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By Ryan Kennelly

December 10, 2016

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  • State Insurance Guides
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What Dental Plans Does BCBSIL Offer?

December 10, 2016

  • State Insurance Guides

With the BCBSIL dental plans, you’ll get dental coverage on day one with no deductibles required for check-ups, cleanings and other preventive services. Most important, costs are typically reduced when you receive care from any of our participating network dentists. However, you also have the option to see any dentist not in the network, but your out-of-pocket costs may be higher.

Apply For Blue Cross Dental

Or download a paper application.

Be advised, you can only sign up for BCBSIL dental during open enrollment (Nov 1-Dec 15) or if you qualify for a special enrollment period and are signing up for a health plan.

If you’re looking for an alternative, we would suggest a plan from Ameritas dental that has increased benefits and competitive pricing.

Apply Now

With BlueCare® Dental PPO 1A, you’ll get:

  • One of the highest maximum annual benefit levels available – up to $1,500 per person per year
  • Orthodontic services covered up to age 19
  • No annual maximum on BlueCare Dental 4 Kids 1A
BlueCare Dental 1ABlueCare Dental 4 Kids 1ABlueCare Dental 1BBlueCare Dental 4 Kids 1B
Benefit SummaryBenefit SummaryBenefit SummaryBenefit Summary
In NetworkOut of NetworkIn NetworkOut of NetworkIn NetworkOut of NetworkIn NetworkOut of Network
Deductible (family x3)$50$50$50$50$75$75$75$75
Annual Maximum$15002N/A$10002N/A
Diagnostic Evaluations100%370%3100%370%390%370%380%360%3
Preventive100%370%3100%370%390%370%380%360%3
Diagnostic Radiographs100%370%3100%370%390%70%80%60%
Misc. Preventive Services80%50%80%50%70%50%80%60%
Basic Restorative80%50%80%50%70%50%50%30%
Non-Surgical Extractions80%50%80%50%70%50%50%30%
Non-Surgical Periodontal80%50%80%50%70%50%50%30%
Adjunctive Services80%50%80%50%70%50%50%30%
Endodontics (root canal)80%50%80%50%70%50%50%30%
Oral Surgery80%50%80%50%50%30%50%30%
Surgical Periodontal80%50%80%50%50%30%50%30%
Major Restorative50%30%50%30%50%30%50%30%
Prosthodontics50%30%50%30%50%30%50%30%
Misc Restorative & Prosthodontics Services50%30%50%30%50%30%50%30%
Orthodontics (up to age 19)50%30%50%30%50%30%50%30%
Out of Pocket Maximum7$350 for one child / $700 for 2+ children$350 for one child / $700 for 2+ children$350 for one child / $700 for 2+ children$350 for one child / $700 for 2+ children
Rates
Region 1Region 2Region 1Region 2Region 1Region 2Region 1Region 2
Primary Applicant$38.475$31.315$34.825$28.345$28.535$23.235$26.625$21.665
Member + Spouse$76.945$62.625N/A5N/A5$55.405$46.465N/A5N/A5
Member + 1 Child$73.295$59.655N/A5N/A5$58.70$44.895N/A5N/A5
Family$181.40$147.645N/A5N/A5$148.405$111.445N/A5N/A5
  1. This document does not contain a complete listing of the exclusion, limitations and conditions that apply to the benefits shown. For full information refer to the member’s certificate of benefits booklet.
  2. Annual maximum does not apply to members up to under 19.
  3. Deductible is waived.
  4. Rates are subject to change.
  5. Region 1 rates apply to members residing in the following counties: Cook, DuPage, Kane, Lake, and McHenry
  6. Region 2 rates apply to all members residing in counties outside Region 1
  7. Out of Pocket Maximum only applies to members under 19.

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