The dental plan provides comprehensive dental coverage. The maximum amount that the plan will pay each year is $1,500 (not including orthodontia expenses) per covered person after a $50 deductible. There are no deductibles for preventive dental services or orthodontia. Orthodontia (for dependent children under the age of 19) has a separate lifetime maximum of $1,500 per covered person. In-network plan benefits are:
- Preventive Services 100%*
- X-Rays 100%*
- Primary Services 80%*
- Major Services 50%*
- Orthodontics 50%*
*Out-of-network services are subject to local reasonable and customary charges.
For plan details, visit the Health Benefits page.
Vendor Contact Information
BlueCross and BlueShield Dental Group #000155
P.O. Box 23059
Belleville, IL 62223-0059
(800) 367-6401