2-50 employees

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Dental plans

Blue DentalSM EPO

These plans require using Tier 1 PPO (in-network) dentists, making this most cost-effective option for you and your employees.

Plan highlights
  • Our most cost-effective option.
  • Access to 3,600 Michigan dentists and more than 130,000 nationwide. 
  • Diagnostic and preventive care covered at 100%.
  • Pediatric essential dental benefits included in all plans.

NETWORK SIZE

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PREMIUM COST

$

INDIVIDUAL DEDUCTIBLE

$25

Complete your employee health care package

When you offer a dental plan to your employees you’re helping them maintain their overall health and well-being. Dentists can spot signs of more than 120 serious health conditions during routine oral exams. This, combined with their health care plan, can provide employees with a complete health package.

These Blue Dental plans offer: 

  • Access to one of the largest dental PPO networks
  • A variety of dental services
  • Ability to add orthodontic coverage
  • Our Dental Resource Center

Employer-paid plan options

Blue Dental EPO 100/80/50 (0/0/0)

This is an employer-paid plan. This means you pay up to 100% of the employee’s premium.

Monthly premium

Low

Deductible

$25

Total annual maximum

$1,250

Class I Diagnostic and Preventive Care

Class I Diagnostic and Preventive Care

This includes diagnostic and preventive care like exams and cleanings. There are no deductibles for these services.

In network

Covered 100%

Out of network

Not covered

Class II Basic Services

Class II Basic Services

This includes basic dental work like fillings and root canals.

In network

Covered 80%

Out of network

Not covered

Class III Major Services

Class III Major Services

This includes major dental work like crowns and dentures.

In network

Covered 50%

Out of network

Not covered

Individual annual deductible

Individual annual deductible

An individual annual deductible is what you pay each year for dental services before your insurance begins to pay for Class II and Class III services.

In network

$25

Out of network

N/A

Family annual deductible

Family annual deductible

A family annual deductible is what you and others on your plan have to pay each year before your dental insurance begins to pay for Class II and Class III services.

In network

$75

Out of network

N/A

Annual maximum

Annual maximum

This is the limit on what your plan pays for dental care for those 19 or older. After reaching that limit for the year, you pay 100% of your dental care. Annual maximums don't apply to pediatric members.

In network

$1,250

Out of network

N/A

Class I Diagnostic and Preventive Care

This includes diagnostic and preventive care like exams and cleanings. There are no deductibles for these services.

 Covered 100% Not covered

Class II Basic Services

This includes basic dental work like fillings and root canals.

 Covered 80% Not covered

Class III Major Services

This includes major dental work like crowns and dentures.

 Covered 50% Not covered

Individual annual deductible

An individual annual deductible is what you pay each year for dental services before your insurance begins to pay for Class II and Class III services.

 $25 N/A

Family annual deductible

A family annual deductible is what you and others on your plan have to pay each year before your dental insurance begins to pay for Class II and Class III services.

 $75 N/A

Annual maximum

This is the limit on what your plan pays for dental care for those 19 or older. After reaching that limit for the year, you pay 100% of your dental care. Annual maximums don't apply to pediatric members.

 $1,250 N/A

Blue Dental EPO 100/80/50/50 (0/0/0/0)

This is an employer-paid plan. This means you pay up to 100% of the employee’s premium.

Monthly premium

Low

Deductible

$25

Total annual maximum

$1,250

Class I Diagnostic and Preventive Care

Class I Diagnostic and Preventive Care

This includes diagnostic and preventive care like exams and cleanings. There are no deductibles for these services.

In network

Covered 100%

Out of network

Not covered

Class II Basic Services

Class II Basic Services

This includes basic dental work like fillings and root canals.

In network

Covered 80%

Out of network

Not covered

Class III Major Services

Class III Major Services

This includes major dental work like crowns and dentures.

In network

Covered 50%

Out of network

Not covered

Class IV Orthodontic Services

Class IV Orthodontic Work

This includes orthodontic work like braces or Invisalign®.

In network

Covered 50%

Out of network

Not covered

Individual annual deductible

Individual annual deductible

An individual annual deductible is what you pay each year for dental services before your insurance begins to pay for Class II and Class III services.

In network

$25

Out of network

N/A

Family annual deductible

Family annual deductible

A family annual deductible is what you and others on your plan have to pay each year before your dental insurance begins to pay for Class II and Class III services.

In network

$75

Out of network

N/A

Annual maximum

Annual maximum

This is the limit on what your plan pays for dental care for those 19 or older. After reaching that limit for the year, you pay 100% of your dental care. Annual maximums don't apply to pediatric members.

In network

$1,250

Out of network

N/A

Lifetime maximum

In network

$1,250

Out of network

N/A

Class I Diagnostic and Preventive Care

This includes diagnostic and preventive care like exams and cleanings. There are no deductibles for these services.

 Covered 100% Not covered

Class II Basic Services

This includes basic dental work like fillings and root canals.

 Covered 80% Not covered

Class III Major Services

This includes major dental work like crowns and dentures.

 Covered 50% Not covered

Class IV Orthodontic Work

This includes orthodontic work like braces or Invisalign®.

 Covered 50% Not covered

Individual annual deductible

An individual annual deductible is what you pay each year for dental services before your insurance begins to pay for Class II and Class III services.

 $25 N/A

Family annual deductible

A family annual deductible is what you and others on your plan have to pay each year before your dental insurance begins to pay for Class II and Class III services.

 $75 N/A

Annual maximum

This is the limit on what your plan pays for dental care for those 19 or older. After reaching that limit for the year, you pay 100% of your dental care. Annual maximums don't apply to pediatric members.

