1. Home
  2. For Members
  3. Medicare Advantage Plans
  4. Dental Benefit Reimbursement
senior enjoying weather

Dental Benefit Reimbursement

Non-Medicare Covered Comprehensive Dental Allowance

Reimbursement up to $250 each calendar year for dental non–routine services, diagnostic services, restorative services, endodontics, periodontics, extractions, prosthodontics, other oral/maxillofacial surgery, and other services. Excludes Orthodontics. Excludes silver and/or composite fillings.

Download and fill out the reimbursement form and mail it to the us with an itemized receipt.

Mail to:
Horizon Blue Cross Blue Shield of New Jersey
P.O. Box 1609
Newark, NJ 07101-1609

Itemized receipt must include the dental codes and description of the service rendered. If no codes are provided, your request may be denied. You may submit one or multiple requests for reimbursement up to the $250 limit.

*The $250 reimbursement and any amounts paid out-of-pocket for Non-Medicare Covered Comprehensive Dental Allowance do not count toward your maximum out-of-pocket amount.
Please note that some plans have a $175 annual reimbursement for Non-Medicare Covered Comprehensive Dental Allowances.
*Verify in your Evidence of Coverage (EOC) if this benefit is covered under your plan.

Find In-Network Doctors

If you need to find a new doctor who participates in one of our networks, our Doctor & Hospital finder makes it easy to find a health care professional who matches your needs.

Find In-Network Pharmacies

Search from more than 66,000 in-network pharmacies at Prime Therapeutics.

Find A Pharmacy

Find Covered Prescription Drugs

Find formulary drugs, prior authorization, and step therapy at Prime Therapeutics.

Find Drugs

CONTACT US

Need help enrolling?

 
1-877-234-1240
(TTY call 711)

Phone lines open today until 8:00 p.m. ET

Meet With Us

 
Find Events

Come to an event to find out more
about Horizon Medicare plans.

Members

 
1-800-365-2223
(TTY call 711)

Help is available from
8 a.m to 8 p.m ET every day.