2025 Blue DentalSM EPO 80/50/50 (0/0/0)

Your monthly payments for this all-ages dental plan will be lower than our other plans. That’s because it’s an EPO, which means it only covers care you get from dentists in our nationwide PPO network.

Overview

About this plan

This EPO plan only covers care from Tier 1 dentists — dentists who are in our nationwide PPO network. But with more than 3,600 PPO dentists in Michigan, and thousands more nationwide, it's easy to find a Tier 1 PPO in-network dentist. Your monthly payments for this all-ages dental plan will be lower than our other plans, and these dentists give you the most savings on services such as cleanings, X-rays and fillings.

Availability

You can buy this plan if you live in any Michigan county except Iron, Keweenaw or Ontonagon.

Plan type

EPO. Your dental care is only covered if you see a Tier 1 PPO in-network dentist. There's no out-of-network coverage.

Monthly premiums

To give you an accurate price, we'll need some information. Find a plan to get a quote.

Deductible

Class I services have no deductible. There is a deductible for Class II and III services only. Class IV services are not covered.

In Network

Out of Network

One member

You pay $25

Not covered

Two members

You pay $50

Three members

You pay $75

Your deductible is the amount you pay for dental services each year before your insurance begins to pay.

Coinsurance

In Network

Out of Network

Class I

You pay 20%

Not covered

Class II

You pay 50% after deductible

Class III

You pay 50% after deductible

Class IV

You pay 100%

Your coinsurance is your share of the costs of a service. It's usually figured as a percentage of the amount we allow to be charged for services. You start paying coinsurance after you’ve met your plan’s deductible

Annual benefit maximum for adult dental care

This is the limit on what your plan pays for dental care benefits for members who are 19 or older when their plan starts. After reaching that limit for the year, you pay for 100% of your dental care.

$1,200 for each adult

Not covered

In Network

Out of Network

Annual out-of-pocket max for pediatric dental care

This out-of-pocket maximum is the most you’ll have to pay during a calendar year for covered pediatric dental services. Once you’ve reached this out-of-pocket maximum, your plan pays 100 percent of the allowed amount.

In Network

Out of Network

One member

You pay no more than $425

Not applicable

Two members or more

You pay no more than $850

Not applicable

Your coinsurance is your share of the costs of a service. It's usually figured as a percentage of the amount we allow to be charged for services. You start paying coinsurance after you’ve met your plan’s deductible

Agent compensation

Members can find information about agent commissions.

Overview

About this plan

This EPO plan only covers care from Tier 1 dentists — dentists who are in our nationwide PPO network. But with more than 3,600 PPO dentists in Michigan, and thousands more nationwide, it's easy to find a Tier 1 PPO in-network dentist. Your monthly payments for this all-ages dental plan will be lower than our other plans, and these dentists give you the most savings on services such as cleanings, X-rays and fillings.

Availability

You can buy this plan if you live in any Michigan county except Iron, Keweenaw or Ontonagon.

Plan type

EPO. Your dental care is only covered if you see a Tier 1 PPO in-network dentist. There's no out-of-network coverage.

Monthly premiums

To give you an accurate price, we'll need some information. Find a plan to get a quote.

Deductible

Class I services have no deductible. There is a deductible for Class II and III services only. Class IV services are not covered.

In Network

Out of Network

One member

You pay $25

Not covered

Two members

You pay $50

Three members

You pay $75

Your deductible is the amount you pay for dental services each year before your insurance begins to pay.

Coinsurance

In Network

Out of Network

Class I

You pay 20%

Not covered

Class II

You pay 50% after deductible

Class III

You pay 50% after deductible

Class IV

You pay 100%

Your coinsurance is your share of the costs of a service. It's usually figured as a percentage of the amount we allow to be charged for services. You start paying coinsurance after you’ve met your plan’s deductible

Annual benefit maximum for adult dental care

This is the limit on what your plan pays for dental care benefits for members who are 19 or older when their plan starts. After reaching that limit for the year, you pay for 100% of your dental care.

$1,200 for each adult

Not covered

In Network

Out of Network

Annual out-of-pocket max for pediatric dental care

This out-of-pocket maximum is the most you’ll have to pay during a calendar year for covered pediatric dental services. Once you’ve reached this out-of-pocket maximum, your plan pays 100 percent of the allowed amount.

In Network

Out of Network

One member

You pay no more than $425

Not applicable

Two members or more

You pay no more than $850

Not applicable

Your coinsurance is your share of the costs of a service. It's usually figured as a percentage of the amount we allow to be charged for services. You start paying coinsurance after you’ve met your plan’s deductible

Agent compensation

Members can find information about agent commissions.

Actions

Download or print your benefit information.

Need medical coverage?

Open enrollment is closed but you can get or change coverage for the remainder of 2025 if you've had one of these qualifying life events.

Enroll now for 2025
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Health plan advisors

Call us at 1-855-237-3501 for help choosing the right plan

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