With Blue Dental PPO Plus SG plans, employees can go to any licensed dentist anywhere. They are covered whether they see in-network or out-of-network dentists. But, when they see doctors in the PPO network, they save up to 25 percent off what dentists usually charge. If they see a dentist who's outside the PPO network, they can still save money by choosing Blue Par Select dentists.

Here are some other things you need to know about these plans:

  • The annual out-of-pocket maximum for members up to age 19 is $350 for one member, $700 for two or more members.
  • You can add Class IV (orthodontic) coverage to all of these plans except Blue Dental PPO Plus 80/50/50 Pediatric SG.
  • These plans cover members of all ages, except for Blue Dental PPO Plus SG 80/50/50 Pediatric. That plan only covers members up to age 19.
Employer-paid plan options breakdown
Employer-paid plan options Blue Dental PPO
Plus 100/80/50 SG
Blue Dental PPO Plus 80/50/50 SG Blue Dental PPO Plus 80/50/50 Pediatric SG
Class I Covered 100% Covered 80% Covered 80%
Class II Covered 80% Covered 50% Covered 50%
Class III Covered 50% Covered 50% Covered 50%
Deductible for Class II and Class III services (individual / family) $25 / $75 $25 / $75 $25 / $75
Annual maximum
(for members age 19+)
This plan has two annual maximum options: $1,500 or $1,000 $1,000 N/A
Voluntary plan options breakdown
Voluntary plan options Blue Dental PPO
Plus 100/80/50 V SG
Blue Dental PPO
Plus 80/50/50 V SG
Class I Covered 100% Covered 80%
Class II Covered 80% Covered 50%
Class III Covered 50% Covered 50%
Deductible for Class II and Class III services (individual/family) $25 / $75 $25 / $75
Annual maximum (for members age 19+) $1,000 $1,000