2-50 employees

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Dental Plans

Blue DentalSM PPO

These plans offer coverage options for in-network and out-of-network dentists. Employees will save the most money by going to a Tier 1 PPO (in-network) dentist.

Plan highlights
  • Employees get the best coverage and biggest savings when they see a Tier 1 PPO (in-network) dentist.
  • They'll save up to 40% when they see Tier 1 PPO dentists.
  • Pediatric essential dental benefits are included.

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 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 100/80/50 (50/50/50) $1,500

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

Monthly premium

Medium

Deductible

$25

Total annual maximum

$1,500

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

Covered 50%

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

Covered 50%

Class III Major Services

Class III Major Services

This includes major dental work like crowns and dentures.

In network

Covered 50%

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 network

$25

Out of network

$50

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

$150

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

$1,500 in and out of network

Out of network

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% Covered 50%

Class II Basic Services

This includes basic dental work like fillings and root canals.

 Covered 80% Covered 50%

Class III Major Services

This includes major dental work like crowns and dentures.

 Covered 50% 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 $50

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 $150

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.

 $1,500 in and out of network

Blue Dental PPO 100/80/50/50 (50/50/50/50) $1,500

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

Monthly premium

Medium

Deductible

$25

Total annual maximum

$1,500

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

Covered 50%

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

Covered 50%

Class III Major Services

Class III Major Services

This includes major dental work like crowns and dentures.

In network

Covered 50%

Out of network

Covered 50%

Class IV Orthodontic Services

Class IV Orthodontic Work

This includes orthodontic work like braces or Invisalign®.

In network

Covered 50%

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 network

$25

Out of network

$50

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

$150

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

$1,500 in and out of network

Out of network

Lifetime maximum

In network

$1,500 in and out of network

Out of network

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% Covered 50%

Class II Basic Services

This includes basic dental work like fillings and root canals.

 Covered 80% Covered 50%

Class III Major Services

This includes major dental work like crowns and dentures.

 Covered 50% Covered 50%

Class IV Orthodontic Work

This includes orthodontic work like braces or Invisalign®.

 Covered 50% 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 $50

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 $150

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.

 $1,500 in and out of network

$1,500 in and out of network

Blue Dental PPO 100/80/50 (80/50/50)

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

Monthly premium

Medium

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

Covered 80%

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

Covered 50%

Class III Major Services

Class III Major Services

This includes major dental work like crowns and dentures.

In network

Covered 50%

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 network

$25

Out of network

$50

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

$150

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

$800 of $1,250 total

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% Covered 80%

Class II Basic Services

This includes basic dental work like fillings and root canals.

 Covered 80% Covered 50%

Class III Major Services

This includes major dental work like crowns and dentures.

 Covered 50% 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 $50

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 $150

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 $800 of $1,250 total

Blue Dental PPO 100/80/50/50 (80/50/50/50) $1,250

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

Monthly premium

Medium

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

Covered 80%

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

Covered 50%

Class III Major Services

Class III Major Services

This includes major dental work like crowns and dentures.

In network

Covered 50%

Out of network

Covered 50%

Class IV Orthodontic Services

Class IV Orthodontic Work

This includes orthodontic work like braces or Invisalign®.

In network

Covered 50%

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 network

$25

Out of network

$50

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

$150

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

$800 of $1,250 total

Lifetime maximum

In network

$1,250 in and out of network

Out of network

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% Covered 80%

Class II Basic Services

This includes basic dental work like fillings and root canals.

 Covered 80% Covered 50%

Class III Major Services

This includes major dental work like crowns and dentures.

 Covered 50% Covered 50%

Class IV Orthodontic Work

This includes orthodontic work like braces or Invisalign®.

 Covered 50% 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 $50

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 $150

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 $800 of $1,250 total

$1,250 in and out of network

Blue Dental PPO 100/80/50 (50/50/50) $1,000

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

Monthly premium

Medium

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 network

Covered 100%

Out of network

Covered 50%

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

Covered 50%

Class III Major Services

Class III Major Services

This includes major dental work like crowns and dentures.

In network

Covered 50%

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 network

$25

Out of network

$50

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

$150

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

$1,000 in and out of network

Out of network

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% Covered 50%

Class II Basic Services

This includes basic dental work like fillings and root canals.

 Covered 80% Covered 50%

Class III Major Services

This includes major dental work like crowns and dentures.

 Covered 50% 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 $50

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 $150

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.

 $1,000 in and out of network

Blue Dental PPO 100/80/50/50 (50/50/50/50) $1,000

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

Monthly premium

Medium

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 network

Covered 100%

Out of network

Covered 50%

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

Covered 50%

Class III Major Services

Class III Major Services

This includes major dental work like crowns and dentures.

In network

Covered 50%

Out of network

Covered 50%

Class IV Orthodontic Services

Class IV Orthodontic Work

This includes orthodontic work like braces or Invisalign®.

