The BlueCare Freedom Dental Advantage You’ve chosen a dental plan from Blue Cross and Blue Shield of Texas (BCBSTX), a Division of Health Care Service Corporation, a company that has provided dental coverage since 1973 and currently serves more than 800,000 dental members. We’ve been providing health care benefits longer than most companies have been around. Freedom to Choose As a BlueCare Freedom Dental plan member, you have lower out-of-pocket costs when you choose a dentist in the BlueCare dental network. You may also choose to use a DentaBlue dentist, however, your out-of-pocket costs may be greater. You and your dependents will receive benefits based on the BCBSTX allowable amount and will not be billed for any remaining balance. In addition, you will not be responsible for charges over the allowable amount and you will not have to file claims. You will only be responsible for any coinsurance or deductible as well as limited and non- covered services. With BlueCare Freedom Dental, you always have the option to receive care from dentists who are not in the network. However, your out-of-pocket expenses may be higher. Non-contracting dentists will charge their regular fee and may bill you for the balance not covered by your benefit plan. Additionally, you may have to submit your own claims for reimbursement. Finding a Dentist Is Easy With more than 139,000 dental access points throughout the U.S. and 12,700 in Texas, BCBSTX offers you flexibility in choosing a dentist. A complete list of contracting dentists * can be found online. Visit www.bcbstx.com and use the Provider Finder. Under Find a Doctor, select BlueCare Dental, or DentaBlue, in the dropdown menu, and click Find. You can search for a contracting dentist near your home, school or office, and conveniently download a map with driving directions. In addition, you can create and print a custom provider directory based on your preferences. You also may call our Customer Service Center toll-free at (800) 521-2227 for help finding a dentist. For a complete list of contracting general and specialty dentists, go to www.bcbstx.com and use the Provider Finder ® . Under Find a Doctor, select BlueCare Dental, or DentaBlue, in the dropdown menu, and click Find. For the lowest out-of-pocket costs to you, select a dentist from the BlueCare Dental link. BlueCare ® Freedom Dental See a BlueCare Dental or DentaBlue Dentist See a Non-contracting Dentist Your out-of-pocket costs will generally be the least Your out-of-pocket costs may be greater amount with BlueCare dentists who have contracted because non-contracting dentists have not to accept a lower allowable amount as payment in entered into a contract with BCBSTX to accept full for eligible dental expenses. any allowable amount as payment in full for eligible dental expenses. Out-of-pocket costs may be greater for DentaBlue dentists who have contracted at a higher allowable amount. You are not required to file claim forms. You may be required to file your own claim forms. You are not balance billed for costs exceeding You are balance billed for costs exceeding the BCBSTX allowable amount for BlueCare or the BCBSTX allowable amount. DentaBlue dentists. • • • • • • • * Blue Cross and Blue Shield of Texas does not guarantee the services of any dentist or health care provider. Participating dentists are not employees, agents or legal representatives of Blue Cross and Blue Shield of Texas.