What does BDE mean in DENTAL

A Beneficiary Dental Exception (BDE) is a special exception granted to a beneficiary of a dental plan when the covered services they received are not normally covered under the plan's terms.

In order to qualify for a BDE, you must be an eligible beneficiary of your dental plan and must demonstrate that the care you have requested should be covered under your particular policy. Your provider can often assist in submitting a request for an exception on your behalf.

The length of time it takes to be approved for a BDE may vary depending on factors such as volume of requests and individual circumstances surrounding each request. However, many providers attempt to make decisions within 30 days after receiving all necessary documentation.

Generally there are no costs associated with filing for and receiving approval of a Beneficiary Dental Exception (BDE). It is important to note that if your request is denied there may be costs associated with any additional coverage or payments that are requested as part of the denial decision process.

Yes, you may appeal if your initial request for BDE is denied by submitting further information which demonstrates why you believe the services should be covered under your policy. The decision regarding appeals generally takes much longer than original requests and usually require extensive amounts of paperwork and research on behalf of your provider.