|
|
|
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 |