2017 Benefit Guide Hand Family

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Voluntary Dental Benefits
Customer Service: (800)-565-9140
Website:
Network: National
Group Number: 81196
As an employee at Hand Family Companies, you have access
to dental coverage. BlueCross BlueShield of Tennessee will
administer our dental benefits.
If you choose a provider in the BCBST National Network, you
will see significant savings and discounts. Additionally, the
provider’s office will file a claim for you so there is no paper-
work for you to fill out. To find an in-network dentist near you,
go to the BCBST website, , and click on the
“Find a Provider” link. Please be sure to consult either the
online directory or BCBST customer service to confirm that
your dentist is in the network.
If you choose a provider not in the Network, you may have to
complete claim forms after each visit and charges in excess of
the 80th percentile of “usual and customary” charges will be
your responsibility.
Employee Payroll Deductions
Bi-Weekly Payroll Deduction
Employee Only $9.90
Family $23.10
Plan Benefits In Network
Annual Deductible
Individual
Family
$50
$150
Calendar Year Maximum $1,000
Class I Diagnostic and Preventive 100%, deductible waived
Class II Basic 80% after deductible
Class III Major 50% after deductible
Class IV Orthodontia No Coverage
Premiums will be deducted before tax.