Dental Coverage
The University of Arkansas dental plan, administrated by Arkansas Blue Cross Blue Shield, covers basic dental exams, restorative care, cleaning services, preventive dental services, and orthodontics (for children up to age 18). More intensive dental procedures including fillings, extractions, oral surgery, crowns, bridges, partials, implants and fluoride treatments are also covered. The Dental Benefits Summary provides a benefit overview. The Dental Summary Plan Description provides more detailed plan information.
Employees who enroll in the university's dental plan have the freedom to choose an in-network dentist. You may visit any in-network dentist in the Find a Dentist search found on the Arkansas Blue Cross Blue Shield website; however a dentist listed as part of the Select PPO network will result in greater savings for you. Once you are enrolled you can search for a dentist, review your benefits and check your claim status by logging in as a subscriber at Arkansas Blue Cross Blue Shield.
The dental plan is designed to assist you in maintaining good oral health. This plan is a self-insured and self-funded preventive plan.
If you have dental insurance, you may be eligible to continue your coverage as a retiree or for a period of time under COBRA when you leave the university.
Dental Claims and Appeals
In most cases, the dental provider will submit the claim for you. To submit a claim, complete and send in the Arkansas Blue Cross Blue Shield Dental Claim form.
If you have a denied claim with Arkansas Blue Cross Blue Shield, you may appeal the denied claim following the steps below:
- Write to the Claims Administrator within 180 days of the date on the notice of the claims denial.
- State why the claim should not have been denied.
- Include the denial notice you received from Arkansas Blue Cross Blue Shield and any other documents, information or comments that you believe may have an influence on your appeal.
If requested, claimant will receive, free of charge, reasonable access to and copies of documents, records, and other information relevant to the denied claim.
For an expedited review of an urgent care claim, the request may be submitted orally (by telephone) or in writing (by facsimile or another similarly expeditious method).
Send your appeal to:
Claims Administrator
PO Box 1460
Little Rock, AR 72203-1460
Contact
Arkansas Blue Cross Blue Shield
P.O. Box 2181
Little Rock, AR 72203-2181
1-844-662-2281
www.blueadvantagearkansas.com