2-50 employees

Update
Dental Plans

Blue DentalSM PPO Plus MAC

These plans, offered by Blue Cross Blue Shield of Michigan, are designed to have the same coverage in network and out of network.

Plan highlights
 
  • These plans allow employees to see any licensed dentist.
  • Plan payment for services is always based on our maximum allowable charge – the PPO fee – whether the dentist is in or out of network.
  • Employees will save up to 40% when they see a Tier 1 PPO (in-network) dentist.
  • Out-of-network dentists will cost the member more.
  • Pediatric essential dental benefits are included.

 

NETWORK SIZE

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PREMIUM COST

$$$

INDIVIDUAL DEDUCTIBLE

$25

Complete your employee health care package

These plans allow your employees to see any licensed dentist.  But they will save money by seeing a dentist in the PPO network. This is because:

  • Tier 1 PPO (in-network) dentists accept our fee as payment in full.
  • Tier 2 participating non-PPO (out-of-network) dentists can bill the member for any difference between our payment and our Blue Par Select fee, but no more than that.
  • Nonparticipating dentists can bill the member for any difference between the PPO fee and their billed fee.

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:

 
 

Employer-paid plan options

Blue Dental PPO Plus 100/80/50 MAC

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

Monthly premium

High

Deductible

$25

Total annual maximum

$1,000

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 and out of network

Covered 100%

Class II Basic Services

Class II Basic Services

This includes basic dental work like fillings and root canals.

In and out of network

Covered 80%

Class III Major Services

Class III Major Services

This includes major dental work like crowns and dentures.

In and out of network

Covered 50%

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 and out of network

$25

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 and out of network

$75

Annual maximum

In and out of network

$1,000

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%

Class II Basic Services

This includes basic dental work like fillings and root canals.

 Covered 80%

Class III Major Services

This includes major dental work like crowns and dentures.

 Covered 50%

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

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

$1,000

Blue Dental PPO Plus 100/80/50/50 MAC

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

Monthly premium

High

Deductible

$25

Total annual maximum

$1,000

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 and out of network

Covered 100%

Class II Basic Services

Class II Basic Services

This includes basic dental work like fillings and root canals.

In and out of network

Covered 80%

Class III Major Services

Class III Major Services

This includes major dental work like crowns and dentures.

In and out of network

Covered 50%

Class IV Orthodontic Services

Class IV Orthodontic Work

This includes orthodontic work like braces or Invisalign®.

In and out of network

Covered 50%

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 and out of network

$25

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 and out of network

$75

Annual maximum

In and out of network

$1,000

Lifetime maximum

In and out of network

$1,000

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%

Class II Basic Services

This includes basic dental work like fillings and root canals.

 Covered 80%

Class III Major Services

This includes major dental work like crowns and dentures.

 Covered 50%

Class IV Orthodontic Work

This includes orthodontic work like braces or Invisalign®.

 Covered 50%

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

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

$1,000

$1,000

Voluntary plan options

Blue Dental PPO Plus 100/80/50 MAC

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

Monthly premium

High

Deductible

$25

Total annual maximum

$1,000

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 and out of network

Covered 100%

Class II Basic Services

Class II Basic Services

This includes basic dental work like fillings and root canals.

In and out of network

Covered 80%

Class III Major Services

Class III Major Services

This includes major dental work like crowns and dentures.

In and out of network

Covered 50%

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 and out of network

$25

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 and out of network

$75

Annual maximum

In and out of network

$1,000

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%

Class II Basic Services

This includes basic dental work like fillings and root canals.

 Covered 80%

Class III Major Services

This includes major dental work like crowns and dentures.

 Covered 50%

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

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

$1,000

Blue Dental PPO Plus 100/80/50/50 MAC

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

Monthly premium

High

Deductible

$25

Total annual maximum

$1,000

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 and out of network

Covered 100%

Class II Basic Services

Class II Basic Services

This includes basic dental work like fillings and root canals.

In and out of network

Covered 80%

Class III Major Services

Class III Major Services

This includes major dental work like crowns and dentures.

In and out of network

Covered 50%

Class IV Orthodontic Services

Class IV Orthodontic Work

This includes orthodontic work like braces or Invisalign®.

In and out of network

Covered 50%

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 and out of network

$25

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 and out of network

$75

Annual maximum

In and out of network

$1,000

Lifetime maximum

In and out of network

$1,000

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%

Class II Basic Services

This includes basic dental work like fillings and root canals.

 Covered 80%

Class III Major Services

This includes major dental work like crowns and dentures.

 Covered 50%

Class IV Orthodontic Work

This includes orthodontic work like braces or Invisalign®.

 Covered 50%

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

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

$1,000

$1,000
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Incentivizing employees with PPO plans to use cost-effective providers by using our Find Care tools.

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