Dental      
 
   
 
 
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