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Introduction
Table of Contents
Changes for 2025
FEDVIP Program Highlights
Section 1 Eligibility
Section 2 Enrollment
Section 3 How You Obtain Care
Section 4 Your costs for Covered Services
Section 5 Dental Services and Supplies Class A Basic
Class B Intermediate
Class C Major
Class D Orthodontic
General Services
Section 6 International Services and Supplies
Section 7 General Exclusions - Things We Do Not Cover
Section 8 Claims Filing and Disputed Claims Process
Section 9 Definitions of Terms We Use in This Brochure
Discounts
Tools and Resources
Summary of Benefits
Stop Health Care Fraud!
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Blue Cross Blue Shield FEP Dental Brochure - 2025

 
 

 

Blue Cross Blue Shield FEP Dental
Section 3 How You Obtain Care

 

Out-of-Network

 

You may obtain care from any licensed dentist. If the dentist you use is not part of our network, we will pay for their services based on an out-of-network benefit level and plan allowance, resulting in a lower annual maximum benefit. You are responsible for the difference between our payment and the amount billed. If you choose to go out of network, we will pay our portion to the contract holder directly.
 

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