2022 Preventive Dental Benefit
Regular dental exams help prevent oral infections, which have been linked to more serious diseases.
Dental care is important to your overall health. That’s why all 2022 Highmark Blue Shield of Northeastern New York Medicare Advantage plans include preventive dental coverage. Be sure to show your member ID card before receiving covered preventive dental services at your next visit.
Using this benefit is simple
With no dental network, you can see any dentist you choose. Schedule your dental appointment and pay the provider in full at the time of service. Then, submit a Medicare Advantage dental reimbursement form, itemized bill, and paid receipt to Blue Cross Blue Shield. You will receive a check for the cost of your covered services minus your $10 copayment(s). You must submit your claim to us within 12 months of the date you received the service.
Preventive dental covers two routine/periodontal cleanings and oral exams per year and yearly x-rays.
|Routine/Periodontal Cleanings*||Twice a year||$15 copay per service|
|Oral exam*||Twice a year||$15 copay per service|
|X-rays||4 bitewings OR 1 full-mouth X-ray, once a year||$15 copay per service|
*One cleaning and oral exam for Freedom Basic (HMO)
Have questions about Medicare?
Highmark Blue Shield Personal Medicare Advisors are here to help — every step of the way.
Call us at 1-833-735-4512 (TTY 711).
October 1 - March 31, 8 a.m. to 8 p.m., 7 days a week
April 1 - September 30, 8 a.m. to 8 p.m., Monday - Friday
Did you purchase optional supplemental dental coverage? Click here to learn more.
Highmark Blue Shield of Northeastern New York (Highmark BSNENY) is a trade name of Highmark Western and Northeastern New York Inc., an independent licensee of the Blue Cross Blue Shield Association. Highmark BSNENY is a Medicare Advantage plan with a Medicare contract and enrollment depends on contract renewal. Highmark BSNENY complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-833-735-4515 (TTY 711). 注意：如果您使用繁體中文，您可以免費獲得語言援助服務。請致電 1-833-735-4515 (TTY 711).
Content last updated: October 1, 2021