You probably have received notices in the mail, but we thought it important to remind our patients that are SC State employees that October 2021 is Open Enrollment for your PEBA dental insurance. Only every two years, in October, are able to change your level of dental insurance. You have two options for dental coverage. Dental Plus pays more and has higher premiums and lower out- of-pocket costs. Basic Dental pays less and has lower premiums and higher out-of-pocket costs. As a Blue Cross Blue Shield network dentist in Beaufort SC, we strongly encourage our patients with Basic Dental to upgrade to Dental Plus.
Why We Strongly Encourage Dental Plus
- Because there is no network for Basic Dental, upgrading to Dental Plus gives you lower, negotiated fees when using a Blue Cross Blue Shield dentist. Lowcountry Family Dentistry is a BCBS In-Network provider which lowers your overall dental cost.
- Dental Plus provides preventative benefits that covered at 100% where other companies don’t. This includes Fluoride, Full Mouth X-Rays every 3 years, emergency care, and more.
- The cost of upgrading is a good bargain. After comparing the premiums from many other companies, we have found Dental Plus to be one of the best values in dental insurance.
To make an informed decision, below is a video and chart comparing Dental Plus and Basic Dental.
Dental Plus
Dental Plus has higher allowed amounts, which are the maximum amounts allowed by the plan for a covered service. Network providers cannot charge you for the difference in their cost and the allowed amount..
Basic Dental
Basic Dental has lower allowed amounts, which are the maximum amounts allowed by the plan for a covered service. There is no network for Basic Dental; therefore, providers can charge you for the difference in their cost and the allowed amount.
Dental Plus |
Basic Dental |
|
Diagnostic and preventive Exams, cleanings, X-rays |
You do not pay a deductible. The Plan will pay 100% of a higher allowed amount. In network, a provider cannot charge you for the difference in its cost and the allowed amount. |
You do not pay a deductible. The Plan will pay 100% of a lower allowed amount. A provider can charge you for the difference in its cost and the allowed amount. |
Basic Fillings, oral surgery, root canals |
You pay up to a $25 deductible per person.1 The Plan will pay 80% of a higher allowed amount. In network, a provider cannot charge you for the difference in its cost and the allowed amount. |
You pay up to a $25 deductible per person.1 The Plan will pay 80% of a lower allowed amount. A provider can charge you for the difference in its cost and the allowed amount. |
Prosthodontics Crowns, bridges, dentures, implants |
You pay up to a $25 deductible per person.1 The Plan will pay 50% of a higher allowed amount. In network, a provider cannot charge you for the difference in its cost and the allowed amount. |
You pay up to a $25 deductible per person.1 The Plan will pay 50% of a lower allowed amount. A provider can charge you for the difference in its cost and the allowed amount. |
Orthodontics2 Limited to covered children ages 18 and younger. |
You do not pay a deductible. There is a $1,000 lifetime benefit for each covered child. |
You do not pay a deductible. There is a $1,000 lifetime benefit for each covered child. |
Maximum payment |
$2,000 per person each year for diagnostic and preventive, basic and prosthodontics services. |
$1,000 per person each year for diagnostic and preventive, basic and prosthodontics services. |
We are a PEBA Dental Plus provider
Lowcountry Family Dentistry is proud to be a preferred Dental Plus provider on Lady’s Island, SC. Because we are a In-Network SC PEBA Provider, you receive state of the art, private practice quality care you won’t receive at a corporate dental office. If you receive retirement benefits though SC PEBA Dental Plus network, are employed in the Beaufort County School District, Beaufort-Jasper Water & Sewer Authority, or any other local government entity that provides SC State dental plus benefits to employees, we are in your network. To schedule an appointment, please call 843-986-0177 or use our online form.