 $1,250 N/A

$1,250 N/A

Voluntary plan options

Blue Dental EPO 100/80/50 (0/0/0)

This plan is voluntary. This means you pay no more than 35% of the employee’s premium.

Monthly premium

Low

Deductible

$25

Total annual maximum

$1,250

Class I Diagnostic and Preventive Care

Class I Diagnostic and Preventive Care

This includes diagnostic and preventive care like exams and cleanings. There are no deductibles for these services.

In network

Covered 100%

Out of network

Not covered

Class II Basic Services

Class II Basic Services

This includes basic dental work like fillings and root canals.

In network

Covered 80%

Out of network

Not covered

Class III Major Services

Class III Major Services

This includes major dental work like crowns and dentures.

In network

Covered 50%

Out of network

Not covered

Individual annual deductible

Individual annual deductible

An individual annual deductible is what you pay each year for dental services before your insurance begins to pay for Class II and Class III services.

In network

$25

Out of network

N/A

Family annual deductible

Family annual deductible

A family annual deductible is what you and others on your plan have to pay each year before your dental insurance begins to pay for Class II and Class III services.

In network

$75

Out of network

N/A

Annual maximum

Annual maximum

This is the limit on what your plan pays for dental care for those 19 or older. After reaching that limit for the year, you pay 100% of your dental care. Annual maximums don't apply to pediatric members.

In network

$1,250

Out of network

N/A

Class I Diagnostic and Preventive Care

This includes diagnostic and preventive care like exams and cleanings. There are no deductibles for these services.

 Covered 100% Not covered

Class II Basic Services

This includes basic dental work like fillings and root canals.

 Covered 80% Not covered

Class III Major Services

This includes major dental work like crowns and dentures.

 Covered 50% Not covered

Individual annual deductible

An individual annual deductible is what you pay each year for dental services before your insurance begins to pay for Class II and Class III services.

 $25 N/A

Family annual deductible

A family annual deductible is what you and others on your plan have to pay each year before your dental insurance begins to pay for Class II and Class III services.

 $75 N/A

Annual maximum

This is the limit on what your plan pays for dental care for those 19 or older. After reaching that limit for the year, you pay 100% of your dental care. Annual maximums don't apply to pediatric members.

 $1,250 N/A

Blue Dental EPO 100/80/50/50 (0/0/0/0)

This plan is voluntary. This means you pay no more than 35% of the employee’s premium.

Monthly premium

Low

Deductible

$25

Total annual maximum

$1,250

Class I Diagnostic and Preventive Care

Class I Diagnostic and Preventive Care

This includes diagnostic and preventive care like exams and cleanings. There are no deductibles for these services.

In network

Covered 100%

Out of network

Not covered

Class II Basic Services

Class II Basic Services

This includes basic dental work like fillings and root canals.

In network

Covered 80%

Out of network

Not covered

Class III Major Services

Class III Major Services

This includes major dental work like crowns and dentures.

In network

Covered 50%

Out of network

Not covered

Class IV Orthodontic Services

Class IV Orthodontic Work

This includes orthodontic work like braces or Invisalign®.

In network

Covered 50%

Out of network

Not covered

Individual annual deductible

Individual annual deductible

An individual annual deductible is what you pay each year for dental services before your insurance begins to pay for Class II and Class III services.

In network

$25

Out of network

N/A

Family annual deductible

Family annual deductible

A family annual deductible is what you and others on your plan have to pay each year before your dental insurance begins to pay for Class II and Class III services.

In network

$75

Out of network

N/A

Annual maximum

Annual maximum

This is the limit on what your plan pays for dental care for those 19 or older. After reaching that limit for the year, you pay 100% of your dental care. Annual maximums don't apply to pediatric members.

In network

$1,250

Out of network

N/A

Lifetime maximum

In network

$1,250

Out of network

N/A

Class I Diagnostic and Preventive Care

This includes diagnostic and preventive care like exams and cleanings. There are no deductibles for these services.

 Covered 100% Not covered

Class II Basic Services

This includes basic dental work like fillings and root canals.

 Covered 80% Not covered

Class III Major Services

This includes major dental work like crowns and dentures.

 Covered 50% Not covered

Class IV Orthodontic Work

This includes orthodontic work like braces or Invisalign®.

 Covered 50% Not covered

Individual annual deductible

An individual annual deductible is what you pay each year for dental services before your insurance begins to pay for Class II and Class III services.

 $25 N/A

Family annual deductible

A family annual deductible is what you and others on your plan have to pay each year before your dental insurance begins to pay for Class II and Class III services.

 $75 N/A

Annual maximum

This is the limit on what your plan pays for dental care for those 19 or older. After reaching that limit for the year, you pay 100% of your dental care. Annual maximums don't apply to pediatric members.

 $1,250 N/A

$1,250 N/A
THE BLUE CROSS DIFFERENCE

See how Smarter, Better, Personalized Health Care tackles your business challenges

Whole Person Health

Health & Well-Being

Encourage a culture of well-being with tools and resources to help your employees improve their whole health.

Blue Cross Rewards

Incentivizing employees with PPO plans to use cost-effective providers by using our Find Care tools.

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Comprehensive Provider and Network Choices

Choices for care

Helping your employees avoid costly ER visits and get the care they need quickly and conveniently.

Value-based care

Elevating the quality of care by rewarding physicians for better patient health outcomes.

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Easy, Useful, Personal Coverage

Blue Cross Coordinated Care Core

A care management program for your employees and their family members who face complex health issues.

Online member account

Your employees will get the tools, information and support they need all under one secure online account.

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Resources

Pharmacy benefit manager changes

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TOOLKITS

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Browse brochures, videos and posters designed to help your employees get the most out of their Blue Cross coverage.

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