Dental Insurance

Annual Health Insurance Open Enrollment Period
April 10, 2018 through April 27, 2018
Coverage Effective July 1, 2018

Dental Insurance


Resources 
Dental Blue Program 1
Dental Blue Program 2
2018-19 Dental Insurance Rates
BCBS Dental Enrollment Form
BCBS of Mass Dental Website
Find a Dentist
Dependent Children Coverage
 BCBS of MA - Customer Service:  (800) 358-2227



Dental Blue Program 1 Dental Blue Program 2
Policy #: 2281513 2327879
Coverage
Preventive Procedures: 100% 100%
Diagnostic (x-rays, oral exams), preventive (cleanings, fluoride treatments, sealants), other covered services Diagnostic (x-rays, oral exams), preventive (cleanings, fluoride treatments, sealants), other covered services
Basic Procedures: 80% 80%
Restorative (fillings), oral surgery (extractions), periodontics (gum and bone), endodontics (root and pulp), prosthetic maintenance, other covered services Restorative (fillings), oral surgery (extractions), periodontics (gum and bone), endodontics (root and pulp), prosthetic maintenance, other covered services
Major Procedures: 50%
Prosthodontic (teeth replacement, dentures, fixed bridges and crowns), major restorative (crowns), other covered services
Orthodontics: 100% 100%
Annual Deductible
Applies to basic services Applies to basic and major services
Individual: $25 $50
Family: $75 $150
Benefit Maximums
Calendar Year: $500 $1,500
Orthodontic Lifetime: $500 $1,500