




Contracted Dentist |
|
If the billed charges are |
$735 |
And BCBSGA's negotiated rate is |
$575 |
BCBSGA will pay the amount specified in the benefit schedule |
$250* |
Therefore, you pay the difference between the negotiated amount and the scheduled benefit |
$325 |
*Assuming that your deductible has been met and your annual benefit maximum has not been exceeded, BCBSGA will pay this amount. | |
Noncontracted Dentist |
|
If the billed charges are |
$735 |
BCBSGA will pay the amount specified in the benefit schedule |
$250* |
Therefore, you pay the difference between the billed amount and the scheduled benefit |
$485 |
*This assumes any deductible has been met and you have not reached your annual maximum |
|