In network

Covered 50%

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 network

$25

Out of network

$50

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

$150

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

$1,000 in and out of network

Out of network

Lifetime maximum

In network

$1,000 in and out of network

Out of network

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% Covered 50%

Class II Basic Services

This includes basic dental work like fillings and root canals.

 Covered 80% Covered 50%

Class III Major Services

This includes major dental work like crowns and dentures.

 Covered 50% Covered 50%

Class IV Orthodontic Work

This includes orthodontic work like braces or Invisalign®.

 Covered 50% 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 $50

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 $150

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.

 $1,000 in and out of network

$1,000 in and out of network

Blue Dental PPO 80/50/50 (50/50/50)

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

Monthly premium

Medium

Deductible

$25

Total annual maximum

$800

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 80%

Out of network

Covered 50%

Class II Basic Services

Class II Basic Services

This includes basic dental work like fillings and root canals.

In network

Covered 50%

Out of network

Covered 50%

Class III Major Services

Class III Major Services

This includes major dental work like crowns and dentures.

In network

Covered 50%

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 network

$25

Out of network

$50

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

$150

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

$800 in and out of network

Out of network

Class I Diagnostic and Preventive Care

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

 Covered 80% Covered 50%

Class II Basic Services

This includes basic dental work like fillings and root canals.

 Covered 50% Covered 50%

Class III Major Services

This includes major dental work like crowns and dentures.

 Covered 50% 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 $50

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 $150

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.

 $800 in and out of network

Blue Dental PPO 80/50/50/50 (50/50/50/50) $800

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

Monthly premium

Medium

Deductible

$25

Total annual maximum

$800

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 80%

Out of network

Covered 50%

Class II Basic Services

Class II Basic Services

This includes basic dental work like fillings and root canals.

In network

Covered 50%

Out of network

Covered 50%

Class III Major Services

Class III Major Services

This includes major dental work like crowns and dentures.

In network

Covered 50%

Out of network

Covered 50%

Class IV Orthodontic Services

Class IV Orthodontic Work

This includes orthodontic work like braces or Invisalign®.

In network

Covered 50%

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 network

$25

Out of network

$50

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

$150

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

$800 in and out of network

Out of network

Lifetime maximum

In network

$800 in and out of network

Out of network

Class I Diagnostic and Preventive Care

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

 Covered 80% Covered 50%

Class II Basic Services

This includes basic dental work like fillings and root canals.

 Covered 50% Covered 50%

Class III Major Services

This includes major dental work like crowns and dentures.

 Covered 50% Covered 50%

Class IV Orthodontic Work

This includes orthodontic work like braces or Invisalign®.

 Covered 50% 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 $50

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 $150

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.

 $800 in and out of network

$800 in and out of network

Voluntary plan options

Blue Dental PPO 100/80/50 (80/50/50)

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

Monthly premiums

Medium

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 network

Covered 100%

Out of network

Covered 80%

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

Covered 50%

Class III Major Services

Class III Major Services

This includes major dental work like crowns and dentures.

In network

Covered 50%

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 network

$25

Out of network

$50

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

$150

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

$1,000

Out of network

$800 of $1,000 total

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% Covered 80%

Class II Basic Services

This includes basic dental work like fillings and root canals.

 Covered 80% Covered 50%

Class III Major Services

This includes major dental work like crowns and dentures.

 Covered 50% 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 $50

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 $150

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.

 $1,000 $800 of $1,000 total

Blue Dental PPO 100/80/50/50 (80/50/50/50)

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

Monthly premiums

Medium

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 network

Covered 100%

Out of network

Covered 80%

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

Covered 50%

Class III Major Services

Class III Major Services

This includes major dental work like crowns and dentures.

In network

Covered 50%

Out of network

Covered 50%

Class IV Orthodontic Services

Class IV Orthodontic Work

This includes orthodontic work like braces or Invisalign®.

In network

Covered 50%

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 network

$25

Out of network

$50

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

$150

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

$1,000

Out of network

$800 of $1,000 total

Lifetime maximum

In network

$1,000 in and out of network

Out of network

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% Covered 80%

Class II Basic Services

This includes basic dental work like fillings and root canals.

 Covered 80% Covered 50%

Class III Major Services

This includes major dental work like crowns and dentures.

 Covered 50% Covered 50%

Class IV Orthodontic Work

This includes orthodontic work like braces or Invisalign®.

 Covered 50% 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 $50

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 $150

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.

 $1,000 $800 of $1,000 total

$1,000 in and out of network
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TOOLKITS

Resources to share with your employees

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

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More plans you may be interested in

Blue Dental℠ PPO Plus

These plans allow you to see any licensed dentist.

Blue Dental℠ EPO

These plans are our most cost efficient plans.