Blue Cross Blue Shield Dental Insurance Plans for Individuals and Families

Author

Reads 860

Person Holding White and Blue Box
Credit: pexels.com, Person Holding White and Blue Box

Blue Cross Blue Shield dental insurance plans offer a range of options for individuals and families. They provide coverage for routine cleanings, fillings, and other basic dental services.

You can choose from a variety of plan levels, including Basic, Enhanced, and Premier, which offer increasing levels of coverage and benefits. Each plan has its own unique features and price points.

Some plans also offer additional benefits, such as coverage for orthodontic services, oral surgery, and major restorations. These benefits can be a big help for families with growing children or individuals who need more extensive dental work.

Blue Cross Blue Shield dental insurance plans are available to individuals and families who are looking for affordable and reliable coverage.

Types of Plans

If you're considering a Blue Cross Blue Shield dental insurance plan, you'll want to know about the different types of plans available. One option is the Preventive PPO Plan, which is great for people who want to prevent dental problems or tend to skip dental care.

Credit: youtube.com, The power of one: Dental plans for employers from Blue Cross MN

This plan offers the lowest premiums and provides important routine care, with no charges over the allowed amount with in-network providers. Claims are also filed for you with in-network providers, making it a hassle-free option.

Another option is the Essential Choice PPO Dental Plans, which are ideal for individuals or families who want to save money on dental care. This plan offers a range of options and allows you to visit any dentist you prefer or pay less when you choose a dentist from their extensive network.

Here are some key features of the Essential Choice PPO Dental Plans:

  • Diagnostic and preventive care covered at 100% with no waiting period
  • No deductible for diagnostic and preventive services when you visit a doctor in your plan’s network
  • Shorter waiting periods than traditional plans for basic, complex, and major services
  • Higher annual benefit maximums up to $2,500

Core 1000

The Core 1000 Plan is a great option for those who want comprehensive coverage and the freedom to visit any dentist they choose. This plan offers low premiums.

One of the standout features of the Core 1000 Plan is that it has the same pricing for in-network or out-of-network services. This means you won't have to worry about surprise bills or additional costs.

A Woman at a Dental Clinic
Credit: pexels.com, A Woman at a Dental Clinic

With the Core 1000 Plan, you'll never be charged more than the allowed amount with in-network providers. This can be a huge relief for those who are worried about medical expenses.

Here are some key benefits of the Core 1000 Plan at a glance:

  • Low premiums
  • Same pricing for in-network or out-of-network services
  • No charges over the allowed amount with in-network providers
  • Claims filed for you with in-network providers

Value 1500 PPO

The Value 1500 PPO Plan is a great option for those who want comprehensive coverage and are willing to see an in-network dentist. It offers higher premiums but with better in-network benefits.

This plan provides the best coverage for preventive, basic, and major services. You can expect no charges over the allowed amount with in-network providers.

Here are some key benefits of the Value 1500 PPO Plan:

  • Higher premiums but with better in-network benefits
  • Provides the best coverage for preventive, basic, and major services
  • No charges over the allowed amount with in-network providers
  • Claims filed for you with in-network providers

Benefits and Coverage

Blue Cross Blue Shield dental insurance offers a range of benefits and coverage options to suit different needs.

You can get preventive dental services at 100% when visiting a PPO dentist for a semi-annual check-up, which is a great way to stay on top of your oral health.

Credit: youtube.com, Combining Medical, Dental and Vision Insurance Coverage with Blue Cross

The benefits chart provides a clear breakdown of what's covered under each plan option. For example, with the High Option, you pay nothing for Class A services when visiting an in-network dentist.

Here's a summary of the benefits chart:

The High Option plan also has a higher annual maximum benefit for Class A, B, and C services, which means you have more protection in case of unexpected dental expenses.

With the Standard Option, you pay 40% for Class A services when visiting an out-of-network dentist, which may be a consideration if you don't have a preferred dentist in-network.

Network and Options

You have options when it comes to choosing a network for your dental care. A large network of contracted dental providers is available, making it easy to find a dentist near you.

To see if your dentist participates in the network, you can use the Find Care search tool. This tool allows you to search for dentists by location and insurance plan.

There are two main network options: GRID and GRID+. The GRID network offers the lowest out-of-pocket costs for covered services and is preferred in the Blue KC service area.

Essential Choice PPO

Credit: youtube.com, Health Insurance 101: How Insurance Works In 90 Seconds | BCBSND

The Essential Choice PPO dental plans are a great option for individuals or families looking to save money on dental care. They offer a range of options to help you save.

You can visit any dentist you prefer, or pay less when you choose a dentist from our extensive dental Preferred Provider Organization (PPO) network. This gives you flexibility and convenience.

Diagnostic and preventive care is covered at 100% with no waiting period. This means you can get the care you need without having to wait.

No deductible is required for diagnostic and preventive services when you visit a doctor in your plan's network. This helps you save even more.

Here are the benefits of the Essential Choice PPO plans at a glance:

  • Diagnostic and preventive care covered at 100% with no waiting period
  • No deductible for diagnostic and preventive services when you visit a doctor in your plan's network
  • Shorter waiting periods than traditional plans for basic, complex, and major services
  • Higher annual benefit maximums up to $2,500

Network Options

You have several network options to choose from, each with its own benefits and out-of-pocket costs. There's a large network of contracted dental providers available.

To find out if your dentist is part of the network, you can use the Find Care search tool. This will give you a list of participating providers in your area.

Dental Check-up
Credit: pexels.com, Dental Check-up

The Blue KC network is the preferred option in the service area, offering the lowest out-of-pocket costs for covered services. Outside the service area, these providers are known as GRID providers.

There's also an additional network that provides higher out-of-pocket costs for covered services. This network is available to members who live, work, or travel outside the Blue KC service area, and providers are known as GRID+ providers.

Here are the details on the two networks:

Employers with 9 or fewer employees in Kansas can choose from seven dental plans.

Large Groups

If you're an employer with a bigger team, you're in luck - you have more options to choose from. Employers based in Kansas with 51 or more employees can select from six dental plans, plus an orthodontic rider.

Frequently Asked Questions

Does Michigan Blue Cross complete cover dental?

Yes, Blue Cross Complete covers dental care for eligible members, including exams, cleanings, and extractions. Learn more about your dental benefits as a Blue Cross Complete member.

Does BCBS IL cover oral surgery?

Yes, BCBS IL covers oral surgery, including procedures for impacted teeth and post-accident care, as part of the Blue Choice Options plan. Check your policy for specific details on coverage and out-of-pocket costs.

How much does most dental insurance cover?

Most dental insurance plans cover 100% of preventive care costs, such as cleanings and exams, and 50-80% of procedure costs, including fillings and major work like crowns and dentures. Coverage varies depending on the type of procedure.

What is the average cost of dental insurance in North Carolina?

The average cost of dental insurance in North Carolina is between $15 to $50 per month for individuals and $50 to $150 per month for families. Find out how to get the best dental insurance plan for your needs and budget.

Does Blue Cross Blue Shield cover cavity fillings?

Yes, Blue Cross Blue Shield covers cavity fillings, but the coverage depends on the type and material of the filling, so it's best to get a pre-treatment estimate to avoid surprise bills.

Adrian Fritsch-Johns

Senior Assigning Editor

Adrian Fritsch-Johns is a seasoned Assigning Editor with a keen eye for compelling content. With a strong background in editorial management, Adrian has a proven track record of identifying and developing high-quality article ideas. In his current role, Adrian has successfully assigned and edited articles on a wide range of topics, including personal finance and customer service.

Love What You Read? Stay Updated!

Join our community for insights, tips, and more.