The Dental benefits are provided for you and your eligible dependents to cover services for the care and maintenance of teeth, including diagnostic, preventative, and restorative services.
To learn more about dental services available to you, please refer to the Dental Care section of the Health Benefits Plan Booklet. Coverage information is also available by logging in to your PBC Member Profile or the PBC mobile app.
How to File a Claim
Present your Member ID card to your dentist’s office. Your dentist may be able to submit claims directly to Pacific Blue Cross so that you will not have to be out of pocket for the amount covered by the Plan.
If your dentist charged you for the full cost of the services provided, you can claim for reimbursement using the PBC Dental Claim form. Your dentist may be able to complete and submit the form on your behalf.
Any questions on completing the form should be directed to the Administrator.
It is important to ask if your Dental benefits will cover the entire cost of your treatment. We strongly recommend that your dentist submit an outline of the proposed services to the Plan before you start treatment. This is important especially when your dentist is recommending extensive dental work. This will help you understand your portion of the cost of the treatment, in the event that you wish to proceed as recommended by your dentist.