Resource Brokerage - Group Benefits - Marketing Materials - BCBSIL

Group Benefits

Currently Marketed Dental Plans

PPO Dental
Dental Plans Side by Side Comparison

BlueCare Dental Freedom		BlueCare Dental Choice
DHUF01		DHUC01
DHUF02		DHUC02
DHUF03		DHUC04
DHUF04		DHUC05
DHUF05		DHSC09
DHUF06		DLUC08
DHUF07		DLSC10
DHUF12
DHUF13
DHUF14
DHUF15
DHUF21
DHUF22
DHSF10
DLSF11
DLUF8
DLUF16
DLUF18
DLUF19
DLUF23
DLUF24
DLUF25
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)