Blue Cross Blue Shield FEP Dental
Section 3 How You Obtain Care
Section 3 How You Obtain Care
Pre-treatment Estimate
Pre-treatment estimates are not mandatory. However, we do recommend that your dentist submits a pre-treatment estimate if you are considering major or extensive dental care such as implant services and/or fixed partial dentures. Pre-treatment estimates should include a comprehensive treatment plan and necessary supporting documentation such as, chart notes, radiographic images, and photos.
If more than one service can be used to treat a dental condition, benefits may be alternated to a less costly procedure that meets broadly accepted national standards of dental practice.
We will provide a non-binding, explanation of benefits to both you and your dentist that will indicate if procedures are covered and an estimate of what we will pay for those specific services. The estimated plan allowance is based on your current eligibility and benefits in effect at the time of the pre-treatment estimate. Submission of other claims or changes in eligibility or benefits may alter final payment. A pre-treatment estimate is not a guarantee of benefits.
Pre-treatment estimates are valid through the calendar year in which they are processed, or 12 months, subject to eligibility and plan limitations.
Submit pre-treatment estimates to BCBS FEP Dental at the address below. Do not send pre-treatment estimates to your medical plan.
BCBS FEP Dental
P.O. Box 75
Minneapolis, MN 55440-0075
If more than one service can be used to treat a dental condition, benefits may be alternated to a less costly procedure that meets broadly accepted national standards of dental practice.
We will provide a non-binding, explanation of benefits to both you and your dentist that will indicate if procedures are covered and an estimate of what we will pay for those specific services. The estimated plan allowance is based on your current eligibility and benefits in effect at the time of the pre-treatment estimate. Submission of other claims or changes in eligibility or benefits may alter final payment. A pre-treatment estimate is not a guarantee of benefits.
Pre-treatment estimates are valid through the calendar year in which they are processed, or 12 months, subject to eligibility and plan limitations.
Submit pre-treatment estimates to BCBS FEP Dental at the address below. Do not send pre-treatment estimates to your medical plan.
BCBS FEP Dental
P.O. Box 75
Minneapolis, MN 55440-0075