Show Who is this for?Shopping for a dental plan, or have coverage through your employer? This explains how Blue Dental plans work so you can
choose the best one for you and your family. Dental plan typesA Blue Dental PPO plan works similar to how medical PPO plans work with in-network and out-of-network coverage. With a Blue Dental PPO plan:
Blue Dental EPO stands for exclusive provider organization. Blue Dental EPO plan only covers services from in-network PPO dentists and doesn't cover any out-of-network care. This increases savings, making your costs lower. The more a plan pays for out-of-network care, the higher your costs will be. If you go out-of-network, you could be charged for the difference between what Blue Cross pays and what your dentist charges. If you want the freedom to see dentists outside our PPO network, a Blue Dental PPO plan could be best for you. If you want the most savings by only seeing a PPO network dentist, a Blue Dental EPO plan could be better for you. Want to know if your dentist is in-network? Just use our online search. Choosing a dentistWhether you choose a PPO or an EPO dental plan affects
how much your monthly payment will be. The dentist you choose determines how much you'll pay for services.
Your out-of-pocket costs for dental careWhen you have a Blue Dental plan, there are no copays for dental care. Whether or not you have to pay a deductible depends on the plan and the kind of dental care you get. Blue Dental deductibles are very low when compared to medical plans and you'll never pay a deductible for Class I
preventive care like exams or cleanings. Blue Dental plans do have coinsurance and the amounts vary from plan to plan. If you purchase your dental plan directly from Blue Cross, you can see your out-of-pocket costs for dental care by looking on the benefits tab of our Blue Dental plans. If you purchase your dental plan through your employer, please refer to your human resources or benefits department for more information on coverage and costs. What's the difference between an out-of-pocket maximum and a benefit maximum?An out-of-pocket maximum is the most you'll have to pay during a policy period, usually a year, for services you receive. Everything you pay for health care for everyone on the plan goes toward your out-of-pocket maximum. Once you reach your out-of-pocket
maximum, your plan begins to pay 100 percent of the allowed amount. Dental coverage works differently.
Did you know that comprehensive dental care can help detect other health problems before they become more serious? That’s why we offer several dental plans to meet your financial and coverage needs. To get dental coverage for you and your family, you can choose from our three dental plans:
Our dental plans cover a comprehensive range of dental services including no charge oral exams, cleanings and X-rays. And your acceptance is guaranteed. Pediatric dental coverage is also included in all CareFirst ACA medical plans through age 19. For additional information, contact us Monday-Thursday 8 a.m. to 5 p.m. or Friday 10 a.m. to 5 p.m. at 855-503-4862, or visit our dental page for a quick and easy quote. |