How It Works

When it's time to see a dentist, just follow these simple steps:

  1. Call to schedule an appointment with any licensed North Carolina dentist.
  2. Present your BCBSNC member ID card at the dentist's office.
  3. Send claim to:

    BCBSNC Dental Blue Select Claims Unit
    PO Box 2400
    Winston-Salem, NC 27102
  4. Receive the status of your claim in two to three weeks.

Limitations and exclusions

This is a partial list of services that are not covered. Please consult your benefit booklet for complete information. Your dental benefit plan does not cover services, supplies, drugs or charges that are:

  • Not clinically necessary
  • Investigational in nature or obsolete, including any service, drugs, procedure or treatment directly related to an investigational treatment
  • Not prescribed or performed by or upon the direction of a dentist or other provider
  • Received prior to the member's effective date
  • Received on or after the coverage termination date, regardless of when the treated condition occurred and regardless of whether the care is a continuation of care received prior to the termination
  • For telephone consultations, charges for failure to keep a scheduled visit, charges for completion of a claim form, charges for obtaining dental records and late payment charges
  • Incurred more than 18 months prior to member’s submission of a claim to BCBSNC, except in the absence of legal capacity of the member
  • For complications or side effects arising from services, procedures or treatments excluded from coverage under this dental benefit plan
  • Provided and billed by a licensed dental care professional who is in training
  • Available to a member without charge
  • For care given to a member by a provider who is in a member's immediate family
  • In excess of the allowed amount
  • For cosmetic purposes except when such care is necessary for the correction of deformity caused by an injury or illness
  • For dental implants, oral orthotic devices, palatal expanders and orthodontics except as specifically covered by your dental benefit plan
  • Dental services provided in a hospital, except when a hazardous condition exists at the same time or covered oral surgery services that are required at the same time as a result of a bodily injury