2020 Blue Cross and Blue Shield Service Benefit Plan - FEP Blue Focus
Section 5(g). Dental Benefits
Page 104
 
Benefit Description You Pay

Inpatient and Outpatient Facility Care

We cover inpatient and outpatient hospital care, as well as anesthesia administered at the facility,

 
  • To treat children up to age 22 with severe dental caries, or
     
  • When a non-dental physical impairment exists that makes hospitalization necessary to safeguard the health of the patient (even if the dental procedure itself is not covered).

You Pay
See Section 5(c) for inpatient and outpatient hospital benefits.
 
Benefit Description
Not covered: Routine dental care

You Pay
All charges