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Group Dental - Compare Your Choices

  BlueSelect® Dental Dental Plus BlueTraditional® Dental Plus PPO
Selection of Dentists Each subscriber chooses a dentist from a broad list of participating dentists statewide. Each subscriber chooses a dentist from a broad list of participating dentists statewide. Each subscriber chooses a dentist from a list of hundreds of dentists statewide.
Deductible $50 deductible. Deductible options of $0, $50 or $100. Deductible options of $0, $50 or $100. 
Maximum Benefit Annual maximum benefit of $1,000 (Options 1A, 2 and 3) or $1,250 (Option 4) on primary and major services. Annual maximum benefit of $1,000 on primary and major services. Annual maximum benefit of 1,000 on primary and major services.
Diagnostic 
and Preventive Services
Routine cleanings, x-rays, oral exams, children's fluoride applications, space maintainers and sealants covered at 100% of maximum reimbursement allowance with in-network dentists; 80% of maximum reimbursement allowance with out-of-network dentists. Routine cleanings, x-rays, oral exams, children's fluoride applications, space maintainers and sealants covered at 100% of maximum reimbursement allowance. Routine cleanings, x-rays, oral exams, children's fluoride applications, space maintainers and sealants covered at 100% of the pre-negotiated PPO price when using Dental Plus PPO dentists. Subject to 80% coinsurance of the pre-negotiated PPO price when using a non-participating Dental Plus PPO dentist.
Primary Services (maintenance, oral surgery and periodontic services). Paid at 80% of the pre-negotiated price when using LINCS Dental Connection network dentists. Paid at 60% of the pre-negotiated price when using non-network dentists. Paid at 80% of the network pre-negotiated price. Paid at 80% of the pre-negotiated PPO price when using PPO dentists. Paid at 60% of the pre-negotiated PPO price when using non-PPO dentists.
Major Services (inlays, crowns, veneers, dentures, partials and bridges) Paid at 50% of the pre-negotiated price when using LINCS Dental Connection network dentists. Paid at 30% of the pre-negotiated price when using non-network dentists.
Paid at 50% of the network pre-negotiated price. Paid at 50% of the pre-negotiated PPO price when using PPO dentists. Paid at 30% of the pre-negotiated PPO price when using non-PPO dentists.
Orthodontics (Available to groups with 50 or more enrolled employees.) Optional: Available only to eligible dependents to age 19. Paid at 50% of the pre-negotiated price when using network dentists. Paid at 30% of the pre-negotiated price when using non-network dentists. Subject to $1,000  lifetime maximum benefit.
(Options 2, 3 and 4 only.)
Optional: Available only to eligible dependents to age 19. Paid at 50% of the network pre-negotiated price. Subject to $1,000  lifetime maximum benefit. Optional: Available only to eligible dependents to age 19. Paid at 50% of the pre-negotiated PPO price when using PPO dentists. Paid at 30% of the pre-negotiated PPO price when using non-PPO dentists. Subject to $1,000 lifetime maximum benefit.

See more detailed information about BlueSelect Dental for groups.  [File: 1.45 MB]