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DC BlueCross BlueShield Dental Insurance

 
Dental Insurance Plans for Individuals, Families and The Self Employed
- Easy enrollment – No deductibles – Predictable out-of-pocket costs – No claims forms to file – Guaranteed acceptance
Individual Select Preferred – PPO Dental Plans Individual Select HMO
Select the IND20 Plan
Coverage Type Annual Rate
Full Annual Payment Due with Enrollment Application
Individual $189.36
Individual & Child(ren) $350.28
Individual & Adult $378.60
Family $530.16
Get Application Form View Brochure
Get Dental Application Form for Washington DC Blue Cross Blue Shield Dental PPO Plan
Coverage Type Annual Rate
Full Annual Payment Due with Enrollment Application
Individual $120.00
Individual & Child(ren) $204.00
Individual & Adult $240.00
Family $360.00
Get Application Form View Brochure
Get Dental HMO Application Form -DC BCBS
Individual Select PPO Dentist Directory HMO Dental Network – Dentist Directory
( Select The IND20 )
See More Payment Options See Other Payment Options
Individual Select Preferred – PPO Dental Plans Individual Select HMO
 

– More than 3,400 dentists throughout Maryland, DC and Northern Virginia

 

 
In-Network

As a member you’ll receive 100 % coverage in network for preventive and diagnostic services. Individual Select Preferred combines the freedom to select any dentist from our large regional network with wide-ranging coverage of preventive and diagnostic dental services.

The following are some of the services which are covered in full when visiting an in-network provider:

–  Examinations

–  Cleanings

–  X-rays

–  Sealants

–  Fluoride treatments for children

Participating dentists accept 100 % of the Allowed

Benefit* from CareFirst as payment in full for

covered services.

Dental Service

Regular Cost of Dental Services*

Individual Select PreferredYou Pay

Biannual  Checkups(twice a year) including routine exams, cleanings and x-rays

$330* (2 visits per year)

No charge in-network

 

Out-of-Network

 You also have the option to seek routine preventive

and diagnostic treatment from Non-Participating

Providers. If you visit a Non-participating Provider viagra pour femme,

CareFirst will still pay the Allowed Benefit, but

you will be responsible for the difference in cost

between the CareFirst Allowed benefit and your

dental provider’s full charge.

Please see the brochure for details of the benefits

* Based on 2012 National Dental Advisory Service Fee Report.

Allowed Benefit*

The Allowed Benefit is typically a reduced rate

rather than the actual charge. For example: You

have just visited your dentist for a routine exam

and cleaning. The total charge for the visit comes

to $125. If the doctor is a participating provider

they may be required to accept $75 from CareFirst

as payment in full for the visit—this is the Allowed

Benefit. If, however, the dental provider you visit is

non-participating then you may be held

responsible for the difference between the

CareFirst Allowed Benefit and the Dental

Provider’s full charge.

 

 

APPLICATION FORM -DC-Individual Select PPO Dental Plan BROCHURE -DC-Individual Select PPO Dental Plan DC-ISP-PPO-Rates
 
-Lower cost – More than 800 dentists throughout Maryland, DC and Northern Virginia

Dental Service

Regular Cost of Dental Services*

Individual Select Dental HMOYou Pay

BiannualCheckups(twice a year) including routine exams, cleanings and x-rays

$225 (2 visits per year)

$20 per office visit copay

SimpleToothExtractions

$135

$20 per office visit copay

PeriodontalScalingandRootPlaning(four or more teeth per section of the mouth)

$210

$70 per office visit copay

PorcelainCrown(high noble metal)

$915

$460

CompleteUpperDentures

$1,375 each

$495 each

Orthodontics (braces)

Adolescents

Adults

$4,890

$5,110

$2,500

$2,700

Please see the brochure for details of the benefits

* Based on 2006 National Dental Advisory Service Fee Report.

**This portion of the plan is not an insurance product. In-network providers typically charge reduced rates within these ranges. Member charges are based on CareFirst allowances with the participating providers. Since rates vary by provider, members should check with their participating dentist to determine the costs of specific procedures. Members must pay these reduced rates directly to the provider during the office visit.

APPLICATION-DC-dental-hmo-Plan-2
BROCHURE-DC-dental-hmo-Plan
RATES-DC-dental-hmo-Plan
 
Washington DC CareFirst Blue Cross Blue Shield Individual and Family Dental Insurance Plan APPLICATION INSTRUCTIONS
CareFirst Blue Cross Blue Shield is not currently processing online applications for these products – To apply you MUST:- Download and Print the application form ( Either PPO or HMO )

– Fill the form and mail it to the address specified on the form

– Be sure to include the full payment in check or money order

-Once your application has been received and processed, your benefits will begin on the First Day of the following month.

-If you have submitted your application and you have allowed 10 business days for processing and have not yet received your card. Please make sure that your check has cleared then call (888) 833-8464