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Dental Health

Discount Programs, Group Eligibility Forms and Individual Applications

Ways to save $$$ with your BlueCross and BlueShield ID card

No extra premiums. No cost to you.

Safe Beginnings Program

Save 20 percent on child proofing products, infant and toddler items, home safety products, and more.

SafeTech Program

Receive 40 percent off bicycle helmets in three sizes for children and adults.

Beltone Hearing Discount Program

Discounts on hearing care products and services with free hearing screenings.

These are discount programs only. The products and services are not covered benefits under your health plan. Your premiums are not affected by these programs. Costs of program services and products do not count toward calendar year copayment or lifetime maximums and/or plan deductibles. Discounts are only available through participating providers. Blue Cross and Blue Shield of Oklahoma makes no guarantee of the services or products offered by these programs, and makes no claims, promises or recommendations regarding any procedures or outcomes. We reserve the right to discontinue or change these programs at any time without notice. There is no affiliation between Blue Cross and Blue Shield of Oklahoma and the providers of services described herein.

Please send Inquiries to:

Sonic Franchisee Association Plan
P.O. Box 26725,
Kansas City, MO 64196
(866) 456-1421

Download Group Eligibility Forms and Individual Applications

Certification of Enrollment Eligibility

Application for Membership

Request for Change in Membership

BlueSelect Voluntary Group Dental Application

Health Plan Medical Benefit Summary

Health Benefits Claim Form

Request for Continuation Coverage

Send all correspondence to:

Bonnie Schannuth
Sonic Account Manager
1000 Walnut, 9th Floor
Kansas City, MO 64106
816-391-1104
816-391-1129 fax

 

© Copyright 2007: Sonic Franchisee Association