Jump to Content
Blue Dental PPOSM
With Blue Dental PPO, you see the dentist of your choice every time you need care. Network dentist or not, you’re covered.
Plan Features and Advantages:
- Unmatched access to network dentists for discounts through negotiated fees
- Members have the freedom to choose a network or non-network dentist
- Member out-of-pocket costs are lower when they choose a PPO network dentist
- Lower network fees result in savings for group
- Higher in-network payment percentage encourages members to see a PPO network dentist
Note: Blue Cross Blue Shield of Michigan uses the Dental Network of America Preferred Network for its dental plans. DNoA is an independent company.
What's my cost?
The example below shows what the member’s out-of-pocket costs would be under each option if he or she had a $600 dental procedure.
Class II service covered at 80 percent in-network and 50 percent out-of-network.
| PPO network dentist |
Blue Par Select participating dentist |
Out-of-network nonparticipating dentist |
|
|---|---|---|---|
| Dentist’s fee | $600 | $600 | $600 |
| We approve | $350 | $550 | $550 |
| We pay | $280 (80%) | $275 (50%) | $275 (50%) |
| Your copay | $70 (20%) | $275 (50%) | $275 (50%) |
| Your total out-of-pocket cost |
$ 70 (copay only) |
$275 (copay only) |
$325 (copay plus difference between dentist’s fee and approved amount) |
What to know before dental treatment
- Ask before every visit whether your dentist participates with the Blues.
- Have your dentist contact us to determine if your planned treatment is a covered benefit.
- Contact Customer Service for other questions at the phone number listed on the back of your Blues ID card.
To find out more about our dental plans, contact your sales representative or BCBSM-contracted agent.
Blue Cross Blue Shield of Michigan uses the DNoA Preferred Network for its dental plans. DNoA is an independent company.
