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Dental — FAQs

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How does a member know if their dentist belongs to the DenteMax* network?
Members can ask their dentist if he or she belongs to the DenteMax network, or they can visit the DenteMax Web site or contact customer service to locate a DenteMax dentist. Remind members that their out-of-pocket amount will be lower if they select a network dentist.

* Blue Cross Blue Shield of Michigan uses the DenteMax network for its dental plans. DenteMax is an independent company that provides a network of PPO dentists to Blue members.

Outside the network, how does a member know if their dentist is a participating or a non-participating dentist?
Because non-network dentists participate with us on a "per-claim" basis, members should ask their dentist if he or she participates with us. Members' out-of-pocket amount will be lower if their dentist participates. Remind members to ask the dentist if he or she participates each time they visit their dental office.
How will a member know ahead of time what their copay percentage will be?
The dentist can let members know before they schedule treatment so members will be prepared.
If a member chooses a network dentist, can he or she switch to another dentist?
Yes. At any time members can choose a different DenteMax network dentist or switch to a dentist who isn't in the network (unless their product is an EPO — then they must choose a network provider). The choice is theirs — we don't need to be notified when they change dentists.
How does a member know if planned dental work is a covered service?
Members can check the Your Benefits Guide booklet or contact customer service. Their dentist can request predetermination for any non-urgent, complex or expensive procedures. This way, both member and dentist will know what's covered and what the member out-of-pocket costs will be before treatment begins.
How does a member know if planned treatment has a less expensive alternative treatment available?
When the dentist requests predetermination, we let him or her know if there is a less costly method we've approved and what the options are. Members also receive a copy of what we send to their dentist. Members are encouraged to discuss the options with their dentist so they can choose what is best for them.
What should members do if they have more questions?
They should contact customer service.