Preventive Dental is automatically included in all CarolinaADVANTAGE plans and covers an allowed amount per benefit period for exams and cleanings at any licensed dentist.
Preventive Dental, one exam: initial $27/periodic $20
Preventive Dental, one cleaning: adult $40/child $31
Send a completed Member Claim Form and the paid receipt from your dentist to BlueChoice HealthPlan. We will reimburse you for the allowed amount.
Please complete and send this form to:
BlueChoice HealthPlan P.O. Box 6170 Columbia, S.C. 29260-6170
