BlueCross BlueShield and Anthem BlueCross BlueShield, there are three standard plan types:

  • (Non-Anthem) PPOs & HMOs – BlueCross BlueShield offers fairly comprehensive PPO and HMO plans. The former possess statewide and national networks of dentists, while the latter have set copays and no deductibles or annual maximums.
  • (Anthem) Essential Choice PPOs – Under Anthem, an Essential Choice PPO plan boasts 100% coverage for diagnostic and preventive dental care. It also has shorter waiting periods for basic, complex, and major services.
  • (Anthem) Dental Family PPOs – If a patient has this type of Anthem plan, they enjoy a low deductible, full coverage for diagnostic and preventive services, and pediatric benefits for kids up to age 18. Furthermore, the annual maximum can be quite high.

Regardless of plan type, BlueCross BlueShield (and BCBS Anthem) coverage is fairly stable. Most policies cover treatments according to the categories below:

  • 100% of preventive services – When a patient has a plan through Anthem or BCBS itself, they won’t have copays for dental checkups, cleanings, X-rays, etc.
  • 70-80% of basic restorative services – Both BCBS and BCBS Anthem will cover up to 80% of basic restorative services. Examples of the latter include dental fillings, simple extractions, and emergency pain relief.
  • 50-70% of major restorative services – Patients get at least partial coverage for “basic” restorative services like root canals, dentures, and dental implants.

Under plans for BlueCross BlueShield or BCBS Anthem, patients usually get a one-year benefit period. This timeline extends from January to December of the same year. It also applies yearly maximums and limits to each individual family member.

A dental team member handing an insurance form to a patient.

The Benefits of Seeing an In-Network Dentist

If you can, you should always try to see an in-network dentist. Such a dental provider will offer more benefits than one outside your network.

Say you visit us with a BlueCross BlueShield policy, for instance. You can expect us to help you navigate the terms of your coverage. At the same time, we’ll file your claims on your behalf; this means less paperwork for you. Our team will also ensure you receive the most coverage, which will lead to highly cost-effective treatment.

Please call ahead of your visit to enjoy these upsides. Once you share your insurance details with us, we’ll maximize your benefits!