
Highmark Insurance offers a range of dental plans that provide comprehensive benefits to their policyholders.
Their dental plans cover a variety of services, including routine cleanings, fillings, and extractions.
For example, Highmark's PPO dental plan covers 80% of the cost of fillings and 50% of the cost of crowns after a $50 deductible.
This means that policyholders can receive necessary dental care without breaking the bank.
Highmark's dental plans also offer coverage for more complex procedures, such as root canals and oral surgery.
Our Solution Advantages
With Highmark Insurance Dental, you have access to a vast network of dentists, with at least two in-network options within a 10-mile radius of your home or work. This means you can easily find a qualified dentist near you.
Our discounts are among the market leaders in every state, resulting in lower out-of-pocket costs for members when using in-network providers.
We take the quality of care seriously, routinely verifying dentists' credentials and conducting on-site inspections to ensure you receive high-quality care.
What We Offer

We have a large network of dentists that's one of the biggest in the country, with at least two in-network options within a 10-mile radius of where you live or work.
Our discounts are among the market leaders in every state, which means you'll pay less out-of-pocket when using in-network providers.
We take the quality of care seriously by regularly verifying dentists' credentials and performing on-site inspections to ensure they meet our standards.
Our combined medical and dental analytics provide valuable insights into how improving oral health can impact your overall healthcare costs.
Our implementation process is designed to be quick and easy, making it simple for you to get started with our solution.
Deductibles and Limits
Our solution offers flexible deductibles, allowing you to choose from a range of options to suit your budget. With deductibles as low as $500, you can get the coverage you need without breaking the bank.
You can also customize your deductible to match your financial situation. For example, if you have a higher income, you may be able to afford a lower deductible.
Our solution has a maximum limit of $1 million per claim, giving you peace of mind in case of a major loss. This means you can focus on rebuilding and recovering without worrying about the financial burden.
With our solution, you can choose from a variety of coverage limits to fit your specific needs. Whether you're a homeowner, renter, or business owner, we have options to suit your circumstances.
Regular Check-Ups
Regular check-ups are a crucial part of maintaining good oral health. Your Highmark insurance dental plan covers preventive services that can help you stay on top of your dental hygiene.
One oral exam every six months is covered, allowing you to catch any potential issues early on. This regular check-up can help prevent future problems from developing.
You'll also receive a cleaning every six months, which is essential for removing plaque and tartar that can cause cavities and gum disease.
X-rays are also covered, including panoramic and full mouth x-rays, which are taken once every 5 years. These x-rays can help identify any underlying issues that may not be visible during a regular exam.
Dental Benefit
Each Highmark Wholecare D-SNP plan has its own unique benefit levels for dental care, and some covered services come with a $0 copay.
Some of the dental services covered by D-SNP plans include root canals, dentures, caps or crowns, and deep cleaning of the teeth to remove deposits under the gums (scaling and root planning).
D-SNP plans also cover maintaining gum health through periodontal maintenance.
Remember to check your D-SNP Evidence of Coverage (EOC) for specific information about your dental benefits.
Frequently Asked Questions
What is the most dental insurance will cover?
Most dental insurance plans cover 100% of preventive care, such as cleanings and exams, and may also cover basic care like fillings and extractions.
How do I know if a dentist is covered by my insurance?
Check with your insurance company to see which dentists near you are covered under your policy. They can provide a list of in-network dentists who accept your insurance
Does Highmark cover the root canal?
Highmark Wholecare D-SNP plans offer varying levels of dental care benefits, including coverage for root canals with different copay requirements. Check your specific plan details for information on root canal coverage and any associated copays
Sources
- https://www.highmark.com/member/bcbs/find-a-dentist
- https://www.highmark.com/employer/solutions/national-business/dental
- https://www.highmark.com/member/blueshield/find-a-dentist
- https://www.highmark.com/member/blueshieldneny/find-a-dentist
- https://www.highmark.com/wholecare/medicare/benefits-programs/benefit-list/dental
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