Dental Benefits
Blue Dental PPO |
Blue Dental Choice |
Out-of-Network |
|
|---|---|---|---|
Deductible(Indiv./Family) |
$50 / $150 |
$50 / $150 |
$50 / $150 |
Type 1: Preventive Services |
100% |
100% |
80% |
Type 2: Basic Services |
90% |
80% |
60% |
Type 3: Major Services |
60% |
50% |
40% |
Annual Maximum Benefit per Person |
$1,500 |
$1,500 |
$1,500 |
Dependent Limiting Age |
26 |
26 |
26 |
Monthly Rates |
|
|---|---|
Employee |
$15.48 |
Employee + Spouse |
$30.91 |
Employee + Child(ren) |
$33.77 |
Family |
$51.43 |
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