This example shows your estimated cost for a filling* if you have Blue Dental PPO Standard. With this plan, we cover 50 percent of the cost of a filling. Other plans may cover a different amount. 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.

Blue Dental PPO Standard estimated cost breakdown
Payment categories PPO (in-network) dentist Blue Par Select dentist Out-of-network dentist
Dentist's fee $150 $150 $150
Our approved amount for this service $85 $129 $129
We pay $42.50 $64.50 $64.50
You pay $42.50 $64.50 $85.50

*The cost of the filling is based on prices in Southwest Michigan. Costs may vary around the state.