Dental Coverage
Your Blue Cross Community Health Plans℠ (BCCHP) plan includes dental care.1 We work with DentaQuest®2 to help you get the dental care you need. It is important to use these benefits to keep your teeth healthy. Find helpful tips for healthy teeth on DentaQuest's website . Check out "Oral Health Tips and Education."
What is Covered?3
Many dental services are covered when you go to an in-network dentist. You do not need approval from your PCP for dental care. Some dental care requires prior approval before you get treatment. Without approval for those services, you may have to pay.
Dental benefits can vary depending on your age. Members who are pregnant or have special needs can also get extra dental care.
Members Over the Age of 21
- Two teeth cleanings per 12 months (2 total per year)
Note: BCCHP members can get an extra cleaning annually as part of member value-added benefits. - Two oral exams per 12 months (2 total per year)
- One set of preventive x-rays per 12 months
- Emergency dental services
- Fillings
- Crowns
- Limited root canals
- Limited dentures
- Limited oral surgery
- Extractions
Members Under the Age of 21
- One cleaning per 6 months (2 total per year)
- One oral exam per 6 months (2 total per year)
- One fluoride treatment per 6 months (2 total per year)
- Sealants
- Fillings
- Crowns
- Root canals
- Dentures
- Extractions
- Emergency dental services
Eligible Pregnant Members
Pregnant mothers also can get these extra dental services prior to the birth of their baby:
- Periodic oral exams
- Teeth cleaning
- Periodontal work
Check this brochure to learn more about dental health during pregnancy and what is covered.
Members with Special Needs
- Practice visits to the dentist
1 Dental benefits are not covered by Blue Cross and Blue Shield of Illinois for Managed Long Term Services and Supports (MLTSS) plan members.
2 DentaQuest is an independent company that provides dental benefits for Blue Cross Community Health Plans.
3 Some limits apply to general dentistry.