In most cases, Original Medicare doesn't cover dental services like routine cleanings, fillings, tooth extractions (removals), or items like dentures and implants.

Your Blue Cross and Blue Shield of Minnesota Medicare Platinum BlueSM 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.



 

 

 

 

       ![Adult laying on the dentist chair while dentist examines them.](/sites/default/files/styles/3x2_third/public/2dfae300-ae47-4dd0-b862-d66dfa24ddc8.png.webp?itok=gqs8nsrG) 

 

 

 

 

 

 

 

## 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 networkNo coverageBlue Cross Medicare Dental NetworkBlue Cross Medicare Dental NetworkAnnual deductibleNo coverageNo deductibleNo deductibleOral examinations  
Up to 2 per yearNo coverageIn-network: $0  
Out-of-network: $0\*In-network: $0  
Out-of-network: $0\*Routine cleanings  
Up to 2 per yearNo coverageIn-network: $0  
Out-of-network: $0\*In-network: $0  
Out-of-network: $0\*Periodontal cleanings  
Up to 2 per yearNo coverageIn-network: $0  
Out-of-network: $0\*In-network: $0  
Out-of-network: $0\*X-rays  
1 per yearNo coverageIn-network: $0  
Out-of-network: $0\*In-network: $0  
Out-of-network: $0\*Fluoride treatment  
Up to 2 per yearNo coverageIn-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 servicesNo coverage$1,000\*\*$1,000\*\*\*For dental services performed by an out-of-network dentist, you will be responsible for paying the difference between the dentist's fees and Blue Cross's out-of-network provider reimbursement rates, even for services listed as $0 copay. 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.

\*\*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.





 

 

 

 

### To find your Evidence of Coverage:

For complete details, including the cost sharing of covered services, exceptions and limitations, please [log in to your member account](https://identity.bluecrossmn.com/u/login?state=hKFo2SBrWXcwVnZZV0xjUThhMnUtRi1wS1FlV0U1Vkh6ekZySqFur3VuaXZlcnNhbC1sb2dpbqN0aWTZIFNjQmg0SGNueFIyWHRjS2RJNDFOMFc0VUJiSDgxdFVWo2NpZNkgcDZ2elJyNHBQRUFvWkM4d0NVQWNMU3VNSHU2OEJKMm4) to access your Evidence of Coverage (EOC) document. Dental care information can be found in Chapter 4 of the document.



 

 

 



### To find a dentist:

1. Visit our [Find a Dentist tool](https://www.bluecrossmn.com/MedicareDental)
2. 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

       ![](/sites/default/files/styles/3x2_third/public/images/2024-11/adult%20woman-phone%20headset-istock-1167739702-web_1.jpg.webp?itok=yGy_BSaF) 

 

 

### Questions? We can help

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



 

 

 

 

 

 

  

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

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