Medicare Platinum Blue dental benefits overview

Dental benefits overview

Original Medicare does not cover preventive and routine dental services. Medicare Part A (hospital insurance) will pay for certain dental services that you get when you are in a hospital.

Your Blue Cross and Blue Shield of Minnesota Medicare Platinum Blue^SM plan may include extra dental benefits that Original Medicare does not cover at no additional premium.

These added dental benefits will vary by plan. Be sure to review your Evidence of Coverage (EOC) for benefit coverage and important details.

View your dental coverage

Your dental coverage can be found in your plan's Evidence of Coverage document.

To find your Evidence of Coverage:

Visit our Medicare plan documents page
Find your specific plan
Under plan coverage, click on your plan’s EOC (PDF) link to download and print. Dental coverage information can be found in Chapter 4, Section 2.1 after the Medical Benefits Chart.

Note: For verification of coverage, please contact dental customer service at the number in the help and support section. Your provider may also submit a pre-treatment estimate prior to services rendered.

To find a dentist:

Visit our Find a Dentist tool
Search by location or by specific dentist

Note: For verification of in-network status, please talk to your dentist or contact dental customer service at the number in the help and support section.

Help and support

For assistance finding a dental provider or if you have questions, please contact dental customer service.

Call 1-844-397-4182 (TTY: 711)
Monday through Friday
8 a.m. to 8 p.m., Central time

Summary of dental coverage

Your Blue Cross and Blue Shield of Minnesota Medicare Platinum Blue plan may provide coverage for additional dental benefits. There are no waiting periods for covered services.

	Platinum Blue Core	Platinum Blue Choice	Platinum Blue Complete
	You pay	You pay	You pay
Dental network Blue Cross Medicare Dental Network	No coverage	In-network Out-of-network*	In-network Out-of-network*
Annual deductible	No coverage	In-network: None Out-of-network: None*	In-network: None Out-of-network: None*
Oral examinations Up to 2 per year	No coverage	In-network: $0 Out-of-network: $0*	In-network: $0 Out-of-network: $0*
Routine cleanings Up to 2 per year	No coverage	In-network: $0 Out-of-network: $0*	In-network: $0 Out-of-network: $0*
Periodontal cleanings Up to 2 per year	No coverage	In-network: $0 Out-of-network: $0*	In-network: $0 Out-of-network: $0*
X-rays 1 per year	No coverage	In-network: $0 Out-of-network: $0*	In-network: $0 Out-of-network: $0*
Fluoride treatment Up to 2 per year	No coverage	In-network: $0 Out-of-network: $0*	In-network: $0 Out-of-network: $0*
Annual plan benefit maximum Applies to both in and out-of-network services	No coverage	$2,000**	$2,000**

*For dental services performed by an out-of-network dentist, you may be responsible for paying the difference between Blue Cross’ Medicare negotiated fees and the fees your dental provider charges, even for services listed as $0. See your Evidence of Coverage for more information, including the cost sharing of covered limitations and/or exclusions. Out-of-network services are subject to in-network benefit maximums, limitations and/or exclusions. You may also need to submit your own claims; if the out-of-network dental provider is unable to submit claims on your behalf.

**$2,000 is the annual maximum amount the plan will pay for all in-network and out-of-network covered dental services. Coinsurance and copayments also apply. After the annual maximum is exhausted, any remaining charges are your responsibility.

Platinum Blue is a Cost plan with a Medicare contract. Enrollment in Platinum Blue depends on contract renewal.

Last updated October 1, 2022

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