Optional Dental Plan Benefits

Dental Blue PreventiveDental Blue Comprehensive
This plan only provides coverage for diagnostic and preventive care, such as routine cleanings. If you need other care, such as fillings and root canals, you’ll be responsible for paying the full cost of those services.This is a good option if you want the most dental protection. In addition to diagnostic and preventive care, you’ll receive additional coverage for basic and major services, such as fillings, crowns, and root canals.
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Key Features

– Pays 100 percent of diagnostic and preventive care with participating dentists
– No deductible
– $500 plan year benefit maximum
– Access to full Dental Blue dentist network
Key Features

– Pays 100 percent of diagnostic and preventive care, 60 percent of basic services, and 40 percent of major services with participating dentists
– $50 deductible/individual plan; $150 deductible/family plan (Basic and Major services only)
– $1,500 plan year benefit maximum
– Access to full Dental Blue dentist network
Preventive PlanComprehensive Plan
Plan Year Maximum$500$1,500
Diagnostic
Type 1 Benefits
100% coverage100% coverage
Preventive
Type 1 Benefits
100% coverage100% coverage
Basic
Type 2 Benefits
60% after deductible
Major
Type 3 Benefits
40% after deductible