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Currently Marketed Dental Plans
PPO Dental
Dental Plans Side by Side Comparison
BlueCare Dental Freedom
BlueCare Dental Choice
DHUF04
DHUC04
DHSF10
DHSC09
DLSF11
DLUC08
DLUF16
DLSC10
DLUF18
DLSF20
HMO Dental
BlueCare Dental HMO
BCare HMO 730
BCare HMO 710
BlueCross BlueShield Dental Plan Decoder:
D
= Dental
H
= High Allocation Endo/Perio covered under Basic Services
L
= Low Allocation Endo/Perio covered under Major Services
U
= Usual & Customary for Out of Network Reimbursement
S
= Schedule of Maximum Allowances (Out-of-Network Reimbursement levels based on In-Network negotiated fees)
F
= Freedom plan (see any dentist; reimbursement levels the same for In and Out-of-Network)
C
= Choice plan (see any dentist in the BCBS PPO Dental network; reimbursement levels are higher for BCBS PPO Network Providers)
Previously Marketed Dental Plans
Dental Plans from 1/1/2003 - 12/31/2004
Dental Plans prior to 1/1/2003
Dental HMO 630
Dental HMO 610
Traditional 1000 Dental
Dental HMO 620
Traditional 1500
Dental PPO 1000
PPO Plan 1000 Dental
Dental PPO 1500
PPO Plan 1500 Dental
Dental Traditional
Dental Plans from 1/1/2005 -12/31/05
Dental Plans for 1/1/2006 and later
Passive PPO 1000
Passive PPO 1000
Passive PPO 1500
Passive PPO 1500
Preferred Choice 1000
Preferred Choice 1000
Preferred Choice 1250
Preferred Choice 1250
Dental HMO 710
Dental HMO 710
Dental HMO 730
Dental HMO 730