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Optional Dental Plans
Dental Blue Preventive | Dental Blue Comprehensive |
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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. |
$ | $$ |
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 |
Benefits and Coverage
Preventive Plan | Comprehensive Plan | |
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Plan Year Maximum | $500 | $1,500 |
Diagnostic Type 1 Benefits | 100% coverage | 100% coverage |
Preventive Type 1 Benefits | 100% coverage | 100% coverage |
Basic Type 2 Benefits | 60% after deductible | |
Major Type 3 Benefits | 40% after deductible |