Dental Plan Offerings
With an emphasis on no-cost preventive care, our dental plans help you maintain complete oral health. All plans offer comprehensive coverage including cleanings and exams, routine x-rays, fillings, and more.
Plan options
Blue Select
Annual maximum (per member)
Adult Benefit: $750*
Pediatric Benefit: None
Out-of-pocket maximum
Adult Benefit: None
Pediatric Benefit: $350 (per enrollee), $700 (2/+ enrollees)
Basic services (e.g. fillings and adult root canals)
50% coinsurance
Major services (e.g. select crowns, dentures)
50% coinsurance
Blue Select Premier
Annual maximum (per member)
Adult Benefit: $1,250*
Pediatric Benefit: None
Out-of-pocket maximum
Adult Benefit: None
Pediatric Benefit: $350 (per enrollee), $700 (2/+ enrollees)
Basic services (e.g. fillings and adult root canals)
20% coinsurance
Major services (e.g. select crowns, dentures)
50% coinsurance
Blue Select Standard Adult
Annual maximum (per member)
Adult Benefit: $1,500*
Pediatric Benefit: None
Out-of-pocket maximum
Adult Benefit: None
Pediatric Benefit: $450 (per enrollee), $900 (2/+ enrollees)
Basic services (e.g. fillings and adult root canals)
20% coinsurance
Major services (e.g. select crowns, dentures)
50% coinsurance
Blue Select
Annual maximum (per member)
Pediatric Benefit: None
Adult Benefit: $750*
Out-of-pocket maximum
Pediatric Benefit: $350 (per enrollee), $700 (2/+ enrollees)
Adult Benefit: None
Basic services (e.g. fillings and adult root canals)
50% coinsurance
Major services (e.g. select crowns, dentures)
50% coinsurance
Blue Select Premier
Annual maximum (per member)
Pediatric Benefit: None
Adult Benefit: $1,250*
Out-of-pocket maximum
Pediatric Benefit: $350 (per enrollee), $700 (2/+ enrollees)
Adult Benefit: None
Basic services (e.g. fillings and adult root canals)
20% coinsurance
Major services (e.g. select crowns, dentures)
50% coinsurance
*Applies to diagnostic & preventive, basic, and major services
The information provided above is not a complete description of benefits. Limitations and restrictions may apply. Coinsurance amounts refer to costs for in-network services only.
Dental Compare Plans - Style and Script
