Dental Blue Basic
Frequently Asked Questions

How many times a year can I have my teeth cleaned?
Your Anthem Blue Cross dental plan provides full coverage for two cleanings per year.

Q: What is a pre-existing condition? Is it covered?
A pre-existing condition is an oral health condition, which existed before your enrollment in a dental program. The plan does not include an exclusion for pre-existing conditions

Q: What is work in progress? Is it covered?
Work in progress is any oral health procedure that is started and not completed prior to your enrollment in a dental program. The plan does not cover any expenses prior to the date you are covered under the Policy.

Q: Are cosmetic procedures covered? If so, what procedures?
Any services performed for cosmetic purposes (including but not limited to external bleaching, bleaching of non-vital discolored teeth, composite restorations, veneers, crowns on teeth not exhibiting pathology and facings on crowns on posterior teeth) are not covered. However, with Dental Blue, if you visit a Dental Blue provider, you can receive the negotiated discounts for non-covered services such as teeth-whitening, dental implants and TMJ.

Q: Is Orthodontia Covered? What are the Orthodontia benefits? If yes, is Invisalign braces covered?
Orthodontic Services are not covered.

Q: Do I need to obtain claim forms?
No, not if you visit a Dental Blue dentist. With Dental Blue, your dentist will fill out and submit the claim form for you. Most providers use an industry accepted form for submission to an insurance carrier. In the event your provider asks for a claim form, please contact the administrator. Claim forms are also located on our website at

Q: Is there a waiting period?
No waiting period for cleanings, exams and x-rays; six-month waiting period for all other covered services.

Q: Is this insurance?
Yes, this is insurance.

Q: Can I change my dentist once I am in the plan?
Yes, you may change your dentist at any time.

Q: My dentist isn't currently in the directory. What can I do?
Call member services and give us your dentist's information. We will contact him/her about becoming a Provider.

Q: How long does it take to process my application?
Your application will be processed within 24 hours.

Q: When will I receive my enrollment package and what will it include?
You will receive your enrollment package within 3-5 business days following approval. Your enrollment package will include your ID card and Evidence of Coverage certificate.

Q: If I choose to pay by credit card, what will my credit card statement read?
When paying by credit card, your credit card statement will read "Blue Cross of CA."

Q: If I choose to pay by Bank Account Draft (ACH), what will my bank statement read?
When paying by ACH, your bank statement will read "Blue Cross of CA."

Q: Is the processing fee billed separately or with the premium?
For your convenience, your one-time processing fee is billed with your premium.

Q: Can I change my payment type once I am in the plan?
Yes, you may contact member services to change your billing mode.

Q: If I started with monthly payment, can I change it to annual payment at a later date?
This plan allows for monthly, quarterly, or semi-annual billing. You may choose any of these payment methods.

Q: What if I need to change my membership from Individual to Family Coverage?
Contact member services to add any dependents to your membership.

Q: How do I add or cancel coverage for a dependent?
Contact member services to add or cancel coverage for a dependent.

Q: If I cancel the policy, will I receive a refund of the premium or processing fee?
The applicant may only request the Dental policy be canceled on the Paid To Date or the first of the month following the request. A refund will be provided if the Paid To date is greater than the date the policy was cancelled. Your one-time processing fee is non-refundable.
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