This example shows your estimated cost for a cleaning* if you have Blue Dental PPO Standard. With this plan, we cover 80 percent of the cost of a cleaning in network, 50 percent out of network. Other plans may cover different amounts. Remember, PPO and Blue Par Select dentists accept our approved amount. Out-of-network dentists don't. So you're responsible for paying the difference between the dentist's charge and the amount we approve.
|Payment Categories||PPO (in-network) dentist||Blue Par Select dentist||Out-of-network dentist|
|Our approved amount for this service||$53||$76||$76|
*The cost of the cleaning is based on prices in Southwest Michigan. Costs may vary around the state.