Dental Coverage

Dental Coverage

Dental Insurance - Blue Cross Blue Shield, Dental Blue Program 2, with orthodontics

ELECTION OR CHANGE OF COVERAGE CAN ONLY BE DONE AT OPEN ENROLLMENT

There have been no changes to our dental coverage this year

Rate charts:

year round employees(24 pays)

school year employees(20 pays)

The Collaborative’s plan covers many dental needs ranging from preventative services and basic care to major restorative procedures and orthodontia for children under the age of 19. There is a calendar year deductible of $50 per individual and $100 per family and an annual maximum benefit of $1,000 per person (excluding orthodontics). Orthodontic benefits cannot exceed $1,000 – this is a lifetime maximum. To learn more read the Summary of Benefits and/or review plan highlights.

Good News!

If your dentist does not participate in the Dental Blue Plan, you do not necessarily have to switch dentists. Non-participating dentist’s services may be covered at 80% of the reasonable and customary costs. For more information, read the details in the plan’s Benefit Summary.

More Good News!

Haven’t reached the $1000 maximum this year? A certain portion of any unspent annual benefit dollars can be used in a future year benefit through the plan’s Maximum Rollover Benefit which applies to subscribers automatically when they:

•receive at least one service during the plan year;

•remain a member of the plan for the entire plan year; and

•do not exceed the claim payment threshold in the plan year.

Plan Highlights

Preventive Services & Diagnostic Care

  • (Covered at 100% with NO deductible)
  • Oral exams every six months
  • Teeth cleaning every six months
  • Full mouth X-rays , one set every 6 months
  • Bitewing X-rays, one set every 6 months
  • Space maintainers (under age 14)
  • Fluoride treatments every 6 months for children under age 14
  • Periodontal maintenance following active treatment once every three months

Basic Care

  • (80% after deductible)
  • Fillings
  • Extractions
  • Root canal therapy
  • Denture repair
  • Periodontal treatments
  • Emergency Dental Care

Major Care

  • (50% after deductible)
  • Fixed bridges
  • Dentures
  • Crowns
  • Implants

For more information, call 1-800-422-3545